Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Association of Nutritional Intake with Physical Activity and Handgrip Strength in Individuals with Airflow Limitation

  • I Re Heo (Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine) ;
  • Tae Hoon Kim (Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine) ;
  • Jong Hwan Jeong (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Manbong Heo (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Sun Mi Ju (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Jung-Wan Yoo (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Seung Jun Lee (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Yu Ji Cho (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Yi Yeong Jeong (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Jong Deog Lee (Department of Internal Medicine, Gyeongsang National University Hospital, Gyeongsang National University College of Medicine) ;
  • Ho Cheol Kim (Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University College of Medicine)
  • Received : 2024.03.01
  • Accepted : 2024.10.01
  • Published : 2025.01.31
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Abstract

Background: We investigated whether nutritional intake is associated with physical activity (PA) and handgrip strength (HGS) in individuals with airflow limitation. Methods: This study analyzed data from the 2014 and 2016 Korean National Health and Nutrition Examination Survey. We assessed total protein intake (g/day), caloric intake (kcal/day), and other nutritional intakes, using a 24-hour dietary recall questionnaire. HGS was measured three times for each hand using a digital grip strength dynamometer, and PA was assessed as health-enhancing PA. Airflow limitation was defined as a forced expiratory volume/forced vital capacity ratio of 0.7 in individuals over 40 years of age. Participants were categorized into groups based on their PA levels and HGS measurements: active aerobic PA vs. non-active aerobic PA, and normal HGS vs. low HGS. Results: Among the 622 individuals with airflow limitation, those involved in active aerobic PA and those with higher HGS had notably higher total food, calorie, water, protein, and lipid intake. The correlations between protein and caloric intake with HGS were strong (correlation coefficients=0.344 and 0.346, respectively). The forest plots show that higher intakes of food, water, calories, protein, and lipids are positively associated with active aerobic PA, while higher intakes of these nutrients are inversely associated with low HGS. However, in the multivariate logistic regression analysis, no significant associations were observed between nutritional intake and active aerobic PA or HGS. Conclusion: Nutritional intake was found to not be an independent factor associated with PA and HGS. However, the observed correlations suggest potential indirect effects that warrant further investigation.

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References

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