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KMID : 1039620220120030179
Korean Journal of Family Practice
2022 Volume.12 No. 3 p.179 ~ p.184
Association between Masticatory Difficulty and Handgrip Strength in Korean Adult Cancer Survivors
Jung Geon

Nam Ga-Eun
Huh Youn
Her Yu-Sun
Lee Eun-Sik
Choo Jee-Min
Chang Jin-Kyung
Kim Yang-Hyun
Cho Kyung-Hwan
Abstract
Background: The number of cancer survivors is increasing worldwide. Sarcopenia is an important indicator of the physical health and quality of life ofcancer survivors. In this study, we investigated the association between masticatory difficulty and low handgrip strength (HGS) in adult cancersurvivors in Korea.

Methods: We analyzed data obtained from 859 adult cancer survivors aged ¡Ã19 years from the Korea National Health and Nutrition ExaminationSurvey 2016 to 2019. Masticatory difficulty was defined as having discomfort while chewing, and was graded as mild, moderate, or severediscomfort. Low HGS defined as less than 26 kg for male participants and less than 18 kg for female participants. Multivariable logistic regressionanalysis was used to examine the association between masticatory difficulty and low HGS.

Results: After adjusting for confounding variables, the odds ratio (OR) of low HGS significantly increased in female cancer survivors with masticatorydifficulty compared to those without masticatory difficulty (OR, 1.76; P=0.034). Among cancer survivors who were <65 years of age, the ORsignificantly increased in the group with masticatory difficulty compared to the group without it (OR, 2.76; P=0.007). In female as well as younger(<65 y) cancer survivors, more severe masticatory difficulty was significantly associated with higher risk of low HGS (both P for trend <0.001).

Conclusion: In female and younger cancer survivors, the presence of masticatory difficulty and more severe degree of such difficulty, were associatedwith the higher risk of low HGS.
KEYWORD
Cancer Survivors, Masticatory Difficulty, Handgrip Strength, Sarcopenia, Korea National Health and Nutrition Examination Survey
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