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KMID : 1100920210420030204
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Korean Journal of Family Medicine
2021 Volume.42 No. 3 p.204 ~ p.211
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Cancer Survivors with Low Hand Grip Strength Have Decreased Quality of Life Compared with Healthy Controls: The Korea National Health and Nutrition Examination Survey 2014?2017
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Kim Hyun-Ji
Yoo Sun-Mi
Kim Hyo-Eun
Park Seung-Guk
Son Min-Kyu
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Abstract
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Background: Cancer survivors experience decreased physical function and reduced muscle strength, which leads to lower quality of life (QOL). The hand grip strength (HGS) can be a predictor of poor health-related QOL as a parameter of sarcopenia. The purpose of this study was to investigate the relationship between low HGS and QOL in cancer survivors and healthy controls.
Methods: We analyzed 392 cancer survivors and 1,176 healthy controls from the Korea National Health and Nutrition Examination Survey, 2014?2017. We defined low HGS as 2 standard deviation values for healthy young Korean adults from a previous study. QOL was evaluated using the European Quality of Life Scale-Five Dimensions. A complex sample logistic regression model was used to assess the relationship between each dimension of low HGS and QOL.
Results: The odds ratios (ORs) for decreased QOL were significantly higher in male cancer survivors with low HGS on self-care (OR, 8.51; 95% confidence interval [CI], 1.69?42.83) and usual activities (OR, 6.63; 95% CI, 1.22?36.03). The ORs for problems in mobility (OR, 5.87; 95% CI, 2.04?16.91), usual activities (OR, 14.46; 95% CI, 3.84?54.44), pain/discomfort (OR, 4.90; 95% CI, 2.00?12.01), and anxiety/depression (OR, 6.43; 95% CI, 2.16?19.12) were significantly high in female cancer survivors with low HGS. However, healthy controls showed no significant relationship between low HGS and QOL.
Conclusion: For cancer survivors, low HGS was associated with poor QOL in some domains. Strategies to increase muscle strength must be considered to improve the QOL of cancer survivors.
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KEYWORD
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Cancer Survivors, Hand Strength, Quality of Life, Sarcopenia
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