Background: Handgrip strength (HGS) is a commonly measured indicator of physical activity. As decreases in HGS are associated with mortality and cardiovascular morbidity, it is an important biomarker of disease and a health status. Many studies have investigated the association between HGS and chronic diseases in the elderly, but the relationship of HGS with mental health has been less studied. Therefore, this study aimed to identify the association between HGS and psychological distress (depressive symptoms and suicidal ideation). Methods: Study subjects were 9,589 adults aged ≥19 years who participated in the Korean National Health and Nutrition Examination Survey in 2015 and 2017. HGS was measured three times in alternating hands, and the maximum value of HGS of the commonly used hand was used as the final grip value. A logistic regression model was used to analyze the associations of HGS with depressive symptoms and suicidal ideation after adjusting for covariates. Results: The prevalence of suicidal ideation and depressive symptoms was 4.1% and 9.4% in male and 5.2% and 14.9% in female, respectively. Female showed significantly higher prevalence than male (all P<0.05). In multivariable logistic regression analysis, the odds ratios (95% confidence intervals) for suicidal ideation and depressive symptoms in the highest tertile of HGS relative to the lowest tertile were 0.54 (0.30-0.95) and 0.68 (0.47-0.99) in male and 0.63 (0.43-0.93) and 0.72 (0.57-0.92) in female, respectively. Conclusion: HGS was inversely associated with depressive symptoms and suicidal ideation, and can thus serve as a useful predictor of psychological distress.
A coronary aneurysm (CA) can occur in sirolimus-eluting stent (SES)-implanted coronary lesions. Although several possible mechanisms have been suggested, the precise pathogenesis of a CA in SES-implanted lesions is still unknown. We report a patient with Churg-Strauss syndrome who underwent successful percutaneous coronary intervention with SES and then experienced a CA in an SES-implanted coronary lesion. We describe the CA characteristics through the use of coronary angiography, coronary 64-multidetector computed tomography, and intravascular ultrasound and discuss the etiological factors for the CA in this patient.
Background:The number of elderly individuals, who are mostly excluded from society and reside in relatively poor conditions, living and eating alone is increasing. Eating meals with others is a good opportunity for elderly individuals to form a social support system, thereby promoting behaviors related to maintaining health. Therefore, this study aimed to identify the association between eating meals with others and health screening by household type. Methods: In total, 2,504 adults aged ≥65 years participated in the Korea National Health and Nutrition Examination Survey in 2016-2018. Characteristic differences between the participants were analyzed using the chi-square test. A multivariable logistic regression model was used to analyze the association between eating meals with others and health screening after adjusting for covariates. Results: According to the characteristics of the study population based on eating with others and eating alone by household type, elderly individuals living alone who ate meals with others were more likely to have good self-rated health, exercise regularly, and undergo health screening. In a multivariable logistic regression analysis of eating meals with others and health screening by household type, eating meals with others was significantly associated with health screening in elderly individuals living alone (odds ratio, 1.606; 95% confidence interval, 1.034-2.496). Conclusion:We found that eating meals with others was related to health screening in elderly individuals living alone. However, more research on whether eating meals with others has a positive effect on health behavior in elderly individuals living alone is needed.
Background: This study aimed to examine the association between osteoporosis and mental health status in Korean postmenopausal women. Methods: We analyzed data from the Korea National Health and Nutrition Examination Survey 2016 and 2018 and enrolled a total of 3,134 postmenopausal women. In the health questionnaire, participants who answered that they currently have osteoporosis were defined as the osteoporosis group. Mental health status data were obtained from a self-report questionnaire that assessed depression, subjective health status, stress perception, and suicide plans. Logistic regression analysis was performed to identify the association between osteoporosis and mental health status. Results: The group whose subjective health status was "bad" had a significantly higher odds ratio for osteoporosis than the group whose subjective health status was "good" (2.26 [95% confidence interval, 1.59-3.21]). Compared with the healthy group, the group with depression showed a significantly higher odds ratio for osteoporosis (1.44 [95% confidence interval, 1.03-2.02]). We also determined that osteoporosis was significantly associated with age, educational level, and alcohol intake. Conversely, stress perception and suicide plans were not significantly associated with osteoporosis in Korean postmenopausal women. Conclusion:In Korean postmenopausal women, subjective health status and depression were significantly associated with osteoporosis.
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