Sarcopenic Obesity: Prevalence and Association With Metabolic Syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA)

• Published in: Diabetes care Vol. 33; no. 7; pp. 1652 - 1654
• Main Authors: LIM, Soo, JUNG HEE KIM, JI WON YOON, SEON MEE KANG, SUNG HEE CHOI, YOUNG JOO PARK, KI WOONG KIM, JAE YOUNG LIM, KYONG SOO PARK, HAK CHUL JANG
• Format: Journal Article
• Language: English
• Published: Alexandria, VA American Diabetes Association 01.07.2010
• Subjects: Aged; Aged, 80 and over; Aging; Asian Continental Ancestry Group - statistics & numerical data; Biological and medical sciences; Diabetes. Impaired glucose tolerance; Endocrine pancreas. Apud cells (diseases); Endocrinopathies; Female; Humans; Influence; Insulin Resistance; Logistic Models; Longitudinal Studies; Male; Medical sciences; Mens health; Metabolic diseases; Metabolic disorders; Metabolic Syndrome - ethnology; Metabolic syndrome X; Metabolism; Miscellaneous; Mortality; Obesity; Obesity - ethnology; Older people; Original Research; Physiological aspects; Prevalence; Public health. Hygiene; Public health. Hygiene-occupational medicine; Republic of Korea - epidemiology; Risk Factors; Sarcopenia; Sarcopenia - ethnology; Sex Distribution; Asia; Korea; South Korea; Endocrinopathy; Human; Obesity; Senescence; Prevalence; Nutrition; Ageing; Nutrition disorder; Cardiovascular disease; Korean; Metabolic diseases; Metabolic syndrome; Epidemiology; Sarcopenia; Association; Follow up study; Age; Endocrinology; Nutritional status; Public health
• ISSN: 0149-5992; 1935-5548
• DOI: 10.2337/dc10-0107

We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea. In this study, 287 men and 278 women aged 65 or older were recruited. Sarcopenia was defined as the appendicular skeletal muscle mass (ASM) divided by height squared (Ht(2)) (kg/m(2)) or by weight (Wt) (%) of <1 SD below the sex-specific mean for young adults. Obesity was defined as a visceral fat area >or=100 cm(2). The prevalence of SO was 16.7% in men and 5.7% in women with sarcopenia defined by ASM/Ht(2); however, it was 35.1% in men and 48.1% in women by ASM/Wt. Using ASM/Wt, the homeostasis model assessment of insulin resistance of subjects with SO was higher and they were at higher risk for metabolic syndrome (odds ratio [OR] 8.28 [95% CI 4.45-15.40]) than the obese (5.51 [2.81-10.80]) or sarcopenic group (2.64 [1.08-6.44]). SO defined by ASM/Wt was more closely associated with metabolic syndrome than either sarcopenia or obesity alone.