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

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...

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Published inDiabetes care Vol. 33; no. 7; pp. 1652 - 1654
Main Authors Lim, Soo, Kim, Jung Hee, Yoon, Ji Won, Kang, Seon Mee, Choi, Sung Hee, Park, Young Joo, Kim, Ki Woong, Lim, Jae Young, Park, Kyong Soo, Jang, Hak Chul
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LanguageEnglish
Published Alexandria, VA American Diabetes Association 01.07.2010
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Abstract 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.
AbstractList OBJECTIVE: We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea. RESEARCH DESIGN AND METHODS: 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 (Ht²) (kg/m²) or by weight (Wt) (%) of <1 SD below the sex-specific mean for young adults. Obesity was defined as a visceral fat area ≥100 cm². RESULTS: The prevalence of SO was 16.7% in men and 5.7% in women with sarcopenia defined by ASM/Ht²; 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]). CONCLUSIONS: SO defined by ASM/Wt was more closely associated with metabolic syndrome than either sarcopenia or obesity alone.
We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea.OBJECTIVEWe 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).RESEARCH DESIGN AND METHODSIn 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]).RESULTSThe 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.CONCLUSIONSSO defined by ASM/Wt was more closely associated with metabolic syndrome than either sarcopenia or obesity alone.
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.
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^sup 2^) (kg/m^sup 2^) or by weight (Wt) (%) of <1 SD below the sex-specific mean for young adults. Obesity was defined as a visceral fat area ≥100 cm^sup 2^. The prevalence of SO was 16.7% in men and 5.7% in women with sarcopenia defined by ASM/Ht^sup 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.
Audience Professional
Author Park, Kyong Soo
Kim, Jung Hee
Park, Young Joo
Choi, Sung Hee
Kang, Seon Mee
Lim, Jae Young
Yoon, Ji Won
Lim, Soo
Jang, Hak Chul
Kim, Ki Woong
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  surname: Lim
  fullname: Lim, Soo
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
– sequence: 2
  givenname: Jung Hee
  surname: Kim
  fullname: Kim, Jung Hee
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
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  givenname: Ji Won
  surname: Yoon
  fullname: Yoon, Ji Won
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
– sequence: 4
  givenname: Seon Mee
  surname: Kang
  fullname: Kang, Seon Mee
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
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  givenname: Sung Hee
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  fullname: Choi, Sung Hee
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
– sequence: 6
  givenname: Young Joo
  surname: Park
  fullname: Park, Young Joo
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
– sequence: 7
  givenname: Ki Woong
  surname: Kim
  fullname: Kim, Ki Woong
  organization: Department of Neuropsychiatry, Seoul National University, Bundang Hospital, Seongman, Korea
– sequence: 8
  givenname: Jae Young
  surname: Lim
  fullname: Lim, Jae Young
  organization: Department of Rehabilitation Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
– sequence: 9
  givenname: Kyong Soo
  surname: Park
  fullname: Park, Kyong Soo
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
– sequence: 10
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  surname: Jang
  fullname: Jang, Hak Chul
  organization: Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea;, Department of Internal Medicine, Seoul National University, Bundang Hospital, Seongnam, Korea
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23005039$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/20460442$$D View this record in MEDLINE/PubMed
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Issue 7
Keywords 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
Language English
License CC BY 4.0
Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
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S.L. and J.H.K. contributed equally to this work.
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PublicationTitle Diabetes care
PublicationTitleAlternate Diabetes Care
PublicationYear 2010
Publisher American Diabetes Association
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References Lim (2022031303021270800_B3) 2010; 18
Janssen (2022031303021270800_B5) 2002; 50
World Health Organization Western Pacific Region (2022031303021270800_B8) 2000
Janssen (2022031303021270800_B9) 2006; 54
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Snippet We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea. In this...
We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea. In this...
OBJECTIVE: We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea....
We investigated the prevalence of sarcopenic obesity (SO) and its relationship with metabolic syndrome in a community-based elderly cohort in Korea.OBJECTIVEWe...
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StartPage 1652
SubjectTerms Aged
Aged, 80 and over
Aging
Asian Continental Ancestry Group - statistics & numerical data
Asian People
Biological and medical sciences
Diabetes. Impaired glucose tolerance
elderly
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
epidemiology
ethnology
Female
homeostasis
Humans
Influence
Insulin Resistance
Korea (South)
Korean Peninsula
Logistic Models
Longitudinal Studies
Male
Medical sciences
men
Mens health
Metabolic diseases
Metabolic disorders
metabolic syndrome
Metabolic Syndrome - ethnology
Metabolic syndrome X
Metabolism
Miscellaneous
Mortality
Obesity
Obesity - ethnology
odds ratio
Older people
Original Research
Physiological aspects
Prevalence
Public health. Hygiene
Public health. Hygiene-occupational medicine
Republic of Korea - epidemiology
risk
Risk Factors
Sarcopenia
Sarcopenia - ethnology
Sex Distribution
skeletal muscle
statistics & numerical data
visceral fat
women
young adults
Title Sarcopenic Obesity: Prevalence and Association With Metabolic Syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA)
URI https://www.ncbi.nlm.nih.gov/pubmed/20460442
https://www.proquest.com/docview/636635651
https://www.proquest.com/docview/1663543439
https://www.proquest.com/docview/733503600
https://pubmed.ncbi.nlm.nih.gov/PMC2890376
Volume 33
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