Abstract

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.

Original languageEnglish
Pages (from-to)1652-1654
Number of pages3
JournalDiabetes Care
Volume33
Issue number7
DOIs
StatePublished - 1 Jul 2010

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Longitudinal Studies
Obesity
Sarcopenia
Skeletal Muscle
Health
Weights and Measures
Intra-Abdominal Fat
Korea
Insulin Resistance
Young Adult
Homeostasis
Research Design
Odds Ratio

Cite this

@article{28d3d4c79c51440d9c527701b0232797,
title = "Sarcopenic obesity: Prevalence and association with metabolic syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA)",
abstract = "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.",
author = "Soo Lim and Kim, {Jung Hee} and Yoon, {Ji Won} and Kang, {Seon Mee} and Choi, {Sung Hee} and Park, {Young Joo} and Kim, {Ki Woong} and Lim, {Jae Young} and Park, {Kyong Soo} and Jang, {Hak Chul}",
year = "2010",
month = "7",
day = "1",
doi = "10.2337/dc10-0107",
language = "English",
volume = "33",
pages = "1652--1654",
journal = "Diabetes care",
issn = "0149-5992",
publisher = "American Diabetes Association Inc.",
number = "7",

}

TY - JOUR

T1 - Sarcopenic obesity

T2 - Prevalence and association with metabolic syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA)

AU - Lim, Soo

AU - Kim, Jung Hee

AU - Yoon, Ji Won

AU - Kang, Seon Mee

AU - Choi, Sung Hee

AU - Park, Young Joo

AU - Kim, Ki Woong

AU - Lim, Jae Young

AU - Park, Kyong Soo

AU - Jang, Hak Chul

PY - 2010/7/1

Y1 - 2010/7/1

N2 - 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.

AB - 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.

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EP - 1654

JO - Diabetes care

JF - Diabetes care

SN - 0149-5992

IS - 7

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