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- Title
Sarcopenic Obesity: Prevalence and Association With Metabolic Syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA).
- Authors
Soo Lim; 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
- 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.
- Publication
Diabetes Care, 2010, Vol 33, Issue 7, p1652
- ISSN
0149-5992
- Publication type
Academic Journal
- DOI
10.2337/dc10-0107