Department of Epidemiology, Center for Public Health, Medical University of Vienna, Vienna, Austria.
The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.
J Epidemiol Community Health. 2019 Jan;73(1):86-88. doi: 10.1136/jech-2018-211258. Epub 2018 Oct 27.
BACKGROUND: The aetiology of age-related sarcopenia is not known. OBJECTIVES: To investigate if risk of developing sarcopenia differs by gender and to identify gender-specific risk factors of incident sarcopenia in a large population-based cohort of older English adults. METHODS: The sample (n=3404; age 63.4 (SD 7.7) years; 54.1% women) comprised older community-dwelling adults recruited from the English Longitudinal Study of Ageing. Sarcopenia was defined as handgrip <26 kg in men and <16 kg in women. Handgrip strength was assessed at baseline (2004/2005) and repeated at follow-up (2012/2013). Analysed risk factors included baseline anthropometric measures, smoking, vigorous and moderate physical activity, depressive symptoms, chronic illnesses and wealth. After excluding participants with sarcopenia at baseline, multivariable logistic regressions were used to explore baseline risk factors for incident sarcopenia. RESULTS: During 8-year follow-up, 208 and 287 cases of sarcopenia were identified in men (n=1564) and women (n=1840), respectively. Women were at 20% (age adjusted OR=1.20, 95% CI 0.98 to 1.47) higher risk of developing sarcopenia than men. The inverse association between physical activity and sarcopenia risk was observed at moderate (OR=0.44, 95% CI 0.27 to 0.67) and vigorous (0.53, 95% CI 0.31 to 0.82) intensities in men and only vigorous (OR=0.44, 95% CI 0.28 to 0.68) intensity in women. Social factors, such as wealth, and chronic health conditions appeared to be more strongly associated with sarcopenia in men. CONCLUSION: Women are at higher risk of developing incident sarcopenia than men, and this is likely explained by a range of gender-specific risk factors.
背景:与年龄相关的肌肉减少症的病因尚不清楚。
目的:研究性别是否会影响发生肌肉减少症的风险,并确定在一个大型基于人群的英国老年人群中,与发生肌肉减少症相关的性别特异性危险因素。
方法:该样本(n=3404;年龄 63.4(SD 7.7)岁;54.1%为女性)包括来自英国老龄化纵向研究的社区居住的老年成年人。肌肉减少症的定义为男性握力<26kg,女性<16kg。在基线(2004/2005 年)和随访(2012/2013 年)时评估握力。分析的危险因素包括基线人体测量指标、吸烟、剧烈和适度的身体活动、抑郁症状、慢性疾病和财富。排除基线时患有肌肉减少症的参与者后,使用多变量逻辑回归来探讨发生肌肉减少症的基线危险因素。
结果:在 8 年的随访期间,男性(n=1564)和女性(n=1840)分别有 208 例和 287 例发生肌肉减少症。女性发生肌肉减少症的风险比男性高 20%(年龄调整的 OR=1.20,95%CI 0.98 至 1.47)。在男性中,适度(OR=0.44,95%CI 0.27 至 0.67)和剧烈(0.53,95%CI 0.31 至 0.82)强度的身体活动与肌肉减少症风险呈负相关,而女性仅在剧烈强度(OR=0.44,95%CI 0.28 至 0.68)中呈负相关。社会因素,如财富和慢性健康状况,在男性中似乎与肌肉减少症的相关性更强。
结论:女性发生肌肉减少症的风险高于男性,这可能与一系列性别特异性危险因素有关。
J Epidemiol Community Health. 2018-10-27
J Gerontol A Biol Sci Med Sci. 2023-6-1
J Cachexia Sarcopenia Muscle. 2022-6
Front Endocrinol (Lausanne). 2025-5-29
BMC Endocr Disord. 2024-9-30
Nat Rev Dis Primers. 2024-9-19
Diabetes Metab Syndr Obes. 2024-9-7
Diabetol Metab Syndr. 2024-6-2