Yasuda Tomohiro
School of Nursing, Seirei Christopher University, Shizuoka, Japan.
Graduate School of Medicine, Dokkyo Medical University, Tochigi, Japan.
Interv Med Appl Sci. 2019 Jun;11(2):117-121. doi: 10.1556/1646.11.2019.14.
The purpose of this study was to examine the anthropometric, body composition, and somatotype characteristics of Japanese young women and to focus on normal-weight obesity syndrome and sarcopenia diagnosis criteria.
A total of 124 Japanese university freshmen women were measured at body mass index (BMI), percent body fat and skeletal muscle index (SMI), usual gait test, and handgrip strength. The subjects were divided into obesity (≥30% body fat; BMI: ≥25.0 kg/m), normal-weight obesity (≥30% body fat; BMI: 18.5-24.9 kg/m), sarcopenia (handgrip, <18 kg; gait speed: ≤0.8 m/s; SMI: <5.7 kg/m), or presarcopenia (SMI: <5.7 kg/m). There were no subjects below the sarcopenia diagnosis criteria in usual gait speed, but not for handgrip (0.8%) and SMI (36.3%).
The prevalence of presarcopenia group (36.3%) is higher than in the normal-weight obesity (16.9%) and obesity (4.8%) groups. Anthropometry and sarcopenia diagnosis assessments were significantly higher in normal-weight obesity and standard groups compared with presarcopenia group.
The number of young women was higher in the presarcopenia group than in the normal-weight obesity group, suggesting that the improvement of intrinsic skeletal muscle mass rather than fat mass is important for Japanese young women.
本研究旨在调查日本年轻女性的人体测量学、身体成分和体型特征,并关注正常体重肥胖综合征和肌肉减少症的诊断标准。
对124名日本大学一年级女生进行了体重指数(BMI)、体脂百分比和骨骼肌指数(SMI)测量,以及常规步态测试和握力测试。受试者被分为肥胖组(体脂≥30%;BMI:≥25.0kg/m)、正常体重肥胖组(体脂≥30%;BMI:18.5 - 24.9kg/m)、肌肉减少症组(握力<18kg;步态速度≤0.8m/s;SMI<5.7kg/m)或肌肉减少症前期组(SMI<5.7kg/m)。在常规步态速度方面,没有受试者低于肌肉减少症诊断标准,但握力方面有0.8%,SMI方面有36.3%的受试者低于标准。
肌肉减少症前期组的患病率(36.3%)高于正常体重肥胖组(16.9%)和肥胖组(4.8%)。与肌肉减少症前期组相比,正常体重肥胖组和标准组的人体测量学和肌肉减少症诊断评估结果显著更高。
肌肉减少症前期组的年轻女性数量高于正常体重肥胖组,这表明对于日本年轻女性来说,改善内在骨骼肌质量而非脂肪质量更为重要。