Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
School of Clinical Sciences at Monash Health, Monash University, Clayton, Australia.
Calcif Tissue Int. 2024 Jun;114(6):592-602. doi: 10.1007/s00223-024-01212-5. Epub 2024 Apr 28.
Sarcopenia may increase non-alcoholic fatty liver disease (NAFLD) risk, but prevalence likely varies with different diagnostic criteria. This study examined the prevalence of sarcopenia and its defining components in adults with and without NAFLD and whether it varied by the method of muscle mass assessment [bioelectrical impedance (BIA) versus dual-energy X-ray absorptiometry (DXA)] and adjustment (height versus BMI). Adults (n = 7266) in the UK Biobank study (45-79 years) with and without NAFLD diagnosed by MRI, were included. Sarcopenia was defined by the 2018 European Working Group on Sarcopenia in Older People definition, with low appendicular skeletal muscle mass (ASM) assessed by BIA and DXA and adjusted for height or BMI. Overall, 21% of participants had NAFLD and the sex-specific prevalence of low muscle strength (3.6-7.2%) and sarcopenia (0.1-1.4%) did not differ by NAFLD status. However, NAFLD was associated with 74% (males) and 370% (females) higher prevalence of low ASM when adjusted for BMI but an 82% (males) to 89% (females) lower prevalence when adjusted for height (all P < 0.05). The prevalence of impaired physical function was 40% (males, P = 0.08) to 123% (females, P < 0.001) higher in NAFLD. In middle-aged and older adults, NAFLD was not associated with a higher prevalence of low muscle strength or sarcopenia but was associated with an increased risk of impaired physical function and low muscle mass when adjusted for BMI. These findings support the use of adiposity-based adjustments when assessing low muscle mass and the assessment of physical function in NAFLD.
肌肉减少症可能会增加非酒精性脂肪性肝病(NAFLD)的风险,但患病率可能因不同的诊断标准而有所不同。本研究旨在探讨伴有和不伴有 NAFLD 的成年人中肌肉减少症及其定义成分的患病率,以及肌肉质量评估方法[生物电阻抗(BIA)与双能 X 射线吸收法(DXA)]和调整方法(身高与 BMI)是否存在差异。该研究纳入了英国生物库研究中的成年人(n=7266),这些成年人年龄在 45-79 岁之间,通过 MRI 诊断为 NAFLD。根据 2018 年欧洲老年人肌肉减少症工作组的定义,通过 BIA 和 DXA 评估四肢骨骼肌质量(ASM)并根据身高或 BMI 进行调整来定义肌肉减少症。总体而言,21%的参与者患有 NAFLD,性别特异性低肌肉力量(3.6-7.2%)和肌肉减少症(0.1-1.4%)的患病率与 NAFLD 状态无关。然而,与 BMI 调整相比,NAFLD 与低 ASM 的患病率增加了 74%(男性)和 370%(女性),但与身高调整相比,低 ASM 的患病率降低了 82%(男性)和 89%(女性)(均 P<0.05)。与 BMI 调整相比,NAFLD 与身体功能受损的患病率增加了 40%(男性,P=0.08)至 123%(女性,P<0.001)。在中年和老年人中,NAFLD 与低肌肉力量或肌肉减少症的高患病率无关,但与身体功能受损和 BMI 调整后低肌肉质量的风险增加有关。这些发现支持在评估 NAFLD 中的低肌肉质量和身体功能时使用基于肥胖的调整。
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