Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
College of Stomatology, Hangzhou Normal University, Hangzhou, Zhejiang Province, China.
Sci Rep. 2024 May 13;14(1):10943. doi: 10.1038/s41598-024-61928-0.
This study aims to investigate the relationship between weight-adjusted-waist index (WWI), a new body index, and sarcopenia, while also assessing the potential of WWI as a tool for screening sarcopenic patients. The cross-sectional study involved adults who possessed complete data on WWI and appendicular skeletal muscle mass from the 1999-2006 and 2011-2018 National Health and Nutrition Examination Surveys. Weighted multivariate regression and logistic regression analyses were employed to explore the independent relationship between WWI and sarcopenia. The study included 26,782 participants. The results showed that WWI demonstrated a positive correlation with sarcopenia risk. In the fully adjusted model, with each 1 unit increase in WWI, the risk of developing sarcopenia rose 14.55 times higher among males (OR: 14.55, 95% CI 12.33, 17.15) and 2.86 times higher among females (OR: 2.86, 95% CI 2.59, 3.15). The optimal cutoff values of WWI for sarcopenia were 11.26 cm/√kg for males and 11.39 cm/√kg for females. Individuals with a higher WWI have an increased risk of developing sarcopenia, and a high WWI functions as a risk factor for sarcopenia. Assessing WWI could assist in identifying individuals at risk of sarcopenia.
本研究旨在探讨体重调整腰围指数(WWI)与肌肉减少症之间的关系,同时评估 WWI 作为筛查肌肉减少症患者的工具的潜力。该横断面研究纳入了来自 1999-2006 年和 2011-2018 年全国健康和营养调查的拥有完整 WWI 和四肢骨骼肌质量数据的成年人。采用加权多变量回归和逻辑回归分析探讨了 WWI 与肌肉减少症之间的独立关系。研究共纳入 26782 名参与者。结果表明,WWI 与肌肉减少症风险呈正相关。在完全调整模型中,男性 WWI 每增加 1 个单位,发生肌肉减少症的风险增加 14.55 倍(OR:14.55,95%CI 12.33,17.15),女性增加 2.86 倍(OR:2.86,95%CI 2.59,3.15)。男性和女性肌肉减少症的最佳 WWI 截断值分别为 11.26cm/√kg 和 11.39cm/√kg。较高的 WWI 与发生肌肉减少症的风险增加有关,较高的 WWI 是肌肉减少症的一个危险因素。评估 WWI 有助于识别有肌肉减少症风险的个体。