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Sarcopenia, Obesity, or Both. What is the dominant Variable of the Associated Risks of Sarcopenic Obesity?

作者信息

Álvarez-Bustos Alejandro, Carnicero Jose A, Sepúlveda-Loyola Walter, Molina-Baena Begoña, Garcia-Garcia Francisco J, Rodríguez-Mañas Leocadio

机构信息

Centro de Investigación Biomédica en Red sobre Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain.

Instituto de Investigación IdiPaz, Madrid, Spain.

出版信息

Innov Aging. 2025 Mar 28;9(5):igaf021. doi: 10.1093/geroni/igaf021. eCollection 2025.


DOI:10.1093/geroni/igaf021
PMID:40386024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12082094/
Abstract

BACKGROUND AND OBJECTIVE: Sarcopenic obesity (SO), obesity, and sarcopenia have been related to adverse events in older adults, raising the question about the role of each component in the risk associated with SO. The objective of this manuscript is to evaluate the role of sarcopenia, obesity, and its interaction in the risks (frailty, disability, mortality) associated with sarcopenic obesity. RESEARCH DESIGN AND METHODS: Data from the Toledo Study of Healthy Aging (TSHA) were used. This is a cohort-based study composed of community-dwelling adults ≥65 years. Obesity (Body Mass Index-BMI ≥30) and sarcopenia (the Foundation for the National Institutes of Health-FNIH criteria, standardized to our population) were assessed at baseline. Frailty, through the Frailty Phenotype (FP) and the Frailty Trait scale-5 (FTS5), and disability (Katz Index) were evaluated at baseline. Mortality, frailty, and disability were assessed at follow-up. Logistic (odds ratio, OR) and Cox (hazard ratio, HR) regression models were computed to assess the associations. RESULTS: A total of 1 538 (74.73 years, 45.51% men) individuals were included. Cross-sectionally, SO, sarcopenia, and obesity were significantly associated with the risk of frailty and disability. Longitudinally, Sarcopenia was associated with all the adverse events (ORs/HRs ranged from 1.41 to 4.14, -value < .05); whereas SO [FP, OR (95% confidence interval-CI): 4.27 (2.05, 8.93); FTS5, OR (95% CI): 6.14 (3.58, 10.51), -value < .001] and obesity [FP, OR (95% CI): 3.10 (1.95, 4.94), -value < 0.001; FTS5, OR (95% CI): 2.26 (1.17, 4.35), -value 0.015] was only associated with incident frailty. Sarcopenia added risk to obesity for frailty (FP and FTS5) whereas obesity only did for frailty (FTS5) in sarcopenic individuals. The interaction between sarcopenia and obesity was not associated with any outcome. DISCUSSION AND IMPLICATIONS: Sarcopenia and obesity provide each other an additive risk for frailty, but not a multiplicative (ie, interaction) one, in sarcopenic obesity. Sarcopenia is the mean factor accounting for the associated risk.

摘要

相似文献

[1]
Sarcopenia, Obesity, or Both. What is the dominant Variable of the Associated Risks of Sarcopenic Obesity?

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本文引用的文献

[1]
The Conceptual Definition of Sarcopenia: Delphi Consensus from the Global Leadership Initiative in Sarcopenia (GLIS).

Age Ageing. 2024-3-1

[2]
Sarcopenic Obesity Burden, Determinants, and Association With Risk of Frailty, Falls, and Functional Impairment in Older Adults With Diabetes: A Propensity Score Matching Analysis.

Cureus. 2023-11-28

[3]
Obesity paradox in older sarcopenic adults - a delay in aging: A systematic review and meta-analysis.

Ageing Res Rev. 2024-1

[4]
Predictive Capability of 5 Sarcopenia Diagnostic Criteria for Fall Incidents in Older Japanese Women: The Otassha Study.

J Am Med Dir Assoc. 2023-10

[5]
Sarcopenic Obesity and Cardiometabolic Health and Mortality in Older Adults: a Growing Health Concern in an Ageing Population.

Curr Diab Rep. 2023-11

[6]
Sarcopenia and Sarcopenic Obesity on Body Composition Analysis is a Significant Predictor of Mortality in Severe Acute Pancreatitis: A Longitudinal Observational Study.

World J Surg. 2023-11

[7]
Sarcopenia and health-related quality of life: A systematic review and meta-analysis.

J Cachexia Sarcopenia Muscle. 2023-6

[8]
The Obesity Paradox and Mortality in Older Adults: A Systematic Review.

Nutrients. 2023-4-6

[9]
Sarcopenic obesity definitions and their associations with physical frailty in older Brazilian adults: data from the SARCOS study.

Arch Endocrinol Metab. 2023-3-30

[10]
Sarcopenic obesity versus sarcopenia alone with the use of probable sarcopenia definition for sarcopenia: Associations with frailty and physical performance.

Clin Nutr. 2022-11

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