Prevalence of sarcopenic obesity among older adults in communities of China: A multicenter, cross‐sectional study

医学 横断面研究 优势比 逻辑回归 肥胖 内科学 体质指数 肌萎缩性肥胖 肌萎缩 生活质量(医疗保健) 冲程(发动机) 人口学 病理 机械工程 护理部 社会学 工程类
作者
Jing Yang,Yu Wang,Xiaodong Shi,Yan Liu,Sheng Ge,Shengqi Li,Yueming Wang,Fei Li,Pranali Suryawanshi,Wei Chen
出处
期刊:Nutrition in Clinical Practice [Wiley]
卷期号:39 (6): 1375-1387
标识
DOI:10.1002/ncp.11214
摘要

Abstract Background This study investigated the prevalence of sarcopenic obesity (SO) among older adults in Chinese communities and its association with chronic diseases. Methods We conducted a post‐hoc analysis of a 2014–2015 multicenter cross‐sectional study involving adults aged ≥60 years from three representative cities in China. The Asian Working Group for Sarcopenia diagnostic criteria and Chinese local cutoffs were employed to define SO. Data on medical history, lifestyle, quality of life, and cognitive function were collected. Results The overall prevalence of SO was 3.58% in men and 2.88% in women among 2821 participants. There was a notable increase in prevalence with age, with rates reaching 6.58% for men and 4.40% for women aged 70–79 years. In the group aged ≥80 years, the prevalence rate increased significantly, reaching 13.16% for men and 18.18% for women. Those with SO had higher body mass index (25.29 ± 1.55 kg/m² vs 24.16 ± 2.48 kg/m²; P < 0.001) and triceps skinfold thickness (21.17 ± 5.93 mm vs 19.34 ± 6.87 mm; P < 0.05) than the normal group. The prevalence of cardiovascular disease (15.38% vs 6.59%; P < 0.01), hypertension (56.04% vs 38.93%; P < 0.01), and stroke (7.69% vs 2.25%; P < 0.01) was also significantly higher in the SO group. Logistic regression showed that those with SO were more likely to have cardiac disease (odds ratio [OR] = 2.20; P = 0.016) and stroke (OR = 2.61; P = 0.039). Conclusion The prevalence of SO increases with age among the older adult population in China, notably after age 80 years. SO individuals were more likely to have cardiac disease and stroke. It is important to focus on early identification and management strategies.
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