Prevalence of Sarcopenia Obesity in Patients Treated at a Rural, Multidisciplinary Weight and Wellness Center

Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders

Original Research

Diane Gilbert-Diamond¹  Summer B Cook²  Sivan Rotenberg²  Richard I Rothstein²  Auden C McClure²  Aaron Weintraub²  Diane Sette²  John N Mecchella²  John A Batsis³ 

[1] Department of Epidemiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA;Department of Kinesiology, University of New Hampshire, Durham, NH, USA;Geisel School of Medicine at Dartmouth, Hanover, NH, USA;Department of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA;The Dartmouth Institute for Health Policy & Clinical Practice, Lebanon, NH, USA;

关键词: obesity;    sarcopenic obesity;    rural;    patient-reported outcomes;    muscle;   

DOI  :  10.1177/1179544119862288

 received in 2019-04-18, accepted in 2019-06-18,  发布年份 2019

来源: Sage Journals

【 摘 要 】

Sarcopenic obesity portends poor outcomes, yet it is under-recognized in practice. We collected baseline clinical data including data on body composition (total and segmental muscle mass and total body fat), grip strength, and 5-times sit-to-stand. We defined sarcopenia using cut-points for appendicular lean mass (ALM) and obesity using body-fat cut-points. A total of 599 clinic patients (78.5% female; mean age was 51.3 ± 14.2 years) had bioelectrical impedance analysis (BIA) data (83.8%). Mean body mass index (BMI) and waist circumference were 43.1 ± 8.9 kg/m2 and 132.3 ± 70.7 cm, respectively. All patients had elevated body fat. There were 284 (47.4%) individuals fulfilling criteria for ALM-defined sarcopenia. Sarcopenic obese persons had a lower BMI (38.2 ± 6.4 vs 47.6 ± 8.6; P < 0.001), fat-free mass (113.0 kg ± 16.1 vs 152.1 kg ± 29.4; P < 0.001), fat mass (48.4% ± 5.9 vs 49.5% ± 6.2; P = 0.03), and visceral adipose tissue (216.8 ± 106.3 vs 242.7 ± 133.6 cm3; P = 0.009) than those without sarcopenic obesity. Grip strength was lower in those with sarcopenic obesity (25.1 ± 8.0 vs 30.5 ± 11.3 kg; P < 0.001) and sit-to-stand times were longer (12.4 ± 4.4 vs 10.8 second ± 4.6; P = 0.03). Sarcopenic obesity was highly prevalent in a rural, tertiary care weight and wellness center.

【 授权许可】

CC BY-NC   
© The Author(s) 2019

【 图 表 】

Figure 2.

Figure 1.