Prevalence of associations among sarcopenia, obesity, and metabolic syndrome in Brazilian older adults

Frontiers in Medicine

Medicine

Carlos André Freitas dos Santos¹  Carlos Hassel Mendes Silva²  Luis Vicente Franco Oliveira²  Adriano Luís Fonseca²  Rodolfo de Paula Vieira³  Sergio Vencio⁴  Carolina Nunes França⁵  Yara Juliano⁵  André Luís Lacerda Bachi⁵  Jane Armond⁵  Marcelo Rossi⁵  Luiz Carlos Holanda Torres Pinheiro⁵ 

[1] Discipline of Geriatrics and Gerontology, Department of Medicine, Paulista School of Medicine, Federal University of São Paulo (UNIFESP), São Paulo, Brazil;Postgraduate Program in Translational Medicine, Department of Medicine, Paulista School of Medicine, Federal University of São Paulo (UNIFESP), São Paulo, Brazil;Human Movement and Rehabilitation Post Graduation Program, Evangelical University of Goiás (UniEVANGELICA), Anápolis, Brazil;Human Movement and Rehabilitation Post Graduation Program, Evangelical University of Goiás (UniEVANGELICA), Anápolis, Brazil;Brazilian Institute of Teaching and Research in Pulmonary and Exercise Immunology (IBEPIPE), São José dos Campos, Brazil;Post-graduation Program in Science of Human and Rehabilitation, Federal University of São Paulo (UNIFESP), Santos, Brazil;Institute of Pharmaceutical Sciences, Goiania, Brazil;Post-graduation Program in Health Science, Santo Amaro University (UNISA), São Paulo, Brazil;

关键词: metabolic syndrome;    sarcopenia;    sarcopenic obesity;    Conicity index;    body mass index;    obesity prevalence;    aging;   

DOI  :  10.3389/fmed.2023.1206545

 received in 2023-04-15, accepted in 2023-08-21,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundAlthough aging is a process associated with the development of obesity, metabolic syndrome (MetS), and sarcopenia, the prevalence of these conditions in older adults from São Paulo, Brazil, is unclear.MethodsTherefore, the current study aimed to investigate the prevalence of obesity, sarcopenia, and MetS, both separately and together, in a community-based sample of older adults from São Paulo, Brazil. Data from the medical records of 418 older adults of both genders, aged 60  years or older (mean age 69.3 ± 6.5  years), who were not physically active, were used to conduct this retrospective cross-sectional study. Anthropometric variables were used to determine both body mass index (BMI) and Conicity index (C index). Sarcopenia and MetS were defined according to the criteria of the European Working Group on Sarcopenia in Older People and by the Brazilian Society of Endocrinology and Metabolism, respectively.ResultsBased on BMI, the group of older men (n = 91) showed a predominance of adequate weight (n = 49) and the group of older women (n = 327) showed a predominance of obesity (n = 181). In association with obesity, while only the group of older women presented with sarcopenia (n = 5), 52 older women and 9 older men presented with MetS, and two older women presented with sarcopenia + MetS [prevalence ratio = 0.0385, 95% CI (0.007;0.1924)]. Based on the C index, 58 older women and 11 older men presented with MetS, while the occurrence of sarcopenia or MetS + sarcopenia was found in 32 and 5 older women, respectively [prevalence ratio = 0.0910, 95% CI (0.037;0.2241)].DiscussionOur results suggest that obesity, as measured by BMI or the C Index, was more closely associated with the occurrence of MetS than sarcopenia, regardless of gender, and also that sarcopenic obesity was only found in the group of older women. Additionally, the prevalence ratio of obesity, sarcopenia, and MetS evidenced using the C index was 2.3 times higher than the values found using the BMI classification.

【 授权许可】

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Copyright © 2023 Pinheiro, Rossi, dos Santos, Oliveira, Vencio, de Paula Vieira, Juliano, Armond, Silva, Fonseca, França and Bachi.