Prevalence Rate and Associated Factors of Sarcopenic Obesity in Korean Elderly Population

Journal of Korean Medical Science 2012³â 27±Ç 7È£ p.748 ~ p.755

(Hwang Byung-Kwan) - Seoul National University College of Medicine Department of Rehabilitation Medicine
ÀÓÀ翵(Lim Jae-Young) - Seoul National University College of Medicine Department of Rehabilitation Medicine
ÀÌÁß¿±(Lee Joong-Yub) - Seoul National University Hospital Medical Research Collaborating Center
ÃÖ³²°æ(Choi Nam-Kyong) - Seoul National University Hospital Medical Research Collaborating Center
¾ÈÀ±¿Á(Ahn Yoon-Ok) - Seoul National University College of Medicine Department of Preventive Medicine
¹Úº´ÁÖ(Park Byung-Joo) - Seoul National University College of Medicine Department of Preventive Medicine

Abstract

This study was conducted to estimate the prevalence rates and to explore associated factors of sarcopenic obesity (SO) in 2,221 Koreans over 60 yr-of age from the Fourth Korea National Health and Nutrition Examination Survey (2009). Participants were assessed by dual energy X-ray absorptiometry. Appendicular skeletal muscle mass divided by body weight was used to define sarcopenia and waist circumference was used to define obesity. We estimated the prevalence rates of SO according to age-groups, sex and region. In addition, each group was compared by demographic characteristics, metabolic status, nutrition, and physical activity. The prevalence rates of SO were 6.1% (95% confidential interval [CI] = 6.1-6.2) for men and 7.3% (95% CI = 7.3-7.3) for women, respectively. SO was positively associated with no current working and the number of combined medical conditions. High serum insulin level was positively associated with SO, whereas vitamin D was negatively associated with SO in both men and women. In conclusion, the prevalence rates of SO are 6.1% in men and 7.3% in women. SO is associated with insulin resistance, inappropriate nutrition, and low physical activity.

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Sarcopenia, Obesity, Aging, Prevalence, Epidemiology
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The prevalence rates of SO are 6.1% in men and 7.3% in women. SO is associated with insulin resistance, inappropriate nutrition, and low physical activity.
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