Sarcopenic Obesity in Adult Patients: Prevalence and Risk Factors.

IF 2.3 Q3 NUTRITION & DIETETICS

Nutrition and Metabolic Insights Pub Date : 2025-06-28 eCollection Date: 2025-01-01 DOI:10.1177/11786388251348955

Sana Khamassi, Fatma Boukhayatia, Haifa Abdesselem, Emna Bornaz, Kamilia Ounaissa, Houda Bouhajja, Awatef Kacem, Amel Gammoudi, Rahma Mahjoub, Emna Talbi, Henda Jamoussi, Chiraz Amrouche

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引用次数: 0

Abstract

Background: Sarcopenia now constitutes a serious issue that can affect the obese adult population. The aims of our study were to estimate the prevalence of sarcopenia in a group of obese patients, investigate the impact of sarcopenic obesity (SO) on patient health and quality of life, and identify its risk factors.

Methods: We conducted a cross-sectional descriptive observational study of a group of obese adult patients. Physical activity was assessed with the Ricci and Gagnon questionnaire and quality of life was evaluated using the SF-12 and ORWELL-97 questionnaires. SO was defined in accordance with the EASO-ESPEN consensus statement.

Results: We included 100 patients with a mean age of 44.42 ± 13.25 years. SO was diagnosed in 19% of the study population. The assessment of the impact of SO revealed that it was associated with osteoarthritis (P < .0001), functional disability (P = .001) and obesity-specific quality of life impairment (P < .0001). SO was associated with lower education levels (P = .011), a low score in the daily physical activities' dimension of the Ricci and Gagnon score (P = .028), class 2 obesity (P = .032), elevated blood triglyceride levels (P = .019), potassium and manganese intake deficiency (P = .042 and P = .004, respectively). Non-sarcopenic obese patients had a higher frequency of a history of weight loss interventions (P = .038), excess protein intake (P = .042), and excess lipid intake (P = .011). Multivariate analysis identified class 2 obesity (P = .048), osteoarthritis (P = .038), elevated triglyceride levels (P = .049), manganese deficiency intake (P = .026), increased score in the daily physical activities' dimension (P = .048), increased gait speed (P = .025) and excess fat intake (P = .047) as factors independently associated with SO.

Conclusion: It is essential to incorporate the screening for sarcopenia into the therapeutic approach for obese adult patients due to its clinical consequences and impact on individuals' quality of life.

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成人患者肌肉减少性肥胖：患病率和危险因素。

背景：肌少症现在构成了一个严重的问题，可以影响肥胖的成年人。本研究的目的是估计一组肥胖患者中肌肉减少症的患病率，探讨肌肉减少性肥胖（SO）对患者健康和生活质量的影响，并确定其危险因素。方法：我们对一组肥胖成人患者进行了横断面描述性观察研究。使用Ricci和Gagnon问卷评估身体活动，使用SF-12和ORWELL-97问卷评估生活质量。SO是根据EASO-ESPEN共识声明定义的。结果：纳入100例患者，平均年龄44.42±13.25岁。19%的研究人群被诊断为SO。对SO影响的评估显示，SO与骨关节炎（P = 0.001）、肥胖特异性生活质量损害（P = 0.011）、Ricci和Gagnon评分中日常体力活动维度得分低（P = 0.028）、2级肥胖（P = 0.032）、血甘油三酯水平升高（P = 0.019）、钾和锰摄入不足（P = 0.011）相关。042, P =。004年,分别)。非肌肉减少型肥胖患者有更高的减肥干预史（P = 0.038）、过量蛋白质摄入（P = 0.042）和过量脂质摄入（P = 0.011）。多因素分析发现，2级肥胖（P = 0.048）、骨关节炎（P = 0.038）、甘油三酯水平升高（P = 0.049）、锰缺乏摄入（P = 0.026）、日常体力活动维度得分增加（P = 0.048）、步态速度增加（P = 0.025）和脂肪摄入过量（P = 0.047）是与SO独立相关的因素。结论：由于肌肉减少症的临床后果和对个体生活质量的影响，将其纳入成年肥胖患者的治疗方法是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutrition and Metabolic Insights NUTRITION & DIETETICS-

CiteScore

3.30

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Nutrition and Metabolic Insights is a peer-reviewed, open-access online journal focusing on all aspects of nutrition and metabolism. This encompasses nutrition, including the biochemistry of metabolism, exercise and associated physical processes and also includes clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes. It includes research at the molecular, cellular and organismal levels. This journal welcomes new manuscripts for peer review on the following topics: Nutrition, including the biochemistry of metabolism, Exercise and associated physical processes, Clinical articles that relate to metabolism, such as obesity, lipidemias and diabetes, Research at the molecular, cellular and organismal levels, Other areas of interest include gene-nutrient interactions, the effects of hormones, models of metabolic function, macronutrient interactions, outcomes of changes in diet, and pathophysiology.