在社区居住的老年人中，腹部肥胖是肌肉减少症的一个危险因素：来自Birjand纵向衰老研究基线阶段的数据。

IF 1.6 Q4 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes and Metabolic Disorders Pub Date : 2025-04-05 eCollection Date: 2025-06-01 DOI:10.1007/s40200-025-01616-6

Niusha Amirani, Kian Goudarzi, Zohreh Sajadi Hezaveh, Mitra Moodi, Hossein Fakhrzadeh, Masoumeh Khorashadizadeh, Huriye Khodabakhshi, Shohreh Naderimagham, Akam Ramezani, Hanieh-Sadat Ejtahed, Farshad Sharifi

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引用次数: 0

摘要

目的：肌肉减少症可能通过多种机制与腹部肥胖相关。本研究的目的是评估社区老年人口中肌肉减少症和腹部肥胖之间的关系。方法：收集2019年参加Birjand纵向衰老研究（BLAS）基线阶段的1356名符合条件的老年人（≥60岁）的数据。测量体质量指数（BMI）、腰围（WC）、臀围（HC）、腰高比（WHtR）、腰臀比（WHR）、体型指数（ABSI）、体圆度指数（BRI）和体脂指数（BAI）。根据手握力、阑尾骨骼肌质量（ASMM）和步态速度评估肌肉减少症。结果：在研究人群中，有834人肌肉减少。肌少症和低步速的最佳预测因子是BAI和WHtR （AUC = 0.61 ~ 0.65）。除腰臀比外，所有腹部肥胖指标都是肌肉减少症的危险因素。仅在粗模型中，ABSI与肌肉减少症有显著且直接的相关性(OR (95%CI): 1.14 (1.02；1.28), p = 0.02)。WHR、WHtR、BMI和WC增加，ABSI降低了低握力的几率。结论：除腰臀比外，大多数腹部肥胖指标被确定为肌肉减少症的危险因素。人体测量指标可用于评估老年人肌肉减少症的风险。补充资料：在线版本包含补充资料，网址为10.1007/s40200-025-01616-6。

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Abdominal obesity as a risk factor for sarcopenia among the community-dwelling older adults: data from baseline phase of Birjand longitudinal aging study.

Objectives: Sarcopenia could be linked to abdominal obesity through various mechanisms. The aim of the current study was to evaluate the association between sarcopenia and abdominal obesity among community-dwelling aged population.

Methods: Data were collected from 1356 eligible older adults (≥ 60 years) who participated in the baseline phase of Birjand Longitudinal Aging Study (BLAS) in 2019. Body mass index (BMI), waist circumference (WC), hip circumference (HC), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), a body shape index (ABSI), body roundness index (BRI), and body adiposity index (BAI) were measured. Sarcopenia was assessed based on hand grip strength, appendicular skeletal muscle mass (ASMM) and gait speed.

Results: In the studied population, 834 individuals were sarcopenic. The best predictors of sarcopenia and low gait speed were BAI and WHtR (AUC = 0.61 to 0.65). All abdominal obesity indices were risk factors for sarcopenia, except for WHR. ABSI was significantly and directly associated with sarcopenia, only in the crude model (OR (95%CI): 1.14 (1.02; 1.28), P = 0.02). WHR, WHtR, BMI, and WC increased and ABSI decreased the odds of low handgrip strength.

Conclusions: Most abdominal obesity indices were identified as risk factors for sarcopenia except for WHR. Anthropometric indices can be considered for evaluating the risk of sarcopenia in the elderly.

Supplementary information: The online version contains supplementary material available at 10.1007/s40200-025-01616-6.

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来源期刊

Journal of Diabetes and Metabolic Disorders Medicine-Internal Medicine

CiteScore

4.80

自引率

3.60%

发文量

210

期刊介绍： Journal of Diabetes & Metabolic Disorders is a peer reviewed journal which publishes original clinical and translational articles and reviews in the field of endocrinology and provides a forum of debate of the highest quality on these issues. Topics of interest include, but are not limited to, diabetes, lipid disorders, metabolic disorders, osteoporosis, interdisciplinary practices in endocrinology, cardiovascular and metabolic risk, aging research, obesity, traditional medicine, pychosomatic research, behavioral medicine, ethics and evidence-based practices.As of Jan 2018 the journal is published by Springer as a hybrid journal with no article processing charges. All articles published before 2018 are available free of charge on springerlink.Unofficial 2017 2-year Impact Factor: 1.816.