Sarcopenic obesity can be negatively associated with active physical activity and adequate intake of some nutrients in Korean elderly: Findings from the Korea National Health and Nutrition Examination Survey (2008–2011)

Abstract

BACKGROUND/OBJECTIVESThe aim of this study was to analyze the factors related to sarcopenic obesity among the elderly in South Korea.SUBJECTS/METHODSA total of 3,367 elderly (≥ 65 years) from the Korea National Health and Nutrition Examination Survey (2008–2011) were included in this analysis. The subjects were assessed to determine their sarcopenia and obesity status. Sarcopenia was assessed by determining their appendicular skeletal muscle mass (ASM). Obesity was defined by the waist circumference. An association of sarcopenic obesity and the related factors was analyzed using multiple logistic regression models.RESULTSThe risk of sarcopenic obesity of the subjects was decreased by active physical activity. After adjusting for age, smoking, and alcohol consumption, the risk of sarcopenic obesity in men of the highest level group (Q4) decreased by 45% (OR = 0.550, 95% CI = 0.334–0.905, P trend 0.018) compared to that in the reference group (Q1). Among the women, the risk of sarcopenic obesity in the Q3 and Q4 groups decreased by 29.0% (OR = 0.710, 95% CI = 0.512–0,984) and 56.7% (OR = 0.433, 95% CI = 0.281–0.668), respectively, compared to that in the Q1 group (P trend < 0.001). The mean daily energy intake was higher in the non-sarcopenia group than in the sarcopenia group. The risk of sarcopenic obesity in subjects not meeting the recommended intakes of energy, riboflavin, and vitamin C increased significantly by 25.4%, and 36.6%, and 32.6%, respectively, compared to that in the subjects meeting the recommended nutrient intake.CONCLUSIONActive physical activity as well as an adequate intake of energy and some vitamins might be negatively associated with the development of sarcopenia and sarcopenic obesity in the elderly.

Relationship Between Sarcopenia, Obesity, Osteoporosis, and Cardiometabolic Health Conditions and Physical Activity Levels in Korean Older Adults

“…It has also been reported that PA can increase walking speed, balance, and daily life activities in older people with sarcopenia ( Steffl et al, 2017 ), and that it can improve mobility and physical function in older patients ( Chou et al, 2012 ; De Vries et al, 2012 ). Son et al (2019) reported that the prevalence of sarcopenia, obesity, and sarcopenic obesity significantly decreased when over 2900 MET-min/week of PA was performed. In this study, moderate-active PA was effective in preventing sarcopenia, and few older adults with obesity and sarcopenic obesity in high-active PA, supporting the results of prior studies.…”

Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments

“…On the other hand, owing to decrease of outdoor physical activities, vitamin D produces less with scanty expose of ultraviolet radiation ( 19 ). Hence, inadequate vitamin D accelerates SO ( 20 ).…”

Ketogenic Diet Is Good for Aging-Related Sarcopenic Obesity

“…Thus, defining sarcopenic obesity only in terms of muscle mass is too narrow maybe of limited clinical value that becomes more common in people over the age of 65. Sarcopenic obesity factor seropositivity, and a lack of current treatment with disease-modifying anti-sarcopenic obesity drugs were significantly associated with abnormal body composition such as increasing joint deformity, disability scores and C-reactive protein levels [25]. After middle age, adults lose 3% of their muscle strength every year, on average, to perform many routine activities [26].…”