Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women : the EPIDOS (EPIDemiologie de l'OSteoporose) Study
BACKGROUND: In elders, decreased muscle mass (sarcopenia) and increased fat mass (obesity) may contribute to difficulties with physical function.
OBJECTIVE: The objective was to examine the association of obesity, sarcopenia, and their combination (sarcopenic-obesity) with self-reported difficulties performing physical function in a cohort of community-dwelling elderly women.
DESIGN: We assessed muscle and fat mass by dual-energy X-ray absorptiometry and self-reported difficulties with physical function in 1308 healthy women aged > or =75 y. Sarcopenia was defined as an appendicular skeletal muscle mass < or =2 SD below the mean in a young female reference group. Obesity was defined as a percentage body fat above the 60th percentile. Thirty-six sarcopenic-obese, 90 purely sarcopenic, 435 purely obese, and 747 women with a healthy body composition were studied. Anthropometric measures, health status, lifestyle habits, and self-reported difficulties with 6 different physical functions were obtained.
RESULTS: Compared with women with a healthy body composition and after adjustment for confounders, purely sarcopenic women had no increased odds of having difficulties for all of the physical functions assessed, purely obese women had a 44-79% higher odds of having difficulties with most of the physical functions assessed (P < 0.05), and sarcopenic-obese women had a 2.60 higher odds of having difficulty climbing stairs and a 2.35 higher odds of having difficulty going down stairs (all P < 0.05).
CONCLUSIONS: Sarcopenia is not associated with physical difficulties in the absence of obesity. However, in the presence of obesity, sarcopenia tends to add difficulty for some physical functions.
Medienart: |
E-Artikel |
---|
Erscheinungsjahr: |
2009 |
---|---|
Erschienen: |
2009 |
Enthalten in: |
Zur Gesamtaufnahme - volume:89 |
---|---|
Enthalten in: |
The American journal of clinical nutrition - 89(2009), 6 vom: 01. Juni, Seite 1895-900 |
Sprache: |
Englisch |
---|
Beteiligte Personen: |
Rolland, Yves [VerfasserIn] |
---|
Links: |
---|
Themen: |
---|
Anmerkungen: |
Date Completed 12.06.2009 Date Revised 18.03.2023 published: Print-Electronic Citation Status MEDLINE |
---|
doi: |
10.3945/ajcn.2008.26950 |
---|
funding: |
|
---|---|
Förderinstitution / Projekttitel: |
|
PPN (Katalog-ID): |
NLM187843910 |
---|
LEADER | 01000naa a22002652 4500 | ||
---|---|---|---|
001 | NLM187843910 | ||
003 | DE-627 | ||
005 | 20231223180843.0 | ||
007 | cr uuu---uuuuu | ||
008 | 231223s2009 xx |||||o 00| ||eng c | ||
024 | 7 | |a 10.3945/ajcn.2008.26950 |2 doi | |
028 | 5 | 2 | |a pubmed24n0626.xml |
035 | |a (DE-627)NLM187843910 | ||
035 | |a (NLM)19369381 | ||
040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
041 | |a eng | ||
100 | 1 | |a Rolland, Yves |e verfasserin |4 aut | |
245 | 1 | 0 | |a Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women |b the EPIDOS (EPIDemiologie de l'OSteoporose) Study |
264 | 1 | |c 2009 | |
336 | |a Text |b txt |2 rdacontent | ||
337 | |a ƒaComputermedien |b c |2 rdamedia | ||
338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
500 | |a Date Completed 12.06.2009 | ||
500 | |a Date Revised 18.03.2023 | ||
500 | |a published: Print-Electronic | ||
500 | |a Citation Status MEDLINE | ||
520 | |a BACKGROUND: In elders, decreased muscle mass (sarcopenia) and increased fat mass (obesity) may contribute to difficulties with physical function | ||
520 | |a OBJECTIVE: The objective was to examine the association of obesity, sarcopenia, and their combination (sarcopenic-obesity) with self-reported difficulties performing physical function in a cohort of community-dwelling elderly women | ||
520 | |a DESIGN: We assessed muscle and fat mass by dual-energy X-ray absorptiometry and self-reported difficulties with physical function in 1308 healthy women aged > or =75 y. Sarcopenia was defined as an appendicular skeletal muscle mass < or =2 SD below the mean in a young female reference group. Obesity was defined as a percentage body fat above the 60th percentile. Thirty-six sarcopenic-obese, 90 purely sarcopenic, 435 purely obese, and 747 women with a healthy body composition were studied. Anthropometric measures, health status, lifestyle habits, and self-reported difficulties with 6 different physical functions were obtained | ||
520 | |a RESULTS: Compared with women with a healthy body composition and after adjustment for confounders, purely sarcopenic women had no increased odds of having difficulties for all of the physical functions assessed, purely obese women had a 44-79% higher odds of having difficulties with most of the physical functions assessed (P < 0.05), and sarcopenic-obese women had a 2.60 higher odds of having difficulty climbing stairs and a 2.35 higher odds of having difficulty going down stairs (all P < 0.05) | ||
520 | |a CONCLUSIONS: Sarcopenia is not associated with physical difficulties in the absence of obesity. However, in the presence of obesity, sarcopenia tends to add difficulty for some physical functions | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Research Support, Non-U.S. Gov't | |
700 | 1 | |a Lauwers-Cances, Valérie |e verfasserin |4 aut | |
700 | 1 | |a Cristini, Christelle |e verfasserin |4 aut | |
700 | 1 | |a Abellan van Kan, Gabor |e verfasserin |4 aut | |
700 | 1 | |a Janssen, Ian |e verfasserin |4 aut | |
700 | 1 | |a Morley, John E |e verfasserin |4 aut | |
700 | 1 | |a Vellas, Bruno |e verfasserin |4 aut | |
773 | 0 | 8 | |i Enthalten in |t The American journal of clinical nutrition |d 1954 |g 89(2009), 6 vom: 01. Juni, Seite 1895-900 |w (DE-627)NLM000025402 |x 1938-3207 |7 nnns |
773 | 1 | 8 | |g volume:89 |g year:2009 |g number:6 |g day:01 |g month:06 |g pages:1895-900 |
856 | 4 | 0 | |u http://dx.doi.org/10.3945/ajcn.2008.26950 |3 Volltext |
912 | |a GBV_USEFLAG_A | ||
912 | |a GBV_NLM | ||
951 | |a AR | ||
952 | |d 89 |j 2009 |e 6 |b 01 |c 06 |h 1895-900 |