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]
Lauwers-Cances, Valérie [VerfasserIn]
Cristini, Christelle [VerfasserIn]
Abellan van Kan, Gabor [VerfasserIn]
Janssen, Ian [VerfasserIn]
Morley, John E [VerfasserIn]
Vellas, Bruno [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't

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