TY - JOUR
T1 - Interaction of central obesity and sarcopenia on nutritional status in the community-dwelling older people
AU - Chang, Chin Sung
AU - Chang, Yin Fan
AU - Liu, Ping Yen
AU - Wu, Shin Jiuan
AU - Chiu, Ching Ju
AU - Chen, Chuan Yu
AU - Wu, Chih Hsing
N1 - Funding Information:
This work was supported by the grant from National Cheng Kung University Hospital, College of Medicine, and the funding source had no role in the study. We thank the staff of Tianliao district Public Health Center for their generous support, and Ms. Yu-Chen Shih for her administrative assistance.
Funding Information:
This work was supported by the grant from National Cheng Kung University Hospital , College of Medicine , and the funding source had no role in the study. We thank the staff of Tianliao district Public Health Center for their generous support, and Ms. Yu-Chen Shih for her administrative assistance.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - Objectives: To investigate the interrelationships between central obesity, sarcopenia and nutritional status in the elderly. Methods: We enrolled 501 elderly (women: 47.5 %) with complete datasets. Biochemical and anthropometric data were measured after an overnight fast. Basic characteristics, psychosocial and behavioral factors, nutritional status, and history of chronic disease came from structured questionnaires. Central obesity was defined as waist circumference ≥ 90 cm for men, ≥ 80 cm for women. Sarcopenia was defined by the Asian consensus. Nutritional status was assessed using Mini Nutritional Assessment scores: abnormal nutritional status ≤ 23.5. Multiple logistic regression analysis was done to determine the independent factors of an abnormal nutritional status. Results: Ninety (18.0 %) participants had an abnormal nutritional status, 300 (59.9 %) had central obesity, 52 (10.4 %) sarcopenia and 3 (0.6 %) sarcopenic obesity. Central obesity (OR = 0.455, 95 % CI: 0.244-0.847) and total lymphocyte count (OR = 0.526, 95 % CI: 0.315-0.880) were negatively and sarcopenia (OR = 3.170, 95 % CI: 1.485–6.767), current smoking (OR = 4.071, 95 % CI: 1.357–12.211), and total number of chronic diseases (OR = 1.484, 95 % CI: 1.234–1.785) were positively associated with abnormal nutritional status. An analysis of the combine effects of central obesity and sarcopenia on nutritional status showed that significantly fewer participants with central obesity but not sarcopenia had abnormal nutrition than participants with sarcopenia with or without central obesity (12.8 % vs 38.5 or 65.4 %, p < 0.001). Conclusions: Central obesity and sarcopenia were interactively associated with the nutritional status of older people living in a rural community.
AB - Objectives: To investigate the interrelationships between central obesity, sarcopenia and nutritional status in the elderly. Methods: We enrolled 501 elderly (women: 47.5 %) with complete datasets. Biochemical and anthropometric data were measured after an overnight fast. Basic characteristics, psychosocial and behavioral factors, nutritional status, and history of chronic disease came from structured questionnaires. Central obesity was defined as waist circumference ≥ 90 cm for men, ≥ 80 cm for women. Sarcopenia was defined by the Asian consensus. Nutritional status was assessed using Mini Nutritional Assessment scores: abnormal nutritional status ≤ 23.5. Multiple logistic regression analysis was done to determine the independent factors of an abnormal nutritional status. Results: Ninety (18.0 %) participants had an abnormal nutritional status, 300 (59.9 %) had central obesity, 52 (10.4 %) sarcopenia and 3 (0.6 %) sarcopenic obesity. Central obesity (OR = 0.455, 95 % CI: 0.244-0.847) and total lymphocyte count (OR = 0.526, 95 % CI: 0.315-0.880) were negatively and sarcopenia (OR = 3.170, 95 % CI: 1.485–6.767), current smoking (OR = 4.071, 95 % CI: 1.357–12.211), and total number of chronic diseases (OR = 1.484, 95 % CI: 1.234–1.785) were positively associated with abnormal nutritional status. An analysis of the combine effects of central obesity and sarcopenia on nutritional status showed that significantly fewer participants with central obesity but not sarcopenia had abnormal nutrition than participants with sarcopenia with or without central obesity (12.8 % vs 38.5 or 65.4 %, p < 0.001). Conclusions: Central obesity and sarcopenia were interactively associated with the nutritional status of older people living in a rural community.
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U2 - 10.1016/j.archger.2019.104003
DO - 10.1016/j.archger.2019.104003
M3 - Article
C2 - 31874330
AN - SCOPUS:85076693427
SN - 0167-4943
VL - 87
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
M1 - 104003
ER -
