Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults

BackgroundAging is associated with a higher prevalence of sarcopenia, sarcopenic obesity (SO), and increased arterial stiffening, with possible detrimental effects on morbidity and mortality. The aim of this study was to assess the relationships between sarcopenia, SO, and different indexes of arter...

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Main Authors: Francesco Fantin, Anna Giani, Gisella Manzato, Annachiara Zampieri, Gabriele Comellato, Silvia Urbani, Elena Zoico, Gloria Mazzali, Mauro Zamboni
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-02-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2024.1272854/full
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author Francesco Fantin
Anna Giani
Gisella Manzato
Annachiara Zampieri
Gabriele Comellato
Silvia Urbani
Elena Zoico
Gloria Mazzali
Mauro Zamboni
author_facet Francesco Fantin
Anna Giani
Gisella Manzato
Annachiara Zampieri
Gabriele Comellato
Silvia Urbani
Elena Zoico
Gloria Mazzali
Mauro Zamboni
author_sort Francesco Fantin
collection DOAJ
description BackgroundAging is associated with a higher prevalence of sarcopenia, sarcopenic obesity (SO), and increased arterial stiffening, with possible detrimental effects on morbidity and mortality. The aim of this study was to assess the relationships between sarcopenia, SO, and different indexes of arterial stiffness in older adults.MethodsA total of 77 hospitalized patients (mean age 78.68 ± 9.65 years) were evaluated, obtaining anthropometric variables, biochemical samples, handgrip test, and body composition assessment. Arterial stiffness was evaluated by measuring both carotid-femoral pulse wave velocity (cfPWV), a proxy for central stiffness, and cardio-ankle vascular index (CAVI), as well as considering peripheral arteries. The population was sorted into four subgroups: obese, sarcopenic, SO, and controls.ResultsThe highest CAVI (11.31 ± 2.58) was found in sarcopenic patients. SO had the highest value of cfPWV (15.18 ± 8.44 m/s), even after adjustment for significant covariates. In multiple regressions, SO diagnosis resulted as a significant predictor of cfPWV (p = 0.03, R2 = 0.20), and sarcopenia diagnosis resulted as a predictor of CAVI (p = 0.042, R2 = 0.12).ConclusionsIn conclusion, a positive correlation is found between sarcopenia, SO, and arterial stiffness among older subjects. In particular, greater central arterial stiffness is associated with SO, outlining a remarkable effect on the cardiovascular risk profile.
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spelling doaj.art-2d2940e4f4c249c5afe1fb368506b6132024-02-08T04:53:44ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-02-011110.3389/fcvm.2024.12728541272854Sarcopenia, sarcopenic obesity, and arterial stiffness among older adultsFrancesco Fantin0Anna Giani1Gisella Manzato2Annachiara Zampieri3Gabriele Comellato4Silvia Urbani5Elena Zoico6Gloria Mazzali7Mauro Zamboni8Section of Geriatric Medicine, Department of Medicine, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Medicine, University of Verona, Verona, ItalySection of Geriatric Medicine, Department of Surgery, Dentistry, Pediatric and Gynecology, University of Verona, Verona, ItalyBackgroundAging is associated with a higher prevalence of sarcopenia, sarcopenic obesity (SO), and increased arterial stiffening, with possible detrimental effects on morbidity and mortality. The aim of this study was to assess the relationships between sarcopenia, SO, and different indexes of arterial stiffness in older adults.MethodsA total of 77 hospitalized patients (mean age 78.68 ± 9.65 years) were evaluated, obtaining anthropometric variables, biochemical samples, handgrip test, and body composition assessment. Arterial stiffness was evaluated by measuring both carotid-femoral pulse wave velocity (cfPWV), a proxy for central stiffness, and cardio-ankle vascular index (CAVI), as well as considering peripheral arteries. The population was sorted into four subgroups: obese, sarcopenic, SO, and controls.ResultsThe highest CAVI (11.31 ± 2.58) was found in sarcopenic patients. SO had the highest value of cfPWV (15.18 ± 8.44 m/s), even after adjustment for significant covariates. In multiple regressions, SO diagnosis resulted as a significant predictor of cfPWV (p = 0.03, R2 = 0.20), and sarcopenia diagnosis resulted as a predictor of CAVI (p = 0.042, R2 = 0.12).ConclusionsIn conclusion, a positive correlation is found between sarcopenia, SO, and arterial stiffness among older subjects. In particular, greater central arterial stiffness is associated with SO, outlining a remarkable effect on the cardiovascular risk profile.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1272854/fullarterial stiffnesssarcopeniaobesitysarcopenic obesitycardio-ankle vascular indexpulse wave velocity
spellingShingle Francesco Fantin
Anna Giani
Gisella Manzato
Annachiara Zampieri
Gabriele Comellato
Silvia Urbani
Elena Zoico
Gloria Mazzali
Mauro Zamboni
Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
Frontiers in Cardiovascular Medicine
arterial stiffness
sarcopenia
obesity
sarcopenic obesity
cardio-ankle vascular index
pulse wave velocity
title Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
title_full Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
title_fullStr Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
title_full_unstemmed Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
title_short Sarcopenia, sarcopenic obesity, and arterial stiffness among older adults
title_sort sarcopenia sarcopenic obesity and arterial stiffness among older adults
topic arterial stiffness
sarcopenia
obesity
sarcopenic obesity
cardio-ankle vascular index
pulse wave velocity
url https://www.frontiersin.org/articles/10.3389/fcvm.2024.1272854/full
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