Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years

Sarcopenic obesity (SO) is diagnosed when sarcopenia and obesity coexist in patients. The objective of this study was to determine the prevalence of SO under different diagnostic criteria in community-dwelling Spanish adults aged over 65 years residing in Valencia (Spain). The research was conducted...

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Main Authors: Angela Diago-Galmés, Carlos Guillamon-Escudero, Jose M. Tenías-Burillo, Jose M. Soriano, Julio Fernández-Garrido
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/15/23/4932
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author Angela Diago-Galmés
Carlos Guillamon-Escudero
Jose M. Tenías-Burillo
Jose M. Soriano
Julio Fernández-Garrido
author_facet Angela Diago-Galmés
Carlos Guillamon-Escudero
Jose M. Tenías-Burillo
Jose M. Soriano
Julio Fernández-Garrido
author_sort Angela Diago-Galmés
collection DOAJ
description Sarcopenic obesity (SO) is diagnosed when sarcopenia and obesity coexist in patients. The objective of this study was to determine the prevalence of SO under different diagnostic criteria in community-dwelling Spanish adults aged over 65 years residing in Valencia (Spain). The research was conducted as an observational and cross-sectional study with a sample size of 202 subjects. To diagnose sarcopenia, we used the tests proposed by the European Working Group on Sarcopenia in Older People in 2019 (EWGSOP2): SARC-F, grip strength, sit-to-stand, gait speed, Appendicular Skeletal Muscle Mass (ASMM), and Short Physical Performance Battery (SPPB). For obesity diagnosis, we used body mass index (BMI), waist circumference (WC), total body fat percentage (%TBF), and tricipital skinfold (TS). The prevalence of SO was 16.5% in women and 29% in men, according to any of the diagnostic criteria used to determine obesity. A higher proportion of SO was observed as age increased in both groups, although no significant differences were found. Most values obtained in tests related to SO diagnosis were worse in the group affected by the disease; however, there were two exceptions related to the amount of ASMM. In total, 18.8% of the participants presented SO according to any diagnostic criteria related to obesity. Our results suggest significant differences in the number of SO cases depending on diagnostic criteria used to determine the participants’ obesity. BMI, WC, and TBF% were shown as principal variables to be included in obesity diagnosis within the SO construct. These findings underscore the need to unify criteria to standardize the diagnosis of SO in the global population.
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spelling doaj.art-4ae9414ba6d84851b8bab6e2d335f6902023-12-08T15:23:23ZengMDPI AGNutrients2072-66432023-11-011523493210.3390/nu15234932Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 YearsAngela Diago-Galmés0Carlos Guillamon-Escudero1Jose M. Tenías-Burillo2Jose M. Soriano3Julio Fernández-Garrido4Hospital Universitario de La Plana, 12540 Castellón, SpainHospital General Universitari de Castelló, 12004 Castellón, SpainDepartment of Preventive Medicine, Hospital Pare Jofré, 46017 Valencia, SpainFood & Health Lab, Institute of Materials Science, University of Valencia, 43617 Valencia, SpainDepartment of Nursing, Faculty of Nursing and Podiatry, University of Valencia, 46010 Valencia, SpainSarcopenic obesity (SO) is diagnosed when sarcopenia and obesity coexist in patients. The objective of this study was to determine the prevalence of SO under different diagnostic criteria in community-dwelling Spanish adults aged over 65 years residing in Valencia (Spain). The research was conducted as an observational and cross-sectional study with a sample size of 202 subjects. To diagnose sarcopenia, we used the tests proposed by the European Working Group on Sarcopenia in Older People in 2019 (EWGSOP2): SARC-F, grip strength, sit-to-stand, gait speed, Appendicular Skeletal Muscle Mass (ASMM), and Short Physical Performance Battery (SPPB). For obesity diagnosis, we used body mass index (BMI), waist circumference (WC), total body fat percentage (%TBF), and tricipital skinfold (TS). The prevalence of SO was 16.5% in women and 29% in men, according to any of the diagnostic criteria used to determine obesity. A higher proportion of SO was observed as age increased in both groups, although no significant differences were found. Most values obtained in tests related to SO diagnosis were worse in the group affected by the disease; however, there were two exceptions related to the amount of ASMM. In total, 18.8% of the participants presented SO according to any diagnostic criteria related to obesity. Our results suggest significant differences in the number of SO cases depending on diagnostic criteria used to determine the participants’ obesity. BMI, WC, and TBF% were shown as principal variables to be included in obesity diagnosis within the SO construct. These findings underscore the need to unify criteria to standardize the diagnosis of SO in the global population.https://www.mdpi.com/2072-6643/15/23/4932sarcopenic obesityolder adultsmuscle massadipose tissuediagnostic criteria
spellingShingle Angela Diago-Galmés
Carlos Guillamon-Escudero
Jose M. Tenías-Burillo
Jose M. Soriano
Julio Fernández-Garrido
Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
Nutrients
sarcopenic obesity
older adults
muscle mass
adipose tissue
diagnostic criteria
title Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
title_full Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
title_fullStr Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
title_full_unstemmed Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
title_short Sarcopenic Obesity in Community-Dwelling Spanish Adults Older than 65 Years
title_sort sarcopenic obesity in community dwelling spanish adults older than 65 years
topic sarcopenic obesity
older adults
muscle mass
adipose tissue
diagnostic criteria
url https://www.mdpi.com/2072-6643/15/23/4932
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