Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome

BackgroundVisceral adiposity is related to insulin resistance. Skeletal muscle plays a central role in insulin-mediated glucose disposal; however, little is known about the association between muscle mass and metabolic syndrome (MS). This study is to clarify the clinical role of skeletal muscle mass...

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Main Authors: Byung Sam Park, Ji Sung Yoon
Format: Article
Language:English
Published: Korean Diabetes Association 2013-12-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-37-458.pdf
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author Byung Sam Park
Ji Sung Yoon
author_facet Byung Sam Park
Ji Sung Yoon
author_sort Byung Sam Park
collection DOAJ
description BackgroundVisceral adiposity is related to insulin resistance. Skeletal muscle plays a central role in insulin-mediated glucose disposal; however, little is known about the association between muscle mass and metabolic syndrome (MS). This study is to clarify the clinical role of skeletal muscle mass in development of MS.MethodsA total of 1,042 subjects were enrolled. Subjects with prior MS and chronic diseases were excluded. After 24 months, development of MS was assessed using NCEP-ATP III criteria. Skeletal muscle mass (SMM; kg), body fat mass (BFM; kg), and visceral fat area (VFA; cm2) were obtained from bioelectrical analysis. Then, the following values were calculated as follows: percent of SMM (SMM%; %): SMM (kg)/weight (kg), skeletal muscle index (SMI; kg/m2): SMM (kg)/height (m2), skeletal muscle to body fat ratio (MFR): SMM (kg)/BFM (kg), and skeletal muscle to visceral fat ratio (SVR; kg/cm2): SMM (kg)/VFA (cm2).ResultsAmong 838 subjects, 88 (10.5%) were newly diagnosed with MS. Development of MS increased according to increasing quintiles of BMI, SMM, VFA, and SMI, but was negatively associated with SMM%, MFR, and SVR. VFA was positively associated with high waist circumference (WC), high blood pressure (BP), dysglycemia, and high triglyceride (TG). In contrast, MFR was negatively associated with high WC, high BP, dysglycemia, and high TG. SVR was negatively associated with all components of MS.ConclusionRelative SMM ratio to body composition, rather than absolute mass, may play a critical role in development of MS and could be used as a strong predictor.
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spelling doaj.art-6542dee4d97c4463bdc6515c7687d3db2022-12-22T02:10:06ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872013-12-0137645846410.4093/dmj.2013.37.6.4582116Relative Skeletal Muscle Mass Is Associated with Development of Metabolic SyndromeByung Sam ParkJi Sung YoonBackgroundVisceral adiposity is related to insulin resistance. Skeletal muscle plays a central role in insulin-mediated glucose disposal; however, little is known about the association between muscle mass and metabolic syndrome (MS). This study is to clarify the clinical role of skeletal muscle mass in development of MS.MethodsA total of 1,042 subjects were enrolled. Subjects with prior MS and chronic diseases were excluded. After 24 months, development of MS was assessed using NCEP-ATP III criteria. Skeletal muscle mass (SMM; kg), body fat mass (BFM; kg), and visceral fat area (VFA; cm2) were obtained from bioelectrical analysis. Then, the following values were calculated as follows: percent of SMM (SMM%; %): SMM (kg)/weight (kg), skeletal muscle index (SMI; kg/m2): SMM (kg)/height (m2), skeletal muscle to body fat ratio (MFR): SMM (kg)/BFM (kg), and skeletal muscle to visceral fat ratio (SVR; kg/cm2): SMM (kg)/VFA (cm2).ResultsAmong 838 subjects, 88 (10.5%) were newly diagnosed with MS. Development of MS increased according to increasing quintiles of BMI, SMM, VFA, and SMI, but was negatively associated with SMM%, MFR, and SVR. VFA was positively associated with high waist circumference (WC), high blood pressure (BP), dysglycemia, and high triglyceride (TG). In contrast, MFR was negatively associated with high WC, high BP, dysglycemia, and high TG. SVR was negatively associated with all components of MS.ConclusionRelative SMM ratio to body composition, rather than absolute mass, may play a critical role in development of MS and could be used as a strong predictor.http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-37-458.pdfBody compositionMetabolic syndromeMuscle, skeletal
spellingShingle Byung Sam Park
Ji Sung Yoon
Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
Diabetes & Metabolism Journal
Body composition
Metabolic syndrome
Muscle, skeletal
title Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
title_full Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
title_fullStr Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
title_full_unstemmed Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
title_short Relative Skeletal Muscle Mass Is Associated with Development of Metabolic Syndrome
title_sort relative skeletal muscle mass is associated with development of metabolic syndrome
topic Body composition
Metabolic syndrome
Muscle, skeletal
url http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-37-458.pdf
work_keys_str_mv AT byungsampark relativeskeletalmusclemassisassociatedwithdevelopmentofmetabolicsyndrome
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