Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community
Yixuan Ma,1 Wen Zhang,1,2 Peipei Han,3 Masahiro Kohzuki,1 Qi Guo3 1Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan; 2Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, Peop...
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Dove Medical Press
2020
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oai:doaj.org-article:af2ecf9f43ca4c989d78fe1ea9056ebd2021-12-02T12:28:02ZOsteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community1178-1998https://doaj.org/article/af2ecf9f43ca4c989d78fe1ea9056ebd2020-08-01T00:00:00Zhttps://www.dovepress.com/osteosarcopenic-obesity-associated-with-poor-physical-performance-in-t-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Yixuan Ma,1 Wen Zhang,1,2 Peipei Han,3 Masahiro Kohzuki,1 Qi Guo3 1Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan; 2Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, People’s Republic of China; 3Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, People’s Republic of ChinaCorrespondence: Masahiro KohzukiDepartment of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, 1– 1 Seiryou-Cho, Aoba-Ku, Sendai 980– 8574, JapanEmail makohzuki@gmail.comQi GuoDepartment of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, No. 279 Zhouzhu Road, Pudong New Area, Shanghai 201318, People’s Republic of ChinaTel/ Fax +86-22-8333-6977Email guoqijp@gmail.comObjective: The aims of this study were to investigate the association between osteosarcopenic obesity (OSO) and physical performance in Chinese elderly communities.Methods: Our study population is comprised of residents of the Township Central Hospital in the suburban of Tianjin, China. Participants (n=303; percent body fat (PBF): ≥ 25% for men and ≥ 32% for women) were assessed using the direct segmental multi-frequency bioelectrical impedance analysis (BIA) for body composition. Sarcopenia was defined as the lower 20th percentile of appendicular skeletal muscle mass/height2 (ASMI). A quantitative ultrasound scan of each participants’ calcaneus with a T score≤− 1.0 was used to identify the prevalence of osteopenia/osteoporosis (OP). We divided people into four groups: obesity only (O), osteopenic obesity (OO), sarcopenic obesity (SO), and osteosarcopenic obesity (OSO). We assessed the physical performance by grip strength, 4-m walk test (WS) and timed up and go test (TUGT).Results: A total of 303 participants had completed data (89 men, 214 women; mean age of 68.8± 6.0 years). The prevalence of OSO was 10.2% (men: 15.70%, women: 7.9%). After multiple adjustments, WS was significantly declined in OSO group when compared with the O group in men (mean value 95% CI was 0.84 (0.69, 0.99)) and women (mean value 95% CI was 0.93 (0.84, 1.02)). TUGT was significantly poorer in men (mean value 95% CI was 13.3 (10.6, 15.9)) and women (mean value 95% CI was 12.4 (11.2, 13.7)) with OSO when compared with the O group. Furthermore, the OSO group in women also had a significantly poorer TUGT compared with the OO group. The result of grip strength decreased significantly in women SO and OSO groups when compared with the O group (mean value 95% CI was 16.4 (14.5, 18.2) and 16.1 (13.9, 18.3)). But the results of grip strength in men showed no significant differences in any of the group.Conclusion: In Chinese community-dwelling elderly, slower WS and lower balance function were associated with OSO in men and women. Lower grip strength was associated with SO and OSO in women.Keywords: elder, osteosarcopenic obesity, physical performanceMa YZhang WHan PKohzuki MGuo QDove Medical Pressarticleelderosteosarcopenic obesityphysical performanceGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1343-1352 (2020) |
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DOAJ |
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elder osteosarcopenic obesity physical performance Geriatrics RC952-954.6 |
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elder osteosarcopenic obesity physical performance Geriatrics RC952-954.6 Ma Y Zhang W Han P Kohzuki M Guo Q Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
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Yixuan Ma,1 Wen Zhang,1,2 Peipei Han,3 Masahiro Kohzuki,1 Qi Guo3 1Department of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, Sendai, Japan; 2Department of Rehabilitation and Sports Medicine, Tianjin Medical University, Tianjin, People’s Republic of China; 3Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, Shanghai, People’s Republic of ChinaCorrespondence: Masahiro KohzukiDepartment of Internal Medicine and Rehabilitation Science, Tohoku University Graduate School of Medicine, Tohoku University, 1– 1 Seiryou-Cho, Aoba-Ku, Sendai 980– 8574, JapanEmail makohzuki@gmail.comQi GuoDepartment of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences, No. 279 Zhouzhu Road, Pudong New Area, Shanghai 201318, People’s Republic of ChinaTel/ Fax +86-22-8333-6977Email guoqijp@gmail.comObjective: The aims of this study were to investigate the association between osteosarcopenic obesity (OSO) and physical performance in Chinese elderly communities.Methods: Our study population is comprised of residents of the Township Central Hospital in the suburban of Tianjin, China. Participants (n=303; percent body fat (PBF): ≥ 25% for men and ≥ 32% for women) were assessed using the direct segmental multi-frequency bioelectrical impedance analysis (BIA) for body composition. Sarcopenia was defined as the lower 20th percentile of appendicular skeletal muscle mass/height2 (ASMI). A quantitative ultrasound scan of each participants’ calcaneus with a T score≤− 1.0 was used to identify the prevalence of osteopenia/osteoporosis (OP). We divided people into four groups: obesity only (O), osteopenic obesity (OO), sarcopenic obesity (SO), and osteosarcopenic obesity (OSO). We assessed the physical performance by grip strength, 4-m walk test (WS) and timed up and go test (TUGT).Results: A total of 303 participants had completed data (89 men, 214 women; mean age of 68.8± 6.0 years). The prevalence of OSO was 10.2% (men: 15.70%, women: 7.9%). After multiple adjustments, WS was significantly declined in OSO group when compared with the O group in men (mean value 95% CI was 0.84 (0.69, 0.99)) and women (mean value 95% CI was 0.93 (0.84, 1.02)). TUGT was significantly poorer in men (mean value 95% CI was 13.3 (10.6, 15.9)) and women (mean value 95% CI was 12.4 (11.2, 13.7)) with OSO when compared with the O group. Furthermore, the OSO group in women also had a significantly poorer TUGT compared with the OO group. The result of grip strength decreased significantly in women SO and OSO groups when compared with the O group (mean value 95% CI was 16.4 (14.5, 18.2) and 16.1 (13.9, 18.3)). But the results of grip strength in men showed no significant differences in any of the group.Conclusion: In Chinese community-dwelling elderly, slower WS and lower balance function were associated with OSO in men and women. Lower grip strength was associated with SO and OSO in women.Keywords: elder, osteosarcopenic obesity, physical performance |
| format |
article |
| author |
Ma Y Zhang W Han P Kohzuki M Guo Q |
| author_facet |
Ma Y Zhang W Han P Kohzuki M Guo Q |
| author_sort |
Ma Y |
| title |
Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
| title_short |
Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
| title_full |
Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
| title_fullStr |
Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
| title_full_unstemmed |
Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community |
| title_sort |
osteosarcopenic obesity associated with poor physical performance in the elderly chinese community |
| publisher |
Dove Medical Press |
| publishDate |
2020 |
| url |
https://doaj.org/article/af2ecf9f43ca4c989d78fe1ea9056ebd |
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