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Citation
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Li R, Chen X, Tang H, Luo S, Lian R, Zhang W, Zhang X, Hu X, Yang M. Arch. Gerontol. Geriatr. 2024; 127: e105557. |
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Abstract
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OBJECTIVES: The ESPEN and the EASO recently developed consensus criteria for sarcopenic obesity (SO), employing the skeletal muscle mass to weight (SMM/W) ratio. Emerging evidence suggests that adjusting skeletal muscle mass for body mass index (SMM/BMI) could enhance the predictive accuracy for health outcomes. We aimed to validate the ESPEN/EASO criteria and explore the potential benefits of the SMM/BMI adjustment in predicting falls among older adults in Western China.
METHODS: We conducted a multicenter, cross-sectional study and included community-dwelling older adults. The diagnosis of SO was determined using the standard ESPEN/EASO consensus criteria (SO(ESPEN)) and a modified version adjusting SMM/BMI (SO(ESPEN-M)). The associations of SO(ESPEN), SO(ESPEN-M), and their components with falls were analyzed.
RESULTS: Among the 1353 participants, the prevalence of SO was 13.2 % (SO(ESPEN)) and 11.4 % (SO(ESPEN-M)), which increased with age and higher BMI levels. Within participants with a normal BMI, 4.2 % and 6.2 % were found to have SO(ESPEN) and SO(ESPEN-M), respectively. SMM/W and SMM/BMI negatively correlated with fall risk (p=0.042 and p=0.021, respectively). Upon adjusting for confounders, only SO(ESPEN) was significantly associated with falls (odds ratios [OR] 1.61, 95 % confidence interval [CI] 1.08 to 2.40), whereas the association for SO(ESPEN-M) did not achieve significance (OR 1.55, 95 % CI 0.99 to 2.43).
CONCLUSIONS: This research validated the ESPEN/EASO criteria (SO(ESPEN)) and their modified version (SO(ESPEN-M)) among community-dwelling older adults in Western China. The SMM/BMI adjustment appears to offer a lower estimate of SO prevalence, with only SO(ESPEN) showing a significant association with falls.
Language: en |