Variation in the Prevalence of Sarcopenia and Sarcopenic Obesity in Older Adults Associated with Different Research Definitions: Dual‐Energy X‐Ray Absorptiometry Data from the National Health and Nutrition Examination Survey 1999–2004
- 6 May 2013
- journal article
- research article
- Published by Wiley in Journal of the American Geriatrics Society
- Vol. 61 (6), 974-980
- https://doi.org/10.1111/jgs.12260
Abstract
To determine the prevalence range for sarcopenic obesity and its relationship with sex, age, and ethnicity. Cross-sectional analysis of a population-based sample. Noninstitutionalized persons in the United States participating in the National Health and Nutrition Examination Surveys 1999-2004. Subsample of 4,984 subjects aged 60 and older with dual-energy X-ray absorptiometry body composition data. Eight definitions of sarcopenic obesity identified from six studies found using a systematic literature review (Baumgartner, Bouchard, Davison, Zoico, Levine, Kim-1,2,3) were applied to the sample. Results were stratified according to sex, age, and ethnicity. Prevalence of sarcopenic obesity ranged from 4.4% to 84.0% in men and from 3.6% to 94.0% in women. Prevalence was higher in men using definitions from Baumgartner (17.9% vs 13.3%, P < .001), Levine (14.2% vs 6.6%, P < .001), and Kim-1 (30.0% vs 9.3%, P < .001); lower for men using the Davison (4.4% vs 11.1%, P < .001) and Kim-2 (83.7% vs 94.0%) definitions; and the same for men and women using the Bouchard (45.3% vs 44.3%, P = .32) and Kim-3 (75.6% vs 77.0%, P = .51) definitions. For all but one definition, sarcopenic obesity increased with each decade and was lower in non-Hispanic blacks than whites. Prevalence of sarcopenic obesity in older adults varies up to 26-fold depending on current research definitions. Such a high degree of variability suggests the need to establish consensus criteria that can be reliably applied across clinical and research settings.Keywords
This publication has 28 references indexed in Scilit:
- Prevalence of Obesity and Trends in the Distribution of Body Mass Index Among US Adults, 1999-2010Jama-Journal Of The American Medical Association, 2012
- Sarcopenia and ObesityClinics in Geriatric Medicine, 2011
- Sarcopenia: European consensus on definition and diagnosisAge and Ageing, 2010
- Sarcopenic/Obesity and Physical Capacity in Older Men and Women: Data From the Nutrition as a Determinant of Successful Aging (NuAge)—the Quebec Longitudinal StudyObesity, 2009
- Sarcopenic obesity: A new category of obesity in the elderlyNutrition, Metabolism and Cardiovascular Diseases, 2008
- The Changing Relationship of Obesity and Disability, 1988-2004JAMA, 2007
- Secular Trends in Cardiovascular Disease Risk Factors According to Body Mass Index in US AdultsPublished by American Medical Association (AMA) ,2005
- Sarcopenic Obesity Predicts Instrumental Activities of Daily Living Disability in the ElderlyObesity Research, 2004
- Obesity Affects Nursing‐Care Facility Admission among Whites but Not BlacksObesity Research, 2002
- How Useful Is Body Mass Index for Comparison of Body Fatness across Age, Sex, and Ethnic Groups?American Journal of Epidemiology, 1996