Sarcopenic obesity is associated with lower indicators of psychological health and quality of life in Koreans

Cho, Yoonsu; Shin, So Youn; Shin, Min Jeong

doi:10.1016/j.nutres.2015.04.002

Cited by 60 publications

(57 citation statements)

References 62 publications

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“…This was in part consistent with the previous findings that patients with sarcopenic obesity are more likely to perceive stress and increased suicidal ideation, indicating a negative correlation with quality of life [18]. There is a limited, but confirmed, to the causal relationship between psychological health and sarcopenia.…”

Section: Discussionsupporting

confidence: 91%

“…Sarcopenia was defined as an ASM/Wt (%) that was less than 1 standard deviation below the mean of a sample of healthy adults aged 20 to 39 years. The reference group of this study included 4,987 healthy adults without any history of chronic diseases, such as diabetes, stroke, coronary artery disease, thyroid disease, arthritis, tuberculosis, asthma, chronic obstructive lung disease, liver cirrhosis, and cancers [18]. The cutoff value for sarcopenia was 30.3% for men and 23.8% for women in this study.…”

Section: Methodsmentioning

confidence: 99%

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Factors Affecting Sarcopenia in Korean Adults by Age Groups

Bae

Kim

2017

Osong Public Health Res Perspect

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ObjectivesThis study aimed to investigate factors affecting sarcopenia in different age groups among Korean adults aged 20 years or older.MethodsIn this secondary analysis, data were collected from records for 17,968, participants who participated in the Korea National Health and Nutrition Examination Survey during 2008–2011. Data were analyzed using multiple logistic regression to determine the associated factors of sarcopenia by age groups.ResultsThe prevalence of sarcopenia increased significantly with age. Physical activity, blood pressure, waist circumference, triglycerides, vitamin D level were found to be factors significantly associated with sarcopenia in all age groups. Total energy intake was found to be a factor that is significantly associated with sarcopenia among the adults aged 20–39 years. Fasting glucose, suicidal ideation, perceived health status, mobility problem, pain/discomfort, total energy intake were found to be factors associated with sarcopenia in the adults aged 40–64 years. Sex, residential area, smoking, drinking, fasting glucose, osteoarthritis, fall experience, usual activity problem, protein intake were factors associated with sarcopenia in the adults over 65 years of age.ConclusionThe findings show that sarcopenia in adults and the associated factors were different by age groups. Thus, these factors should be considered in the development of intervention programs for the care and prevention of sarcopenia, and such programs should be modified according to different age groups.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Factors Affecting Sarcopenia in Korean Adults by Age Groups

Bae

Kim

2017

Osong Public Health Res Perspect

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“…9,22,23 In these studies, however, only depressive symptoms were measured while no formal DSM-IV diagnosis was confirmed. 9,22,23 In these studies, however, only depressive symptoms were measured while no formal DSM-IV diagnosis was confirmed.…”

Section: Sarcopenic Obesity As a Potential Risk Factor For Depressionmentioning

confidence: 97%

“…8 Sarcopenic obesity is emerging as a public health concern as it seems to have more impact on adverse health outcomes than general obesity. 8,9 Low physical activity and low protein intake may result in loss of muscle mass and strength, which causes fat infiltration. This lack of consensus may explain that reported prevalence rates of sarcopenic obesity vary between 0% and 41% among older persons in the community.…”

Section: Introductionmentioning

confidence: 99%

“…14 Proposed mechanisms underlying this vicious circle between muscle loss and obesity are insulin resistance, inflammation, oxidative stress, and hormonal changes. 9,22,23 In the Korea National Health and Nutrition Examination Survey among community-based persons aged 20 years and older, sarcopenic obesity was associated with a lower level of psychological health and quality of life 9 but not with depression. 8,15 Sarcopenic obesity has been associated with metabolic and functional impairments as well as increased mortality rates.…”

Section: Introductionmentioning

confidence: 99%

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Sarcopenic obesity predicts nonremission of late‐life depression

Kokkeler

Berg

Comijs

et al. 2019

Int J Geriat Psychiatry

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Background/objectives Aging‐related physiological changes like metabolic dysregulation and physical frailty are associated with depression and worsen its prognosis. Since central obesity is a key component of the metabolic syndrome and sarcopenia of physical frailty, we examined the association of sarcopenic obesity with depression cross‐sectional and over time. Methods Cohort study of depressed patients and a nondepressed comparison group. Setting Primary and secondary mental health care. Participants Three hundred seventy‐eight older (≥60 y) depressed patients of which 285 were followed up at 2 years and 132 nondepressed persons participating in the Netherlands Study of Depression in Older (NESDO) persons. Measurements Sarcopenic obesity was based on predefined cutoffs for both maximum handgrip strength (assessed with a dynamometer) and waist circumference (dichotomous) as well as the product term of handgrip strength by waist circumference (dimensional). Depressive disorder according to DSM‐IV‐TR criteria was assessed with fully structured psychiatric interview at baseline and 2‐year follow‐up. Results Sarcopenic obesity was more prevalent among depressed patients compared with nondepressed participants (18.9% versus 10.7%, P = 0.030). Neither the dichotomous nor dimensional operationalization of sarcopenic obesity was associated with baseline depressive disorder when adjusted for covariates. Nonetheless, among depressed patients, logistic regression showed that the interaction of handgrip strength by waist circumference was associated with remitted depression at 2‐year follow‐up (P = 0.044). Only among patients with a low handgrip strength, a higher waist circumference predicted nonremission. Conclusion Among depressed patients, sarcopenic obesity predicts nonremission of depression. Therefore, combined exercise and nutritional interventions might be effective for depressed patients with sarcopenic obesity.

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