Dataset Information

Sarcopenic obesity and associations with mortality in older women and men - a prospective observational study.

ABSTRACT:

Background

The combined effect of sarcopenia and obesity, i.e., sarcopenic obesity, has been associated with disability and worse outcomes in older adults, but results are conflicting. The objectives of this study were to describe the prevalence of sarcopenic obesity (SO) in older adults, and to examine how the risk of mortality is associated with SO and its various components.

Methods

Data were obtained from two Swedish population studies, the Gothenburg H70 Birth Cohort Studies of 521 women and men at the age of 75, and the Uppsala Longitudinal Study of Adult Men (ULSAM), which included 288 men aged 87?years. Sarcopenia was defined using the recently updated EWGSOP2 definition. Obesity was defined by any of three established definitions: body mass index ?30?kg/m², fat mass?>?30%/ >?42% or waist circumference???88?cm/?102?cm for women and men, respectively. The Kaplan-Meier survival curve and the Cox proportional hazard model were used for 10-year and 4-year survival analyses in the H70 and ULSAM cohorts, respectively.

Results

SO was observed in 4% of the women and 11% of the men in the H70 cohort, and in 10% of the ULSAM male cohort. The 75-year-old women with SO had a higher risk (HR 3.25, 95% confidence interval (1.2-8.9)) of dying within 10 years compared to those with a "normal" phenotype. A potential similar association with mortality among the 75-year-old men was not statistically significant. In the older men aged 87?years, obesity was associated with increased survival.

Conclusions

SO was observed in 4-11% of community-dwelling older adults. In 75-year-old women SO appeared to associate with an increased risk of dying within 10 years. In 87-year-old men, the results indicated that obesity without sarcopenia was related to a survival benefit over a four-year period.

SUBMITTER: von Berens A

PROVIDER: S-EPMC7285448 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Publications

Sarcopenic obesity and associations with mortality in older women and men - a prospective observational study.

von Berens Å Å Obling S R SR Nydahl M M Koochek A A Lissner L L Skoog I I Frändin K K Skoglund E E Rothenberg E E Cederholm T T

BMC geriatrics 20200609 1

<h4>Background</h4>The combined effect of sarcopenia and obesity, i.e., sarcopenic obesity, has been associated with disability and worse outcomes in older adults, but results are conflicting. The objectives of this study were to describe the prevalence of sarcopenic obesity (SO) in older adults, and to examine how the risk of mortality is associated with SO and its various components.<h4>Methods</h4>Data were obtained from two Swedish population studies, the Gothenburg H70 Birth Cohort Studies ...[more]

PMID: 32517653

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Dataset Information

Sarcopenic obesity and associations with mortality in older women and men - a prospective observational study.

Background

Methods

Results

Conclusions

Publications

Sarcopenic obesity and associations with mortality in older women and men - a prospective observational study.

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