Sarcopenic obesity and metabolic syndrome in adult Caucasian subjects
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OBJECTIVES: Recently metabolic aspects linked to sarcopenic obesity (SO) were investigated. Extant studies involved especially older people from Asian or White-mixed American cohorts. THE AIMS OF OUR STUDY WERE: to explore the prevalence of sarcopenia in Caucasian adult obese subjects using two different indices of sarcopenia, and to investigate the relationship among SO, metabolic syndrome (MS), inflammation, and serum albumin concentrations. DESIGN: Cross- sectional study. SUBJECTS/METHODS: The study was performed from 2011 to 2014 in a hospitalized care setting. Inclusion criteria were: age>18 and <65 years, BMI≥30 Kg/m2. Fat mass (FM) and fat-free mass (FFM) were assessed by DXA. Appendicular skeletal muscle mass (ASMM) was calculated. Sarcopenia was defined as ASMM/height2 or ASMM/weight <2SD than the sex-specific mean of a young population. The cutoffs were ASMM/h2<6.54 Kg/m2 for men and 4.82 Kg/m2 for women, and ASMM/weight<0.2827 for men and 0.2347 for women. ISI-Matsuda was calculated. MS was diagnosed (NCEP-ATPIII). RESULTS: 727 subjects (age: 45.72±13.56 years, BMI: 37.74±5.82 kg/m2) were enrolled. The prevalence of SO was 1.0% or 34.8% in men and 0.6% or 50.1% in women, using ASMM/height2 ratio or ASMM/weight. Subjects with SO based on ASMM/height2 were scarce, only data relying on ASMM/weight were considered. Subjects with SO had higher BMI, waist circumference, FM, and lower FFM and ASMM than nonsarcopenic obese individuals (all p<0.05). ISI-Matsuda was lower and hs-CRP levels were higher in subjects with SO (all p<0.05). MS was more prevalent in subjects with SO than nonsarcopenic obese subjects (47.6% vs 34.3%, p<0.001). ASMM/weight was decreased in subjects with MS (0.2522±0.0410 vs 0.2423±0.0352, p=0.001). CONCLUSION: SO is associated with MS and low- grade inflammation in adult Caucasian subjects. Metabolic profile evaluation should be recommended in subjects with SO.
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In a study by Poggiogalle et al. of 727 participants with obesity, the prevalence of sarcopenic obesity was 34.8% in males and 50.1% in females.
“In a study conducted by Poggiogalle et al. in a sample of 727 participants with obesity (141 M, 586 F; mean age: 45.6 ± 13.5 and 45.8 ± 13.6 years; mean BMI: 37.6 ± 6 and 37.8 ± 5.8 kg/m 2 , respectively) the prevalence of SO (sarcopenia de fi ned as ALM/weight < 2SD than the sex-speci fi c mean reference value of a young population) was 34.8% in males and 50.1% in females [75].”
From Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement (2022) · cites this paper as [75]
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- Authors
- Poggiogalle, E., Lubrano, C., Sergi, G., Coin, A., Gnessi, L., Mariani, S., Lenzi, A., & Donini, L. M.
- Affiliations
- Sapienza University of Rome (IT)
- University of Padua (IT)
- Corresponding author
- Poggiogalle, Eleonora
- Venue
- The Journal of nutrition, health and aging
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 20
- Issue
- 9
- Pages
- 958-963
- ISSN
- 1279-7707 (ISSN-L)
- PMC
- PMC12878523
- OpenAlex
- W2295566143
- Cited by
- 106
- References
- 49
- Citations by year
- 2026: 16 · 2025: 13 · 2024: 18 · 2023: 9 · 2022: 16 · 2021: 6 · 2020: 8 · 2019: 9 · 2018: 7 · 2017: 3 · 2016: 1
- FWCI
- 2.70
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- sarcopenic obesity, sarcopenia, metabolic syndrome, obesity, appendicular skeletal muscle mass, sarcopenia prevalence, insulin resistance, inflammation, C-reactive protein, serum albumin, fat-free mass
- MeSH terms
- Adult, Body Composition, Body Weight, Cross-Sectional Studies, Female, Humans, Inflammation, Male, Middle Aged, Obesity, Body Mass Index, Metabolic Syndrome, White People, Waist Circumference, Sarcopenia
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