Association of physical activity with sarcopenia and sarcopenic obesity in community-dwelling older adults: the Fourth Korea National Health and Nutrition Examination Survey
Abstract
OBJECTIVE: this study examined the association of physical activity with sarcopenia and sarcopenic obesity among the community-dwelling Korean elderly. METHODS: subjects consisted of 2,264 aged 65 years or older in the 2008-09 Korea National Health and Nutrition Examination Survey. Sarcopenia was defined as 2 SD below the mean of the appendicular skeletal muscle/weight for healthy young adults. Obesity was defined as waist circumference ≥ 90 cm for men and ≥ 85 cm for women. Levels of physical activity were classified using the metabolic equivalent task method. RESULTS: the prevalence of sarcopenia was 12.1% in men and 11.9% in women. Among those with sarcopenia, obesity was prevalent in 68.3% of men and 65.0% of women. Adjusting for all covariates, compared with those with low physical activity, men who engaged in moderate and high activity were 38% and 74%, respectively, less likely to have sarcopenia (Ptrend < 0.001). In women, the relationship between physical activity and sarcopenia was not significant. For sarcopenic obesity, men participating in moderate [odds ratio (OR) = 0.47; 95% confidence interval (CI) 0.26-0.87] and high (OR = 0.27; 95% CI: 0.12-0.60) physical activity, compared with low activity, had significantly lower risk (Ptrend = 0.001). In women, high physical activity was associated with a lower risk of sarcopenic obesity (OR = 0.43; 95% CI: 0.22-0.86). CONCLUSION: physical activity is associated with a reduced risk of sarcopenia and sarcopenic obesity in older Korean adults. There were gender differences in the relationship, with stronger associations observed in men than in women.
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Such discrepancies might be partially explained by sex-specific factors.
“Such discrepancies might be partially explained by sex-specific factors [22].”
From Identification of factors associated with sarcopenic obesity development: Literature review and expert panel voting (2024) · cites this paper as [22]
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- Authors
- Ryu, M., Jo, J., Lee, Y., Chung, Y.-S., Kim, K.-M., & Baek, W.-C.
- Affiliations
- Ajou University (KR)
- Yonsei University (KR)
- Ajou University Medical Center (KR)
- Kyonggi University (KR)
- Corresponding author
- Lee, Y.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-06-11
- Volume
- 42
- Issue
- 6
- Pages
- 734-740
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2164728502
- Cited by
- 168
- References
- 30
- Citations by year
- 2026: 11 · 2025: 7 · 2024: 7 · 2023: 12 · 2022: 13 · 2021: 17 · 2020: 13 · 2019: 8 · 2018: 24 · 2017: 12 · 2016: 18 · 2015: 11 · 2014: 13 · 2013: 2
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- AJOU Open Repository (Ajou University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- physical activity, sarcopenia, sarcopenic obesity, older adults, community-dwelling older adults, sex differences, metabolic equivalent of task, appendicular skeletal muscle mass, waist circumference, Korean older adults
- MeSH terms
- Age Factors, Aged, Aging, Female, Humans, Male, Motor Activity, Nutrition Surveys, Obesity, Organ Size, Predictive Value of Tests, Risk Factors, Sex Factors, Geriatric Assessment, Prevalence, Chi-Square Distribution, Logistic Models, Odds Ratio, Muscle, Skeletal, Waist Circumference, Sarcopenia, Republic of Korea, Independent Living
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