Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women: the EPIDOS (EPIDemiologie de l’OSteoporose) Study
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Background In elders, decreased muscle mass (sarcopenia) and increased fat mass (obesity) may contribute to difficulties with physical function.Objective The objective was to examine the association of obesity, sarcopenia, and their combination (sarcopenic-obesity) with self-reported difficulties performing physical function in a cohort of community-dwelling elderly women.Design We assessed muscle and fat mass by dual-energy X-ray absorptiometry and self-reported difficulties with physical function in 1308 healthy women aged > or =75 y. Sarcopenia was defined as an appendicular skeletal muscle mass < or =2 SD below the mean in a young female reference group. Obesity was defined as a percentage body fat above the 60th percentile. Thirty-six sarcopenic-obese, 90 purely sarcopenic, 435 purely obese, and 747 women with a healthy body composition were studied. Anthropometric measures, health status, lifestyle habits, and self-reported difficulties with 6 different physical functions were obtained.Results Compared with women with a healthy body composition and after adjustment for confounders, purely sarcopenic women had no increased odds of having difficulties for all of the physical functions assessed, purely obese women had a 44-79% higher odds of having difficulties with most of the physical functions assessed (P < 0.05), and sarcopenic-obese women had a 2.60 higher odds of having difficulty climbing stairs and a 2.35 higher odds of having difficulty going down stairs (all P < 0.05).Conclusions Sarcopenia is not associated with physical difficulties in the absence of obesity. However, in the presence of obesity, sarcopenia tends to add difficulty for some physical functions.
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Obesity defined by percentage of body fat combined with low muscle mass is associated with higher odds of difficulty ascending and descending stairs (OR 2.60 and 2.35, respectively).
“a combination of obesity, as defined by percentage of body fat, with low muscle mass represented odds ratios of difficulty ascending and descending stairs that were 2.60 and 2.35 higher, respectively”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [203]
Sarcopenic obesity results in a 2-3 times higher risk of functional disability than either sarcopenia or obesity alone.
“This complex disorder results in a 2–3 times higher risk of functional disability than either sarcopenia or obesity alone [14].”
From Sarcopenic obesity, insulin resistance, and their implications in cardiovascular and metabolic consequences (2020) · cites this paper as [14]
Sarcopenic obesity decreases physical functional capacity to a higher degree than sarcopenia or obesity separately.
“Thus, SO decreases the physical functional capacity to a higher degree than sarcopenia or obesity separately [13, 14].”
From The critical role of oxidative stress in sarcopenic obesity (2021) · cites this paper as [13]
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Dynapenic Obesity and Lower Extremity Function in Elderly Adults
Yang, M., Jiang, J., Hao, Q., Luo, L., & Dong, B. (2015) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2014.06.019 · Cited by 61 · see citing works
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Dynapenic abdominal obesity as a risk factor for falls in older women
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- Authors
- Rolland, Y., Lauwers-Cances, V., Cristini, C., van Kan, G. A., Janssen, I., Morley, J. E., & Vellas, B.
- Affiliations
- Inserm (FR)
- Corresponding author
- Rolland, Yves
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 89
- Issue
- 6
- Pages
- 1895-1900
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2161889485
- Cited by
- 465
- References
- 28
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 21 · 2023: 23 · 2022: 27 · 2021: 20 · 2020: 32 · 2019: 28 · 2018: 34 · 2017: 41 · 2016: 34 · 2015: 41 · 2014: 35 · 2013: 32 · 2012: 30
- FWCI
- 18.11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- sarcopenia, obesity, sarcopenic obesity, physical function, community-dwelling elderly women, body composition, appendicular skeletal muscle mass, stair climbing, functional limitations
- MeSH terms
- Activities of Daily Living, Adipose Tissue, Aged, Aged, 80 and over, Female, Humans, Muscular Atrophy, Obesity, Physical Fitness, Odds Ratio, Muscle, Skeletal, Mobility Limitation, Muscle Strength
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