Association of socioeconomic factors and dietary intake with sarcopenic obesity in the Korean older population.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2023-09-01 DOI:10.6133/apjcn.202309_32(3).0006
Won Jang, Hyesook Kim
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Abstract

Background and objectives: This study investigated the relationship between socioeconomic factors, dietary intake, and sarcopenic obesity among older adults in Korea.

Methods and study design: Data from the seventh Korean National Health and Nutrition Examination Survey (2016-2018) were analyzed. The study included 3,690 participants (1,645 men and 2,045 women) aged 65 years and older. Sarcopenic obesity was defined as the coexistence of low muscle strength (handgrip strength <28 kg in men and <18 kg in women) and abdominal obesity (waist circumference >90 cm in men and >85 cm in women). Socioeconomic factors assessed included age, living status, residential area, employment, education, and family income level. Dietary intake was evaluated using the nutrient adequacy ratio and mean adequacy ratio derived from 24-h dietary recall data. Multiple logistic regression was used to identify factors associated with sarcopenic obesity.

Results: The prevalence rates of sarcopenic obesity were 6.5% in men and 17.4% in women. Low education levels were significantly associated with a higher prevalence of sarcopenic obesity in women, whereas lower family income levels were associated with an increased risk of sarcopenic obesity in men. In women, a lower mean adequacy ratio was significantly associated with a higher risk of sarcopenic obesity.

Conclusions: Lower family income and education level are associated with a higher prevalence of sarcopenic obesity. Ad-ditionally, overall nutritional adequacy is inversely related to the prevalence of sarcopenic obesity, particularly in women.

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韩国老年人群中社会经济因素和饮食摄入与肌萎缩性肥胖的关系。
背景和目的:本研究调查了韩国老年人的社会经济因素、饮食摄入和肌萎缩性肥胖之间的关系。方法和研究设计:分析了第七次韩国国民健康和营养调查(2016-2018)的数据。该研究包括3690名年龄在65岁及以上的参与者(1645名男性和2045名女性)。肌肉型肥胖被定义为肌肉力量低(男性握力90厘米,女性大于85厘米)的共存。评估的社会经济因素包括年龄、生活状况、居住面积、就业、教育和家庭收入水平。使用24小时饮食回忆数据得出的营养充足率和平均充足率来评估饮食摄入量。多元逻辑回归用于确定与肌萎缩性肥胖相关的因素。结果:男性肌萎缩性肥胖的患病率为6.5%,女性为17.4%。低教育水平与女性阴茎型肥胖患病率较高显著相关,而低家庭收入水平与男性阴茎型肥胖风险增加相关。在女性中,较低的平均充足率与较高的肌萎缩性肥胖风险显著相关。结论:较低的家庭收入和教育水平与较高的肌源性肥胖患病率有关。有条件的是,总体营养充足与肌萎缩性肥胖的患病率呈负相关,尤其是在女性中。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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