韩国老年人身体组成及其与健康结果的关系

Seung-Youn Hong
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引用次数: 2

摘要

老年人肌肉减少性肥胖(SO)与独立性丧失和代谢并发症的发生有关。尽管具有临床重要性,但亚洲老年人中SO与各种健康结果的关系尚不清楚。本研究旨在研究来自第五次韩国国家健康与营养调查(KNHANES V-1, 2010)的1204名60岁以上受试者(576名男性和628名女性)中SO与慢性疾病患病率和活动受限的关系。根据身体组成将患者分为四类:正常、肌肉减少、非肥胖、正常肥胖和SO。有关功能维度的数据是从KNHANES数据中的EQ-5D中提取的(即流动性、自我保健和日常活动)。疼痛/不适数据也被提取。女性的SO患病率高于男性(7.2%比4.1%)。高血压和关节炎与SO的可能性增加有关。SO患者更有可能报告在行动能力(OR: 3.34, 95% CI, 1.97-5.65)、自我护理(男性:OR: 2.92, 95% CI, 1.05-8.07,女性:OR: 2.33, 95% CI, 1.29-4.21)和日常活动(男性:OR: 2.28, 95% CI, 1.02-5.08,女性:OR: 2.13, 95% CI, 1.29-3.52)方面出现问题。总之,我们的结果表明,SO与行动能力、自我保健和日常活动问题有关。随着韩国的快速老龄化,老年人肌肉萎缩肥胖的预防和管理应得到更多的关注。
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Body composition and its association with health outcomes among elderly South Koreans

Sarcopenic obesity (SO) in the elderly is associated with a loss of independence and the occurrence of metabolic complications. Despite this clinical importance, the associations of SO with various health outcomes in Asian elders are unclear. This study aimed to examine the association of SO with the prevalence of chronic illness and mobility limitations among 1204 subjects (576 men and 628 women) over the age of 60 from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1, 2010). The patients were placed in four categories based on body composition: normal, sarcopenic non-obese, normal obese, and SO. Data regarding functional dimensions were extracted from the EQ-5D in the KNHANES data (i.e., mobility, self-care, and usual activities). Pain/discomfort data were also extracted. The prevalence of SO was higher among the women than the men (7.2% vs. 4.1%). Hypertension and arthritis were associated with increased likelihoods of SO. People with SO were more likely to report problems in mobility (OR: 3.34, 95% CI, 1.97–5.65), self-care (men: OR: 2.92, 95% CI, 1.05–8.07, women: OR: 2.33, 95% CI, 1.29–4.21), and usual activity (men: OR: 2.28, 95% CI, 1.02–5.08, women: OR: 2.13, 95% CI, 1.29–3.52). In conclusion, our results showed that SO was associated with mobility, self-care, and usual activity problems. With the rapid ageing that is occurring in Korea, more attention should be given to the prevention and management of sarcopenic obese seniors.

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