Association of insufficient physical activity with sarcopenia and sarcopenic obesity in individuals aged 50 years or more
Palabras clave:
Anthropometry, Body composition, Health services, Motor activity, Muscle strength dynamometerResumen
Objective
To analyze the association of insufficient physical activity in different domains with sarcopenia or sarcopenic obesity in patients aged ≥50 years.
Methods
The sample consisted of 770 males and females. Sarcopenia was diagnosed when the individual had: (1) low muscle mass and muscle strength; or (2) low walking speed and low muscle mass; sarcopenic obesity was diagnosed when individuals were at risk of obesity and sarcopenia. Muscle mass was given by a predictive equation, and then the muscle mass index (in kg/m²) was given by muscle mass divided by height squared.Muscle strength, in kg, was given by measuring handgrip strength with a digital dynamometer. The 4m walk test evaluated walking sped. Low muscle mass, muscle strength, and walking speed were defined as the respective values below the 25th percentile, and risk of obesity was defined as body mass index ≥25kg/m2.
Results
Habitual physical activity was investigated by a questionnaire. Insufficient leisure-time physical activity was associated with sarcopenia (OR=2.55; 95%CI=1.10–5.88). In addition, insufficient leisure-time physical activity (OR=4.75; 95%CI=1.64–13.72), leisure-time and commuting physical activities (OR=2.49; 95%CI=1.02–6.11, and habitual physical activity (OR=3.55; 95%CI=1.0–11.79) were associated with sarcopenic obesity.
Conclusion
Insufficient physical activity is associated with sarcopenia or sarcopenic obesity in the study individuals aged ≥50years.
Citas
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in older people. Age Ageing. 2010;39(4):412-23. https://doi.org/10.1093/ageing/afq034
Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: A new category of obesity in the elderly. Nutr Metab Cardiovasc Dis. 2008;18(5):388-95. https://doi.org/10.1016/j.numecd.2007.10.002
Baek SJ, Nam GE, Han KD, Choi SW, Jung SW, Bok AR, et al. Sarcopenia and sarcopenic obesity and their association with dyslipidemia in Korean elderly men: The 2008-2010 Korea National Health and Nutrition Examination Survey. J Endocrinol Invest. 2014;37(3):247-60. https://doi.org/10.1007/s40618-013-0011-3
Han K, Park YM, Kwon HS, Ko SH, Lee SH, Yim HW, et al. Sarcopenia as a determinant of blood pressure in older Koreans: Findings from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2008-2010. PLoS One. 2014;9(1): e86902. https://doi.org/10.1371/journal.pone.0086902
Woo N, Kim SH. Sarcopenia influences fall-related injuries in community-dwelling older adults. Geriatr Nurs. 2014;35(4):279:82. https://doi.org/10.1016/j.gerinurse.2014.03.001
Cawthon PM, Peters KW, Shardell MD, McLean RR, Dam TT, Kenny AM, et al. Cutpoints for low appendicular lean mass that identify older adults with clinically significant weakness. J Gerontol A Biol Sci Med Sci. 2014;69(5):567-75. https://doi.org/10.1093/gerona/glu023
Kim JH, Lim S, Choi SH, Kim KM, Yoon JW, Kim KW, et al. Sarcopenia: An independent predictor of mortality in community-dwelling older Korean men. J Gerontol A Biol Sci Med Sci. 2014;69(10):1244-52. https://doi.org/10.1093/gerona/glu050
Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. Sarcopenic obesity and risk of cardiovascular disease and mortality: A population-based cohort study of older men. J Am Geriatr Soc. 2014;62(2):253-60. https://doi.org/10.1111/jgs.12652
Bann D, Kuh D, Wills AK, Adams J, Brage S, Cooper R. Physical activity across adulthood in relation to fat and lean body mass in early old age: Findings from the medical research council national survey of health and development, 1946-2010. Am J Epidemiol. 2014;179(10):1197-207. https://doi.org/10.1093/aje/kwu033
Dodds R, Kuh D, Aihie Sayer A, Cooper R. Physical activity levels across adult life and grip strength in early old age: Updating findings from a British birth cohort. Age Ageing. 2013; 42(6):794-8. https://doi.org/10.1093/ageing/aft124
Martin HJ, Syddall HE, Dennison EM, Cooper C, Sayer AA. Relationship between customary physical activity, muscle strength and physical performance in older men and women: Findings from the Hertfordshire Cohort Study. Age Ageing. 2008;37(5):589-93. https://doi.org/10.1093/ageing/afn148
Landi F, Marzetti E, Martone AM, Bernabei R, Onder G. Exercise as a remedy for sarcopenia. Curr Opin Clin Nutr Metab Care. 2014;17(1):25-31. https://doi.org/10.1097/MCO.0000000000000018
Park H, Park S, Shephard RJ, Aoyagi Y. Yearlong physical activity and sarcopenia in older adults: The Nakanojo Study. Eur J Appl Physiol. 2010;109(5): 953-61. https://doi.org/10.1007/s00421-010-1424-8
Kim SH, Kim TH, Hwang HJ. The relationship of physical activity (PA) and walking with sarcopenia in Korean males aged 60 years and older using the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-2, 3), 2008-2009. Arch Gerontol Geriatr. 2013;56(3):472-7. http://dx.doi.org/10.1016/j.archger.2012.12.009
Shephard RJ, Park H, Park S, Aoyagi Y. Objectively measured physical activity and progressive loss of lean tissue in older Japanese adults: Longitudinal data from the Nakanojo study. J Am Geriatr Soc. 2013; 61(11):1887-93. https://doi.org/10.1111/jgs.12505
Ryu M, Jo J, Lee Y, Chung YS, Kim KM, Baek WC. Association of physical activity with sarcopenia and sarcopenic obesity in community-dwelling older adults: the Fourth Korea National Health and Nutrition Examination Survey. Age Ageing. 2013;42(6):734-40. https://doi.org/10.1093/ageing/aft063
Freitas Junior IF, Bueno DR, Buonani C, Codogno JS, Conterato I, Fernandes RA, et al. Padronização de técnicas antropométricas. Presidente Prudente: Cultura Acadêmica; 2009.
Washington State Health Insurance Pool. Standard Health Questionnaire for Washington state. Washington (DC): WSHIP; 2005.
Lee RC, Wang Z, Heo M, Ross R, Janssen I, Heymsfield SB. Total-body skeletal muscle mass: Development and cross-validation of anthropometric prediction models. Am J Clin Nutr. 2000;72(3):796-803.
Rech CR, Dellagrana RA, Marucci MFN, Petroski EL. Validity of anthropometric equations for the estimation of muscle mass in elderly. Braz J Kineant. 2012;14(1):23-31. https://doi.org/10.5007/1980-0037.2012v14n1p23
Guralnik JM, Simonsick EM, Ferrucci L, Glynn R.J, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.
World Health Organization. Obesity: Preventing and managing the global epidemic: Report of a WHO consultation on obesity. Geneva: WHO; 1998.
Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936-42.
Florindo AA, Latorre MRDO, Jaime PC, Tanaka T, Zerbini CAF. Methodology to evaluation the habitual physical activity in men aged 50 years or more. Rev Saúde Pública. 2004;38(2):307-14. https://dx.doi.org/10.1590/S0034-89102004000200022
Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol. 2004;159(4):413-21.
Abe T, Thiebaud RS, Loenneke JP, Loftin M, Fukunaga T. Prevalence of site-specific thigh sarcopenia in Japanese men and women. Age (Dordr). 2014;36(1):417-26. https://doi.org/10.1007/s11357-013-9539-6
Kim TN, Park MS, Lim KI, Choi HY, Yang SJ, Yoo HJ, et al. Relationships between sarcopenic obesity and insulin resistance, inflammation, and vitamin D status: The Korean Sarcopenic Obesity Study. Clin Endocrinol. 2013;78(4):525-32. https://doi.org/10.1111/j.1365-2265.2012.04433.x
Hwang B, Lim JY, Lee J, Choi NK, Ahn YO, Park BJ. Prevalence rate and associated factors of sarcopenic obesity in Korean elderly population. J Korean Med Sci. 2012;27(7):748-55. https://doi.org/10.3346/jkms.2012.27.7.748
Florindo AA, Hallal PC, Moura EC, Malta DC. Practice of physical activities and associated factors in adults, Brazil, 2006. Rep Public Health. 2009;43(Supl.2):65-73. https://doi.org/10.1590/S0034-89102009000900009
Moschny A, Platen P, Klaassen-Mielke R, Trampisch U, Hinrichs T. Physical activity patterns in older men and women in Germany: A cross-sectional study. BMC Public Health. 2011;11:559. https://doi.org/10.1186/1471-2458-11-559
Mourao ARC, Novais FV, Andreoni S, Ramos LR. Atividade física de idosos relacionada ao transporte e lazer, Maceió, Brasil. Rev Saúde Pública. 2013;47(6):1112-22. https://doi.org/10.1590/S0034-8910.2013047004904
Montero-Fernández N, Serra Rexach JA. Role of exercise on sarcopenia in the elderly. Eur J Rehabil Med. 2013;49(1):131-43.
Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116(9):1081-93.
Pedersen BK, Febbraio MA. Muscles, exercise and obesity: Skeletal muscle as a secretory organ. Nat Rev Endocrinol. 2012;8(8):457-65. https://doi.org/10.1038/nrendo.2012.49
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Derechos de autor 2023 Vanessa Ribeiro dos SANTOS, Monique Yndawe Castanho ARAUJO, Michel Rocha CARDOSO, Vitor Cabrera BATISTA, Diego Giulliano Destro CHRISTOFARO, Luís Alberto GOBBO
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
