TY - JOUR
T1 - Variation in the prevalence of sarcopenia and sarcopenic obesity in older adults associated with different research definitions
T2 - Dual-energy X-ray absorptiometry data from the National Health and Nutrition Examination Survey 1999-2004
AU - Batsis, John A.
AU - Barre, Laura K.
AU - Mackenzie, Todd A.
AU - Pratt, Sarah I.
AU - Lopez-Jimenez, Francisco
AU - Bartels, Stephen J.
PY - 2013/6
Y1 - 2013/6
N2 - Objectives To determine the prevalence range for sarcopenic obesity and its relationship with sex, age, and ethnicity. Design Cross-sectional analysis of a population-based sample. Setting Noninstitutionalized persons in the United States participating in the National Health and Nutrition Examination Surveys 1999-2004. Participants Subsample of 4,984 subjects aged 60 and older with dual-energy X-ray absorptiometry body composition data. Measurements Eight definitions of sarcopenic obesity identified from six studies found using a systematic literature review (Baumgartner, Bouchard, Davison, Zoico, Levine, Kim-1,2,3) were applied to the sample. Results were stratified according to sex, age, and ethnicity. Results Prevalence of sarcopenic obesity ranged from 4.4% to 84.0% in men and from 3.6% to 94.0% in women. Prevalence was higher in men using definitions from Baumgartner (17.9% vs 13.3%, P <.001), Levine (14.2% vs 6.6%, P <.001), and Kim-1 (30.0% vs 9.3%, P <.001); lower for men using the Davison (4.4% vs 11.1%, P <.001) and Kim-2 (83.7% vs 94.0%) definitions; and the same for men and women using the Bouchard (45.3% vs 44.3%, P =.32) and Kim-3 (75.6% vs 77.0%, P =.51) definitions. For all but one definition, sarcopenic obesity increased with each decade and was lower in non-Hispanic blacks than whites. Conclusion Prevalence of sarcopenic obesity in older adults varies up to 26-fold depending on current research definitions. Such a high degree of variability suggests the need to establish consensus criteria that can be reliably applied across clinical and research settings.
AB - Objectives To determine the prevalence range for sarcopenic obesity and its relationship with sex, age, and ethnicity. Design Cross-sectional analysis of a population-based sample. Setting Noninstitutionalized persons in the United States participating in the National Health and Nutrition Examination Surveys 1999-2004. Participants Subsample of 4,984 subjects aged 60 and older with dual-energy X-ray absorptiometry body composition data. Measurements Eight definitions of sarcopenic obesity identified from six studies found using a systematic literature review (Baumgartner, Bouchard, Davison, Zoico, Levine, Kim-1,2,3) were applied to the sample. Results were stratified according to sex, age, and ethnicity. Results Prevalence of sarcopenic obesity ranged from 4.4% to 84.0% in men and from 3.6% to 94.0% in women. Prevalence was higher in men using definitions from Baumgartner (17.9% vs 13.3%, P <.001), Levine (14.2% vs 6.6%, P <.001), and Kim-1 (30.0% vs 9.3%, P <.001); lower for men using the Davison (4.4% vs 11.1%, P <.001) and Kim-2 (83.7% vs 94.0%) definitions; and the same for men and women using the Bouchard (45.3% vs 44.3%, P =.32) and Kim-3 (75.6% vs 77.0%, P =.51) definitions. For all but one definition, sarcopenic obesity increased with each decade and was lower in non-Hispanic blacks than whites. Conclusion Prevalence of sarcopenic obesity in older adults varies up to 26-fold depending on current research definitions. Such a high degree of variability suggests the need to establish consensus criteria that can be reliably applied across clinical and research settings.
KW - elderly
KW - epidemiology
KW - obesity
KW - sarcopenia
KW - sarcopenic obesity
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U2 - 10.1111/jgs.12260
DO - 10.1111/jgs.12260
M3 - Article
C2 - 23647372
AN - SCOPUS:84879154295
SN - 0002-8614
VL - 61
SP - 974
EP - 980
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 6
ER -