Variation in the prevalence of sarcopenia and sarcopenic obesity in older adults associated with different research definitions

Dual-energy X-ray absorptiometry data from the National Health and Nutrition Examination Survey 1999-2004

John A. Batsis, Laura K. Barre, Todd A. Mackenzie, Sarah I. Pratt, Francisco Lopez-Jimenez, Stephen J. Bartels

Research output: Contribution to journalArticle

131 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)974-980
Number of pages7
JournalJournal of the American Geriatrics Society
Volume61
Issue number6
DOIs
StatePublished - Jun 2013

Fingerprint

Sarcopenia
Nutrition Surveys
Photon Absorptiometry
Obesity
Research
Body Composition
Cross-Sectional Studies
Population

Keywords

  • elderly
  • epidemiology
  • obesity
  • sarcopenia
  • sarcopenic obesity

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

@article{f40a8f26317647eb9cbdcfefe8319c1b,
title = "Variation in the prevalence of sarcopenia and sarcopenic obesity in older adults associated with different research definitions: Dual-energy X-ray absorptiometry data from the National Health and Nutrition Examination Survey 1999-2004",
abstract = "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.",
keywords = "elderly, epidemiology, obesity, sarcopenia, sarcopenic obesity",
author = "Batsis, {John A.} and Barre, {Laura K.} and Mackenzie, {Todd A.} and Pratt, {Sarah I.} and Francisco Lopez-Jimenez and Bartels, {Stephen J.}",
year = "2013",
month = "6",
doi = "10.1111/jgs.12260",
language = "English (US)",
volume = "61",
pages = "974--980",
journal = "Journal of the American Geriatrics Society",
issn = "0002-8614",
publisher = "Wiley-Blackwell",
number = "6",

}

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

UR - http://www.scopus.com/inward/record.url?scp=84879154295&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879154295&partnerID=8YFLogxK

U2 - 10.1111/jgs.12260

DO - 10.1111/jgs.12260

M3 - Article

VL - 61

SP - 974

EP - 980

JO - Journal of the American Geriatrics Society

JF - Journal of the American Geriatrics Society

SN - 0002-8614

IS - 6

ER -