J Korean Acad Community Health Nurs.  2016 Sep;27(3):231-241. 10.12799/jkachn.2016.27.3.231.

Effects of Sarcopenic Obesity on Metabolic Syndrome in Korean Elders: Using Data from the Korea National Health and Nutrition Examination Survey (2008-2011)

Affiliations
  • 1Department of Nursing, Sunlin University, Pohang, Korea.
  • 2College of Nursing, Keimyung University, Daegu, Korea. kmp@kmu.ac.kr

Abstract

PURPOSE
This study was conducted to examine effects of sarcopenic obesity on metabolic syndrome in Korean elders.
METHODS
This study is based on the analysis of the Korea National Health and Nutrition Examination Survey (KNHANES) with 1,155 subjects (524 men, and 631 women) aged 60 or older, from 2008 to 2011. Sarcopenia was defined as an appendicular skeletal muscle (ASM), divided by weight (%) of <1 SD (standard deviation) below the sex-specific mean for young adults. Obesity was defined as a total body fat percent (men≥25%, women≥35%).
RESULTS
The prevalence of SO (sarcopenic obesity) was 13.3% among men and 22.5% among women. Both sexes showed a higher total body fat percent, and the SMI (skeletal muscle index) was the lowest in the SO group. Metabolic syndrome was highly prevalent in the SO group (52.5% men, 60.4% women). The SO group showed a higher risk for metabolic syndrome (odds ratio men 6.57 [95% CI 5.19~7.27], women 3.89 [95% CI 2.41~6.29]) than the obese group (men 3.14 [95% CI 1.76~4.14], women 2.54 [95% CI 1.38~4.65]).
CONCLUSION
SO is a major risk factor for metabolic syndrome in Korean elders. Therefore, a nursing program should be given to the Korean elderly SO group to prevent metabolic syndrome.

Keyword

Sarcopenia; Obesity; Metabolism; Syndrome

MeSH Terms

Adipose Tissue
Aged
Female
Humans
Korea*
Male
Metabolism
Muscle, Skeletal
Nursing
Nutrition Surveys*
Obesity*
Prevalence
Risk Factors
Sarcopenia
Young Adult

Reference

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