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Schluessel, S.* ; Huemer, M.-T. ; Peters, A. ; Drey, M.* ; Thorand, B.

Sarcopenic obesity using the ESPEN and EASO consensus statement criteria of 2022 - Results from the German KORA-Age study.

Obes. Res. Clin. Pract. 17, 349-352 (2023)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
OBJECTIVE: The recent consensus statement of ESPEN and EASO recommends reviewing existing datasets to assess the prevalence of sarcopenic obesity based on the new definition and diagnostic criteria. Therefore, this study aimed to determine the prevalence of sarcopenic obesity in a population-based study and to assess the association of this new definition with clinical traits. METHODS: The KORA (Cooperative Health Research in the Region of Augsburg)-Age baseline examination (2008/2009) comprised 1079 participants aged 65 years and older from southern Germany. Sarcopenic obesity was defined in 998 participants (mean age 75.6 years, 498 women) with complete data according to the 2022 ESPEN and EASO algorithm, which includes reduced handgrip strength, reduced skeletal muscle mass per weight, and elevated fat mass. Body composition was measured using bioelectrical impedance analysis. Associations between sarcopenic obesity and physical activity, disability, multimorbidity, and polypharmacy were assessed using logistic regression analysis. RESULTS: The overall prevalence of sarcopenic obesity was 4.5 % (5.0 % in men, 4.0 % in women). Sarcopenic obesity was associated with disability (2.87 [CI 1.84-4.48]), multimorbidity (≥ 2 comorbidities; 2.59 [CI 1.23-5.46]), polypharmacy (≥ 5 drugs; 1.96 [CI 1.05-3.63]), cognitive impairment (3.03 [CI 1.51-6.06]) and arthritis (2.66 [CI 1.39-5.07]) after adjusting for age, sex and marital status. CONCLUSION: Sarcopenic obesity is prevalent in the older German population and is associated with several clinical traits. Future longitudinal studies are needed to further elucidate whether the observed associations could be causal.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Aging Population ; Bioelectrical Impedance Analysis ; Cognitive Impairment ; Disability ; Fat Mass ; Handgrip Strength ; Multimorbidity ; Polypharmacy ; Prevalence ; Sarcopenic Obesity ; Skeletal Muscle Mass; Definition
ISSN (print) / ISBN 1871-403X
e-ISSN 1878-0318
Quellenangaben Volume: 17, Issue: 4, Pages: 349-352 Article Number: , Supplement: ,
Publisher Elsevier
Publishing Place The Boulevard, Langford Lane, Kidlington, Oxford Ox5 1gb, Oxon, England
Non-patent literature Publications
Reviewing status Peer reviewed
Grants State of Bavaria
German Federal Ministry of Education and Research (BMBF)
Helmholtz Zentrum Muenchen - German Research Center for Environmental Health
Forderprogramm fuer Forschung und Lehre (FoFoLe)