國家衛生研究院 NHRI:Item 3990099045/8232
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    題名: The impacts of sarcopenia and obesity on physical performance in the elderly
    作者: Chang, CI;Huang, KC;Chan, DC;Wu, CH;Lin, CC;Hsiung, CA;Hsu, CC;Chen, CY
    貢獻者: Division of Biostatistics and Bioinformatics;Division of Geriatric Research
    摘要: SummaryObjective/Background The current definition of sarcopenic obesity in the elderly does not seem to take the ageing difference of body composition into sufficient consideration. The study accordingly attempted to better define sarcopenia/obesity based on various references, and the impacts of sarcopenia/obesity on elderly physical performance were also examined. Design and methods 2629 elderly subjects (age ≧65) and 998 young adults were recruited for Sarcopenia and Translational Ageing Research in Taiwan (START). For each eligible subject, body composition was measured by bio-impedance analysis and physical performance, including upper and lower extremity function, was examined. The thresholds of sarcopenic obesity were defined as a value at two standard deviations from the gender-specific means of the young population or at the adopted value of our elderly population. Results Compared to the young adults, the elderly subjects reported a lower appendicular skeletal muscle index (ASMI, kg/m2) and a significantly higher fat percentage (%). From three different criteria, thresholds of obesity or sarcopenia were 31.41%, 30.16%, 30.64% (fat percentage) or 6.76 kg/m2, 7.36 kg/m2, 7.09 kg/m2 (ASMI) for men and 39.17%, 41.43%, 43.25% or 5.28 kg/m2, 5.74 kg/m2, 5.70 kg/m2 for women. The elderly subjects were classified into four groups. With covariates adjusted, the “sarcopenia only,” “obesity only,” and “sarcopenic obesity” elderly subjects were worse than their normal counterparts in physical performance (all p < 0.05 except for the handgrip strength compared in groups 1 and 3). Conclusions Sarcopenic obesity seems to exert a synergistic impact on elderly physical performance. Body composition should be an essential part in geriatric assessment and elderly care.
    日期: 2015-05
    關聯: Obesity Research and Clinical Practice. 2015 May;9(3):256-265.
    Link to: http://dx.doi.org/10.1016/j.orcp.2014.08.003
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1871-403X&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000356059400008
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84930861036
    顯示於類別:[熊昭] 期刊論文
    [陳慶餘(2006-2010)] 期刊論文
    [黃國晉] 期刊論文
    [許志成] 期刊論文

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