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학술저널
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Rimesh Pal (Dept. of Endocrinology Post Graduate Institute of Medical Education and Research (PGIMER) India) Sanjay K. Bhadada (Dept. of Endocrinology Post Graduate Institute of Medical Education and Research (PGIMER) India) Anshita Aggarwal (Dept. of Endocrinology Post Graduate Institute of Medical Education and Research (PGIMER) India) Tulika Singh (Dept.of Radiodiagnosis and Imaging Post Graduate Institute of Medical Education and Research India)
저널정보
대한골다공증학회 Osteoporosis and Sarcopenia Osteoporosis and Sarcopenia Vol.7 No.1
발행연도
2021.1
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24 - 29 (6page)

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Objectives: To determine the prevalence of sarcopenia obesity (SO) in healthy Indian adults and delineate the relative impact of the 3 indices of obesity [body mass index (BMI), waist circumference (WC), fat mass percent (FM%)] with regards to inter-definitional agreement and their relationship with usual gait speed (GS). Methods: Apparently healthy adults (aged 20 years) with no background history of comorbidities were enrolled from the community by door-to-door survey. Following blood investigations, individuals with biochemical abnormalities were excluded. Enrolled participants underwent dual-energy X-ray absorp tiometry (DXA). Sarcopenia was defined according to EWGSOP2 consensus based on indigenous cut-offs obtained from the Sarcopenia-Chandigarh Urban Bone Epidemiological Study (Sarco-CUBES). Obesity was defined based on BMI ( 25.0 kg/m2 ) or WC (> 90 cm in men, > 80 cm in women) or DXA-derived FM% (> 32% in men, > 40% in women). Results: Data of 804 participants were analyzed after exclusion. The mean ± SD for BMI, WC, and FM% were 26.5 ± 2.7 kg/m2 , 86.8 ± 9.6, and 34.7 ± 7.3%, respectively. Prevalence of sarcopenia was 3.2%. Based on BMI, WC, and FM%, the prevalence of SO in elderly subjects ( 65 years) was 5.4%, 5.4%, and 6.3%, respectively. Using Cohen’s kappa, inter-definitional agreement between the 3 groups was ‘almost per fect’. FM%, and not BMI/WC, emerged as a significant predictor of GS on multiple linear regression analysis. Conclusions: The prevalence of SO in healthy elderly Indian adults is 5.4%e6.3%. Either BMI/WC/FM% can be used to correctly identify individuals with SO.

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