Osteosarcopenic obesity is associated with reduced handgrip strength, walking abilities, and balance in postmenopausal women
Osteosarcopenic obesity is associated with reduced handgrip strength, walking abilities, and balance in postmenopausal women
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DOI:
10.1007/s00198-015-3186-y
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发表时间:
2015-11-01
影响因子:
4
通讯作者:
McGee, D. L.
中科院分区:
文献类型:
--
作者:
Ilich, J. Z.;Inglis, J. E.;McGee, D. L.
We determined the prevalence of osteosarcopenic obesity (loss of bone and muscle coexistent with increased adiposity) in overweight/obese postmenopausal women and compared their functionality to obese-only women. Results showed that osteosarcopenic obese women were outperformed by obese-only women in handgrip strength and walking/balance abilities indicating their higher risk for mobility impairments.Introduction Osteosarcopenic obesity (OSO) is a recently defined triad of osteopenia/osteoporosis, sarcopenia, and adiposity. We identified women with OSO in overweight/obese postmenopausal women and evaluated their functionality comparing them with obese-only (OB) women. Additionally, women with osteopenic/osteoporotic obesity (OO), but no sarcopenia, and those with sarcopenic obesity (SO), but no osteopenia/osteoporosis, were identified and compared. We hypothesized that OSO women will have the lowest scores for each of the functionality measures.Methods Participants (n = 258; % body fat a parts per thousand yen35) were assessed using a Lunar iDXA instrument for bone and body composition. Sarcopenia was determined from negative residuals of linear regression modeled on appendicular lean mass, height, and body fat, using 20th percentile as a cutoff. Participants with T-scores of L-1-L-4 vertebrae and/or total femur