Sarcopenic obesity is associated with lower indicators of psychological health and quality of life in Koreans
Sarcopenic obesity is associated with lower indicators of psychological health and quality of life in Koreans
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DOI：
10.1016/j.nutres.2015.04.002
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发表时间：
2015-05-01
影响因子：
4.5
通讯作者：
Shin, Min-Jeong
中科院分区：
文献类型：
--
作者：
Cho, Yoonsu;Shin, So-Youn;Shin, Min-Jeong
肌少性肥胖（SO）是已知的慢性疾病的发病率和死亡率的一部分。然而，关于它对心理健康的影响的信息有限。本研究的目的是评估韩国成年人的SO与心理健康和生活质量（QoL）的几个指标的关系。这项横断面研究是对来自2008-2011年韩国国家健康与营养调查的11521名20岁以上的参与者进行的。肌肉减少型肥胖的定义是：年轻参照组的阑尾骨骼肌质量与体重之比低于性别特异性平均值小于1个标准差，男性腰围至少为90厘米，女性腰围至少为85厘米。通过自我报告问卷评估心理健康状况，包括抑郁症状、感知压力、自杀意念以及生活质量。采用logistic回归模型评估SO与心理健康状况的关系。在对人口统计学和生活方式因素进行多因素调整后，SO与感知压力（优势比1.24；95%可信区间1.07-1.44；P值= 0.004）和自杀意念（优势比1.26；95%可信区间1.06-1.50；P值= 0.010）显著相关。此外，还发现SO与一系列生活质量指标呈负相关。有趣的是，这些关联模式在60岁以下的参与者中更为显著。总之，我们的研究结果表明，与基于体重指数的普通肥胖相比，SO与不良心理健康和较低生活质量的关系更大。(C) 2015爱思唯尔公司版权所有。
Sarcopenic obesity (SO) is known to contribute to morbidity and mortality from chronic diseases. However, there exists limited information regarding its effect on psychological health. The aim of this study was to evaluate association of SO with several indices of psychological health and quality of life (QoL) in Korean adults. This cross-sectional study was conducted with 11521 participants older than 20 years from the Korea National Health and Nutrition Examination Survey 2008-2011. Sarcopenic obesity was defined by a low appendicular skeletal muscle mass divided by body weight less than 1 standard deviation below the sex-specific mean for the young reference group, and by a high waist circumference of at least 90 cm for men and at least 85 cm for women. Psychological health status, including depressive symptoms, perceived stress, and suicidal ideation, as well as QoL, was assessed by a self-reporting questionnaire. Association between SO and psychological health status was assessed under a logistic regression model. After multivariate adjustment for demographics and lifestyle factors, SO was significantly associated with perceived stress (odds ratio, 1.24; 95% confidence interval, 1.07-1.44; P value = .004) and suicidal ideation (odds ratio, 1.26; 95% confidence interval, 1.06-1.50; P value = .010). In addition, SO was found to have a negative association with a range of QoL indicators. Interestingly, these association patterns were more significant in participants younger than 60 years. In conclusion, our results suggest that SO was associated with adverse psychological health and lower QoL more than body mass index-based general obesity. (C) 2015 Elsevier Inc. All rights reserved.