title: Body composition changes were related to nutrient intakes in elderly men but elderly women had a higher prevalence of sarcopenic obesity in a population of Korean adults.
abstract: In this study, we examined the relationship between sarcopenic obesity (SO) and nutrition status, according to sex in Korean adults who were 60 years or older. Body composition was categorized as SO, sarcopenic nonobesity, nonsarcopenic obesity, and nonsarcopenic nonobesity. Obesity was defined by body mass index. Sarcopenia was defined as an appendicular skeletal muscle mass divided by weight (Wt) of less than 1 SD below the sex-specific mean for young adults. Subjects included 1433 subjects (658 men and 775 women) who were 60 years or older and who participated in the fifth Korea National Health and Nutritional Examination Survey 2010. Sarcopenic obesity was more prevalent in women (31.3%) than in men (19.6%). Individuals with SO had significantly higher fasting insulin, homeostasis model assessment of insulin resistance (male: 3.2 ± 1.4, female: 3.4 ± 2.1), and triglycerides (male: 167.3 ± 90.6 mg/dL, female: 160.7 ± 85.0 mg/dL). High-density lipoprotein was under the normal criteria (50 mg/dL) in women. Intake of nutrients associated with muscle loss (protein, vitamin D, calcium, and vitamin C) was significantly different among the male but not the female groups. Although protein intake was normal, calcium and vitamin D intakes were insufficient in all groups. In conclusion, body composition changes were related to nutrient intakes in elderly (60 years or older) men but not elderly women. Women had a higher prevalence of SO than did men, suggesting that early nutritional intervention in elderly women may help them address age-associated body composition changes.
authors.affiliation: Department of Nutrition and Health Care, Kyungsung University, Busan, 309, Suyeong-ro, Nam-gu, Busan 608-736, South Korea. Electronic address: ocr531@ks.ac.kr.
authors.forename: Chorong
authors.initials: C
authors.lastname: Oh
authors.affiliation: Center for Rehabilitation & Clinical Aging Research Institute, Pusan Medical Center, 359, Worldcup-daero, Yonje-gu, Busan 611-706, Korea. Electronic address: jhokug@hanmail.net.
authors.forename: Sunkug
authors.initials: S
authors.lastname: Jho
authors.affiliation: Department of Nutrition and Health Care, Kyungsung University, Busan, 309, Suyeong-ro, Nam-gu, Busan 608-736, South Korea. Electronic address: jkno3@ks.ac.kr.
authors.forename: Jae-Kyung
authors.initials: JK
authors.lastname: No
authors.affiliation: Department of Foodservice Management, Kyungsung University, Busan, 309, Suyeong-ro, Nam-gu, Busan 608-736, South Korea. Electronic address: foodservice@ks.ac.kr.
authors.forename: Hak-Seon
authors.initials: HS
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D001205:Ascorbic Acid / Q000008:administration & dosage; D044466:Asian People; D001823:Body Composition; D015992:Body Mass Index; D001835:Body Weight; D002136:Calcium, Dietary / Q000008:administration & dosage; D008076:Cholesterol, HDL / Q000097:blood; D004044:Dietary Proteins / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D064368:Healthy Volunteers; D006801:Humans; D007328:Insulin / Q000097:blood; D007333:Insulin Resistance; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000378:metabolism / Q000473:pathology; D009749:Nutrition Surveys; D009752:Nutritional Status; D009765:Obesity / Q000097:blood / Q000453:epidemiology*; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D055948:Sarcopenia / Q000097:blood / Q000453:epidemiology*; D014280:Triglycerides / Q000097:blood; D014807:Vitamin D / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D002136:Calcium, Dietary; D008076:Cholesterol, HDL; D004044:Dietary Proteins; D007328:Insulin; D014280:Triglycerides; D014807:Vitamin D; D001205:Ascorbic Acid
keywords: Body composition; Elderly; Human; Nutrient status; Obesity