Sarcopenic obesity is associated with lower indicators of psychological health and quality of life in Koreans.
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.
Department of Food and Nutrition, Korea University, Seoul, Republic of Korea; Department of Public Health Sciences, Graduate School, Korea University, Seoul, Republic of Korea.
Yoonsu
Y
Cho
MRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom; School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom; Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
So-Youn
SY
Shin
Department of Food and Nutrition, Korea University, Seoul, Republic of Korea; Department of Public Health Sciences, Graduate School, Korea University, Seoul, Republic of Korea; Korea University Guro Hospital, Korea University, Seoul, Republic of Korea. Electronic address: mjshin@korea.ac.kr.
Min-Jeong
MJ
Shin
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D009765:Obesity / Q000208:ethnology / Q000503:physiopathology* / Q000523:psychology; D011788:Quality of Life; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D055948:Sarcopenia / Q000208:ethnology / Q000209:etiology*; D013315:Stress, Psychological / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D059020:Suicidal Ideation; D055105:Waist Circumference; D055815:Young Adult
Depression; Obesity; Psychological health; Quality of life; Sarcopenic obesity