摘要
目的采用不同诊断标准调查40岁以上体检人群中肌少性肥胖(sarcopenic obesity,SO)的患病率,探讨适合我国中老年人群的SO诊断标准。方法通过体格检查和人体成分分析收集10312例40~89岁体检人员的数据,采用Kappa分析探讨四肢肌肉质量指数(appendicular skeletal muscle mass index,ASMI)分别与体重指数(body mass index,BMI)、腰围(waist circumference,WC)、体脂百分比(body fat percent,BFP)的三种组合,对40岁以上体检人群SO诊断的一致性。采用Pearson相关性分析,观察AMSI与BMI、WC、BPF的关系。结果以BMI和ASMI判定SO,男性SO患病率为1.33%,女性为0.86%;其中80~89岁组男性SO患病率为6.67%,女性为11.54%。以WC和ASMI判定SO,男性SO患病率为0.89%,女性为0.90%;其中80~89岁组男性SO患病率为1.67%,女性为5.77%。以BFP和ASMI判定SO,男性SO患病率为5.10%,女性为3.76%;其中80~89岁组男性SO患病率为27.78,女性为25.00%。BMI+ASMI组合与WC+AMSI组合对SO检出的一致性一般,这2种组合均与BFP+ASMI组合判定SO的一致性较差。结论采用不同诊断标准判定的SO患病率差异较大,BFP+ASMI组合可能更适合用于我国40岁以上人群的SO诊断。
Objective To investigate the prevalence of sarcopenic obesity(SO)in the physical examination population over 40 years old using different diagnostic criteria,and to explore the SO diagnostic criteria suitable for the middle-aged and elderly population in China.Methods A total of 10312 physical examination participants aged 40-89 were recruited,and data were collected through physical examination and body composition analysis.Kappa analysis was used to explore the consistency of SO diagnosis in the over-40 physical examination population using three combinations of appendicular skeletal muscle mass index(ASMI)with body mass index(BMI),waist circumference(WC),and body fat percent(BFP).Pearson correlation analysis was employed to observe the relationship between ASMI and BMI,WC,and BFP.Results When using BMI and ASMI to determine SO,the prevalence of SO was 1.33%in males and 0.86%in females;among the 80-89 age group,the prevalence was 6.67%in males and 11.54%in females.When using WC and ASMI to determine SO,the prevalence was 0.89%in males and 0.90%in females;among the 80-89 age group,the prevalence was 1.67%in males and 5.77%in females.When using BFP and ASMI to determine SO,the prevalence was 5.10%in males and 3.76%in females;among the 80-89 age group,the prevalence was 27.78%in males and 25.00%in females.The consistency between the BMI+ASMI combination and WC+ASMI combination in detecting SO was moderate,and both combinations had poor consistency with the BFP+ASMI combination in determining SO.Conclusions There is a significant difference in the prevalence of SO determined by different diagnostic criteria,and the BFP+ASMI combination may be more suitable for SO diagnosis in the Chinese population under 40 years.
作者
罗希
金薇薇
LUO Xi;JIN Weiwei(Department of Clinical Nutrition,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)
出处
《健康研究》
CAS
2024年第6期701-705,710,共6页
Health Research
基金
浙江省中医药科技计划项目(2024ZL349)。
关键词
肌少性肥胖
患病率
诊断标准
调查
sarcopenic obesity
prevalence
diagnostic criteria
investigation