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중·고령자의 추정 심폐체력과 근감소성 비만과의 연관성

The Association Between Estimated Cardiorespiratory Fitness and Sarcopenic Obesity in Middle-Aged and Older Adults

이인환|강현식|김정현
한국운동생리학회|2021.05|운동과학 (Exercise Science)|제30권 제2호|pp. 237-248

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참고문헌

키워드

비만신체활동Physical activityObesity근감소증Sarcopenia심폐체력Sarcopenic obesityCardiorespiratory fitness근감소성 비만

초록

PURPOSE:This study aimed to examine the association between estimated cardiorespiratory fitness (eCRF) and sarcopenic obesity in Korean middle-aged and older adults. METHODS:This study used the data from the 2008–2011 Korea National Health and Nutrition Examination Survey involving 8,252 Korean adults aged ≥50 years (56.6% women). Participants were classified into normal, sarcopenia, obesity, and sarcopenic obesity groups based on the presence of sarcopenia and/or obesity phenotypes. eCRF was assessed using sex-specific algorithms and classified as low (lowest 25%), middle (middle 50%), and high (highest 25%) categories. Logistic regression analyses were used to estimate the odds ratio (OR) and 95% confidence interval (CI) for the risk of sarcopenic obesity according to eCRF categories. RESULTS: The middle and low eCRF groups had a significantly higher risk of sarcopenia (OR=1.688, 95% CI=1.438–1.981 and OR=2.877, 95% CI=2.366–3.498; respectively) than the high eCRF group (OR=1), a significantly higher risk of obesity (OR=1.810, 95% CI=1.533–2.137 and OR=5.103, 95% CI=4.234–6.151; respectively) than the high eCRF group (OR=1), and a significantly higher risk of sarcopenic obesity (OR=2.852, 95% CI=2.371–3.429 and OR=12.008, 95% CI=9.866–14.616; respectively) than the high eCRF group (OR=1). The risks of sarcopenia, obesity, and sarcopenic obesity in the middle and low eCRF groups remained statistically significant after adjusting for all the measured covariates. CONCLUSION: The results suggest that eCRF is an independent predictor of sarcopenic obesity in Korean middle-aged and older adults, implying the importance of promotion of CRF as a preventive measure against sarcopenic obesity.

Abstract

PURPOSE:This study aimed to examine the association between estimated cardiorespiratory fitness (eCRF) and sarcopenic obesity in Korean middle-aged and older adults. METHODS:This study used the data from the 2008–2011 Korea National Health and Nutrition Examination Survey involving 8,252 Korean adults aged ≥50 years (56.6% women). Participants were classified into normal, sarcopenia, obesity, and sarcopenic obesity groups based on the presence of sarcopenia and/or obesity phenotypes. eCRF was assessed using sex-specific algorithms and classified as low (lowest 25%), middle (middle 50%), and high (highest 25%) categories. Logistic regression analyses were used to estimate the odds ratio (OR) and 95% confidence interval (CI) for the risk of sarcopenic obesity according to eCRF categories. RESULTS: The middle and low eCRF groups had a significantly higher risk of sarcopenia (OR=1.688, 95% CI=1.438–1.981 and OR=2.877, 95% CI=2.366–3.498; respectively) than the high eCRF group (OR=1), a significantly higher risk of obesity (OR=1.810, 95% CI=1.533–2.137 and OR=5.103, 95% CI=4.234–6.151; respectively) than the high eCRF group (OR=1), and a significantly higher risk of sarcopenic obesity (OR=2.852, 95% CI=2.371–3.429 and OR=12.008, 95% CI=9.866–14.616; respectively) than the high eCRF group (OR=1). The risks of sarcopenia, obesity, and sarcopenic obesity in the middle and low eCRF groups remained statistically significant after adjusting for all the measured covariates. CONCLUSION: The results suggest that eCRF is an independent predictor of sarcopenic obesity in Korean middle-aged and older adults, implying the importance of promotion of CRF as a preventive measure against sarcopenic obesity.

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