PDF(Pubmed)
Abstract：
OBJECTIVE: This study investigated the relationship between socioeconomic factors, dietary intake, and sarcopenic obesity among older adults in Korea.
METHODS: Data from the seventh Korean National Health and Nutrition Examination Survey (2016-2018) were analyzed. The study included 3,690 participants (1,645 men and 2,045 women) aged 65 years and older. Sarcopenic obesity was defined as the coexistence of low muscle strength (handgrip strength <28 kg in men and <18 kg in women) and abdominal obesity (waist circumference >90 cm in men and >85 cm in women). Socioeconomic factors assessed included age, living status, residential area, employment, education, and family income level. Dietary intake was evaluated using the nutrient adequacy ratio and mean adequacy ratio derived from 24-h dietary recall data. Multiple logistic regression was used to identify factors associated with sarcopenic obesity.
RESULTS: The prevalence rates of sarcopenic obesity were 6.5% in men and 17.4% in women. Low education levels were significantly associated with a higher prevalence of sarcopenic obesity in women, whereas lower family income levels were associated with an increased risk of sarcopenic obesity in men. In women, a lower mean adequacy ratio was significantly associated with a higher risk of sarcopenic obesity.
CONCLUSIONS: Lower family income and education level are associated with a higher prevalence of sarcopenic obesity. Ad-ditionally, overall nutritional adequacy is inversely related to the prevalence of sarcopenic obesity, particularly in women.
METHODS: Data from the seventh Korean National Health and Nutrition Examination Survey (2016-2018) were analyzed. The study included 3,690 participants (1,645 men and 2,045 women) aged 65 years and older. Sarcopenic obesity was defined as the coexistence of low muscle strength (handgrip strength <28 kg in men and <18 kg in women) and abdominal obesity (waist circumference >90 cm in men and >85 cm in women). Socioeconomic factors assessed included age, living status, residential area, employment, education, and family income level. Dietary intake was evaluated using the nutrient adequacy ratio and mean adequacy ratio derived from 24-h dietary recall data. Multiple logistic regression was used to identify factors associated with sarcopenic obesity.
RESULTS: The prevalence rates of sarcopenic obesity were 6.5% in men and 17.4% in women. Low education levels were significantly associated with a higher prevalence of sarcopenic obesity in women, whereas lower family income levels were associated with an increased risk of sarcopenic obesity in men. In women, a lower mean adequacy ratio was significantly associated with a higher risk of sarcopenic obesity.
CONCLUSIONS: Lower family income and education level are associated with a higher prevalence of sarcopenic obesity. Ad-ditionally, overall nutritional adequacy is inversely related to the prevalence of sarcopenic obesity, particularly in women.
摘要：
目的：本研究调查了社会经济因素之间的关系，饮食摄入量，韩国老年人的节肉性肥胖。
方法：分析了第七次韩国国家健康和营养检查调查（2016-2018）的数据。该研究包括3,690名65岁及以上的参与者（1,645名男性和2,045名女性）。肌肉减少性肥胖定义为低肌肉力量（男性握力<28kg，女性<18kg）和腹部肥胖（男性腰围>90cm，女性>85cm）并存。评估的社会经济因素包括年龄，生活状态,住宅区,employment,教育,和家庭收入水平。使用从24小时饮食召回数据得出的营养充足率和平均充足率评估饮食摄入量。采用多因素logistic回归分析确定与减少肌肉性肥胖相关的因素。
结果：男性和女性分别为17.4%和6.5%。低教育水平与女性少肌症性肥胖的患病率显着相关，而较低的家庭收入水平与男性减少肌肉肥胖的风险增加有关.在女性中，较低的平均充足率与较高的少节性肥胖风险显著相关.
结论：较低的家庭收入和教育水平与较高的少肌症性肥胖患病率相关。广告上，总体营养充足性与少肌症性肥胖的患病率成反比，尤其是女性。
方法：分析了第七次韩国国家健康和营养检查调查（2016-2018）的数据。该研究包括3,690名65岁及以上的参与者（1,645名男性和2,045名女性）。肌肉减少性肥胖定义为低肌肉力量（男性握力<28kg，女性<18kg）和腹部肥胖（男性腰围>90cm，女性>85cm）并存。评估的社会经济因素包括年龄，生活状态,住宅区,employment,教育,和家庭收入水平。使用从24小时饮食召回数据得出的营养充足率和平均充足率评估饮食摄入量。采用多因素logistic回归分析确定与减少肌肉性肥胖相关的因素。
结果：男性和女性分别为17.4%和6.5%。低教育水平与女性少肌症性肥胖的患病率显着相关，而较低的家庭收入水平与男性减少肌肉肥胖的风险增加有关.在女性中，较低的平均充足率与较高的少节性肥胖风险显著相关.
结论：较低的家庭收入和教育水平与较高的少肌症性肥胖患病率相关。广告上，总体营养充足性与少肌症性肥胖的患病率成反比，尤其是女性。
