背景:肌肉减少症和肌肉减少性肥胖是新出现的公共卫生问题。真实的患病率是未知的,估计在研究之间有很大的不同。没有大规模的单一研究比较白人的患病率,黑人,亚洲人,和西班牙裔,正如我们打算在这里做的。这项研究还研究了种族和社会经济因素对少肌症和少肌症性肥胖的影响。
方法:这项研究包括来自路易斯安那州的10,325名参与者。阑尾瘦体重(ASM),通过双能X射线吸收法(DXA)扫描测量,除以身高平方(ASM/h2)来定义肌肉减少症。肌少症肥胖定义为肌少症加肥胖(腰臀比)。
结果:男性的总肌肉减少症和肌肉减少症肥胖率分别为17.6%和7.0%,女性占13.7%和2.5%,分别。在亚洲男性中发现了最高的肌肉减少症和肌肉减少症肥胖率(40.6%,14.4%)和女性(30.1%,8.0%)。在黑人男性(3.7%)和女性(0.9%)中观察到最低的肌少症肥胖率。我们发现男性随年龄增长与肌肉节制性肥胖显著相关,种族,和收入;在女性中,年龄,种族,和教育。
结论:在一个诊断定义下,亚裔人群中肌肉减少症和肌肉减少症的患病率最高,黑人人群中最低.收入和教育程度与肌肉减少症和肌肉减少性肥胖有显著关联,在男性和女性中,分别。
BACKGROUND: Sarcopenia and sarcopenic obesity are emerging public health issues. True prevalence rates are unknown and estimates differ substantially between studies. No large-scale single
study has compared prevalence rates between whites, blacks, Asians, and Hispanics, as we intend to do here. This
study also examined the effects of race and socioeconomic factors on sarcopenia and sarcopenic obesity.
METHODS: This
study included 10,325 participants from Louisiana. Appendicular lean mass (ASM), measured through dual energy x-ray absorptiometry (DXA) scans, was divided by height squared (ASM/h2) to define sarcopenia. Sarcopenic obesity was defined as sarcopenia plus obesity (waist-to-hip ratio).
RESULTS: Overall sarcopenia and sarcopenic obesity rates were 17.6% and 7.0% for males, and 13.7% and 2.5% for females, respectively. The highest sarcopenia and sarcopenic obesity rates were found in Asian males (40.6%, 14.4%) and females (30.1%, 8.0%). The lowest sarcopenic obesity rates were observed in black males (3.7%) and females (0.9%). We found significant associations with sarcopenic obesity in males for age, race, and income; in females, for age, race, and education.
CONCLUSIONS: Under one diagnostic definition, the prevalence of sarcopenia and sarcopenic obesity is highest among Asians and lowest amongst blacks. Income and education had significant associations with sarcopenia and sarcopenic obesity, in males and females, respectively.