Body Composition Characteristics and Influencing Factors of Different Parts of Sarcopenia in Elderly People: A Community-based Cross-sectional Survey

Overview

Journal Aging Med (Milton)

Specialty Geriatrics

Date 2024 Jul 8

PMID 38975318

Authors

Xinying Dong

Bingqing Bi

Yifei Hu

Li Wang

Xinying Liu

Wentao Li

Mingyue Li

Tong Xiang

Shugang Li

Hao Wu

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aims to describe the differences in body composition among different body parts of the elderly in the community and its relationship with sarcopenia.

Methods: Elderly people aged ≥65 underwent bioelectric impedance analysis testing and were categorized into a sarcopenia group, possible sarcopenia group, and control group. The characteristics of body composition indicators in different parts and their relationship with different stages of sarcopenia were analyzed.

Results: The sarcopenia group illustrated the lowest values of FFM, FFM%, BFM, BFM%, ICW, and limb PhA, along with higher ECW/TBW in the trunk and left leg compared to the control group. The possible sarcopenia group showed lower FFM% in limbs and trunk, and higher BFM% compared to the control group. Gender differences in elderly body composition were observed, with an increase in BFM% in various body parts posing a risk factor for possible sarcopenia in elderly males, whereas an increase in BFM% except in the left arm was a protective factor for sarcopenia in elderly females.

Conclusion: The body composition of the elderly in the community varied significantly in different stages of sarcopenia and genders, which correlated with sarcopenia.

References

Li C, Yu K, Shyh-Chang N, Jiang Z, Liu T, Ma S . Pathogenesis of sarcopenia and the relationship with fat mass: descriptive review. J Cachexia Sarcopenia Muscle. 2022; 13(2):781-794. PMC: 8977978. DOI: 10.1002/jcsm.12901. View

Nasimi N, Dabbaghmanesh M, Sohrabi Z . Nutritional status and body fat mass: Determinants of sarcopenia in community-dwelling older adults. Exp Gerontol. 2019; 122:67-73. DOI: 10.1016/j.exger.2019.04.009. View

Low S, Ng T, Lim C, Ang S, Moh A, Wang J . Higher ratio of extracellular water to total body water was associated with reduced cognitive function in type 2 diabetes. J Diabetes. 2020; 13(3):222-231. DOI: 10.1111/1753-0407.13104. View

Park K, Lee G, Seo Y, Seo S, Yoo J . The relationship between extracellular water-to-body water ratio and sarcopenia according to the newly revised Asian Working Group for Sarcopenia: 2019 Consensus Update. Aging Clin Exp Res. 2021; 33(9):2471-2477. DOI: 10.1007/s40520-020-01766-y. View

Passarelli J, Hamad H . Geriatric frailty determinants in India. Aging Med (Milton). 2024; 6(4):450-451. PMC: 10792337. DOI: 10.1002/agm2.12275. View

Chen Z, Ho M, Chau P . Prevalence, Incidence, and Associated Factors of Possible Sarcopenia in Community-Dwelling Chinese Older Adults: A Population-Based Longitudinal Study. Front Med (Lausanne). 2022; 8:769708. PMC: 8784542. DOI: 10.3389/fmed.2021.769708. View

RoyChoudhury A, Dam T, Xu C, Diah J, Chaganty D, Solares J . Feed-forward loop between body composition, strength and performance in older adults. Mech Ageing Dev. 2019; 183:111130. DOI: 10.1016/j.mad.2019.111130. View

Wu X, Li X, Xu M, Zhang Z, He L, Li Y . Sarcopenia prevalence and associated factors among older Chinese population: Findings from the China Health and Retirement Longitudinal Study. PLoS One. 2021; 16(3):e0247617. PMC: 7932529. DOI: 10.1371/journal.pone.0247617. View

Yedigaryan L, Gatti M, Marini V, Maraldi T, Sampaolesi M . Shared and Divergent Epigenetic Mechanisms in Cachexia and Sarcopenia. Cells. 2022; 11(15). PMC: 9332174. DOI: 10.3390/cells11152293. View

10.

Strasser E, Hofmann M, Franzke B, Schober-Halper B, Oesen S, Jandrasits W . Strength training increases skeletal muscle quality but not muscle mass in old institutionalized adults: a randomized, multi-arm parallel and controlled intervention study. Eur J Phys Rehabil Med. 2018; 54(6):921-933. DOI: 10.23736/S1973-9087.18.04930-4. View

11.

Winkel J, Jorgensen K . Swelling of the foot, its vascular volume and systemic hemoconcentration during long-term constrained sitting. Eur J Appl Physiol Occup Physiol. 1986; 55(2):162-6. DOI: 10.1007/BF00714999. View

12.

Zhu X, Dong X, Wang L, Lao X, Li S, Wu H . Screening efficacy of PhA and MNA-SF in different stages of sarcopenia in the older adults in community. BMC Geriatr. 2023; 23(1):13. PMC: 9827689. DOI: 10.1186/s12877-022-03716-x. View

13.

Norman K, Stobaus N, Pirlich M, Bosy-Westphal A . Bioelectrical phase angle and impedance vector analysis--clinical relevance and applicability of impedance parameters. Clin Nutr. 2012; 31(6):854-61. DOI: 10.1016/j.clnu.2012.05.008. View

14.

Hicks G, Simonsick E, Harris T, Newman A, Weiner D, Nevitt M . Cross-sectional associations between trunk muscle composition, back pain, and physical function in the health, aging and body composition study. J Gerontol A Biol Sci Med Sci. 2005; 60(7):882-7. DOI: 10.1093/gerona/60.7.882. View

15.

Petermann-Rocha F, Balntzi V, Gray S, Lara J, Ho F, Pell J . Global prevalence of sarcopenia and severe sarcopenia: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle. 2021; 13(1):86-99. PMC: 8818604. DOI: 10.1002/jcsm.12783. View

16.

Chen L, Woo J, Assantachai P, Auyeung T, Chou M, Iijima K . Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020; 21(3):300-307.e2. DOI: 10.1016/j.jamda.2019.12.012. View

17.

Merchant R, Seetharaman S, Au L, Wong M, Wong B, Tan L . Relationship of Fat Mass Index and Fat Free Mass Index With Body Mass Index and Association With Function, Cognition and Sarcopenia in Pre-Frail Older Adults. Front Endocrinol (Lausanne). 2022; 12:765415. PMC: 8741276. DOI: 10.3389/fendo.2021.765415. View

18.

Bi B, Dong X, Yan M, Zhao Z, Liu R, Li S . Dyslipidemia is associated with sarcopenia of the elderly: a meta-analysis. BMC Geriatr. 2024; 24(1):181. PMC: 10885450. DOI: 10.1186/s12877-024-04761-4. View

19.

Ishida Y, Maeda K, Nonogaki T, Shimizu A, Yamanaka Y, Matsuyama R . Impact of edema on length of calf circumference in older adults. Geriatr Gerontol Int. 2019; 19(10):993-998. DOI: 10.1111/ggi.13756. View

20.

Timmons J, Minnock D, Hone M, Cogan K, Murphy J, Egan B . Comparison of time-matched aerobic, resistance, or concurrent exercise training in older adults. Scand J Med Sci Sports. 2018; 28(11):2272-2283. DOI: 10.1111/sms.13254. View