Association of lifestyle factors and inflammation with sarcopenic obesity: data from the PREDIMED‐Plus trial
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- Itziar Abete
- Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
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- Jadwiga Konieczna
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- M. Angeles Zulet
- Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
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- Aina M. Galmés‐Panades
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Idoia Ibero‐Baraibar
- Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
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- Nancy Babio
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Ramón Estruch
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Josep Vidal
- Department of Endocrinology, IDIBAPS, Hospital Clinic University of Barcelona Barcelona Spain
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- Estefanía Toledo
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Cristina Razquin
- IdiSNA (Instituto de Investigación Sanitaria de Navarra) Pamplona Spain
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- Rafael Bartolomé
- Atención Primaria Servicio Navarro de Salud‐Osasunbidea Pamplona Spain
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- Andrés Díaz‐Lopez
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Miquel Fiol
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Rosa Casas
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Josep Vera
- Institut Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Barcelona Spain
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- Pilar Buil‐Cosiales
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Xavier Pintó
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Emili Corbella
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Maria Puy Portillo
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Jose Antonio de Paz
- Instituto de Biomedicina (IBIOMED) University of León León Spain
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- Vicente Martín
- Division of Preventive Medicine University of León León Spain
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- Lidia Daimiel
- Madrid Institute for Advanced Studies (IMDEA), Food Institute Madrid Spain
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- Albert Goday
- Lipids and Cardiovascular Epidemiology Research Unit, Institut Municipal d'Investigació Mèdica (IMIM), Endocrinology and Diabetes Unit, Department de Medicina Hospital del Mar Barcelona, Universitat Autònoma de Barcelona Barcelona Spain
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- Nuria Rosique‐Esteban
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Jordi Salas‐Salvadó
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- Dora Romaguera
- CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
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- J. Alfredo Martínez
- Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
抄録
<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Sarcopenia is a progressive age‐related skeletal muscle disorder associated with increased likelihood of adverse outcomes. Muscle wasting is often accompanied by an increase in body fat, leading to ‘sarcopenic obesity’. The aim of the present study was to analyse the association of lifestyle variables such as diet, dietary components, physical activity (PA), body composition, and inflammatory markers, with the risk of sarcopenic obesity.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>A cross‐sectional analysis based on baseline data from the PREDIMED‐Plus study was performed. A total of 1535 participants (48% women) with overweight/obesity (body mass index: 32.5 ± 3.3 kg/m<jats:sup>2</jats:sup>; age: 65.2 ± 4.9 years old) and metabolic syndrome were categorized according to sex‐specific tertiles (T) of the sarcopenic index (SI) as assessed by dual‐energy X‐ray absorptiometry scanning. Anthropometrical measurements, biochemical markers, dietary intake, and PA information were collected. Linear regression analyses were carried out to evaluate the association between variables.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Subjects in the first SI tertile were older, less physically active, showed higher frequency of abdominal obesity and diabetes, and consumed higher saturated fat and less vitamin C than subjects from the other two tertiles (all <jats:italic>P</jats:italic> < 0.05). Multiple adjusted linear regression models evidenced significant positive associations across tertiles of SI with adherence to the Mediterranean dietary score (<jats:italic>P</jats:italic>‐trend < 0.05), PA (<jats:italic>P</jats:italic>‐trend < 0.0001), and the 30 s chair stand test (<jats:italic>P</jats:italic>‐trend < 0.0001), whereas significant negative associations were found with an inadequate vitamin C consumption (<jats:italic>P</jats:italic>‐trend < 0.05), visceral fat and leucocyte count (all <jats:italic>P</jats:italic>‐trend < 0.0001), and some white cell subtypes (neutrophils and monocytes), neutrophil‐to‐lymphocyte ratio, and platelet count (all <jats:italic>P</jats:italic>‐trend < 0.05). When models were additionally adjusted by potential mediators (inflammatory markers, diabetes, and waist circumference), no relevant changes were observed, only dietary variables lost significance.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Diet and PA are important regulatory mediators of systemic inflammation, which is directly involved in the sarcopenic process. A healthy dietary pattern combined with exercise is a promising strategy to limit age‐related sarcopenia.</jats:p></jats:sec>
収録刊行物
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- Journal of Cachexia, Sarcopenia and Muscle
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Journal of Cachexia, Sarcopenia and Muscle 10 (5), 974-984, 2019-05-29
Wiley