Association of lifestyle factors and inflammation with sarcopenic obesity: data from the PREDIMED‐Plus trial

  • Itziar Abete
    Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
  • Jadwiga Konieczna
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • M. Angeles Zulet
    Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
  • Aina M. Galmés‐Panades
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Idoia Ibero‐Baraibar
    Department of Nutrition, Food Sciences and Physiology, Center for Nutrition Research University of Navarra (UNAV) Pamplona Spain
  • Nancy Babio
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Ramón Estruch
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Josep Vidal
    Department of Endocrinology, IDIBAPS, Hospital Clinic University of Barcelona Barcelona Spain
  • Estefanía Toledo
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Cristina Razquin
    IdiSNA (Instituto de Investigación Sanitaria de Navarra) Pamplona Spain
  • Rafael Bartolomé
    Atención Primaria Servicio Navarro de Salud‐Osasunbidea Pamplona Spain
  • Andrés Díaz‐Lopez
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Miquel Fiol
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Rosa Casas
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Josep Vera
    Institut Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS) Barcelona Spain
  • Pilar Buil‐Cosiales
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Xavier Pintó
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Emili Corbella
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Maria Puy Portillo
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Jose Antonio de Paz
    Instituto de Biomedicina (IBIOMED) University of León León Spain
  • Vicente Martín
    Division of Preventive Medicine University of León León Spain
  • Lidia Daimiel
    Madrid Institute for Advanced Studies (IMDEA), Food Institute Madrid Spain
  • 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
  • Nuria Rosique‐Esteban
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Jordi Salas‐Salvadó
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • Dora Romaguera
    CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn) Instituto de Salud Carlos III Madrid Spain
  • 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

被引用文献 (1)*注記

もっと見る

詳細情報 詳細情報について

問題の指摘

ページトップへ