Sarcopenic obesity is associated with cognitive impairment in community-dwelling older adults: The Bunkyo Health Study

Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment. St...

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Published inClinical nutrition (Edinburgh, Scotland) Vol. 41; no. 5; pp. 1046 - 1051
Main Authors Someya, Yuki, Tamura, Yoshifumi, Kaga, Hideyoshi, Sugimoto, Daisuke, Kadowaki, Satoshi, Suzuki, Ruriko, Aoki, Shigeki, Hattori, Nobutaka, Motoi, Yumiko, Shimada, Kazunori, Daida, Hiroyuki, Ishijima, Muneaki, Kaneko, Kazuo, Nojiri, Shuko, Kawamori, Ryuzo, Watada, Hirotaka
Format Journal Article
LanguageEnglish
Published England Elsevier Ltd 01.05.2022
Subjects
Aged
body mass index
clinical nutrition
Cognition
cognitive disorders
Cognitive Dysfunction - complications
Community-dwelling
confidence interval
Cross-Sectional Studies
dementia
Dementia - complications
Dementia - epidemiology
Dynapenia
Female
females
hand strength
Hand Strength - physiology
Humans
Independent Living
Japan
Male
Obesity
Obesity - complications
Obesity - diagnosis
Obesity - epidemiology
Probable sarcopenia
sarcopenia
Sarcopenia - complications
Sarcopenia - diagnosis
Sarcopenia - epidemiology
urban areas
Dynapenia
Community-dwelling
Obesity
Cognition
Probable sarcopenia
Online AccessGet full text
ISSN0261-5614
1532-1983
1532-1983
DOI10.1016/j.clnu.2022.03.017

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Abstract Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment. Study participants include 1615 older adults aged 65–84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m2) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status. Mean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12–3.62]; dementia: 6.17 [2.50–15.27]). Sarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.
AbstractList Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment. Study participants include 1615 older adults aged 65–84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m²) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status. Mean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12–3.62]; dementia: 6.17 [2.50–15.27]). Sarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.
Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment. Study participants include 1615 older adults aged 65–84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m2) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status. Mean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12–3.62]; dementia: 6.17 [2.50–15.27]). Sarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.
Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment.BACKGROUND & AIMSCoexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment.Study participants include 1615 older adults aged 65-84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m2) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status.METHODSStudy participants include 1615 older adults aged 65-84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m2) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status.Mean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12-3.62]; dementia: 6.17 [2.50-15.27]).RESULTSMean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12-3.62]; dementia: 6.17 [2.50-15.27]).Sarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.CONCLUSIONSSarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.
Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated whether sarcopenic obesity, defined as reduced handgrip strength and increased body mass index (BMI), is associated with cognitive impairment. Study participants include 1615 older adults aged 65-84 years who lived in an urban area of Tokyo, Japan and participated in the Bunkyo Health Study. Mild cognitive impairment (MCI) and dementia were defined based on ≤22 points of Montreal Cognitive Assessment and ≤23 points of the Mine-Mental State Examination, respectively. Handgrip strength was measured using a dynamometer in a standing position. We divided participants into four groups according to their sarcopenia (probable) (handgrip strength <28 kg in men and <18 kg in women) and obesity status (BMI ≥25 kg/m ) as control, obesity, sarcopenia and sarcopenic obesity, and investigated the association between cognitive function, sarcopenia, and obesity status. Mean age was 73.1 ± 5.4 years, and 57.6% of study participants were female. The prevalence of control, obesity, sarcopenia, and sarcopenic obesity was 59.4%, 21.2%, 14.6%, and 4.7%, respectively. The prevalence of MCI and dementia, respectively, was highest in participants with sarcopenic obesity, followed by those with sarcopenia, obesity, and control. After multivariate adjustment, sarcopenic obesity was independently associated with increased odds of MCI and dementia compared with the control (MCI: 2.11 [95% confidence interval, 1.12-3.62]; dementia: 6.17 [2.50-15.27]). Sarcopenic obesity was independently associated with MCI and dementia among Japanese older adults. Future studies are necessary to clarify the causal relationship.
Author Motoi, Yumiko
Suzuki, Ruriko
Sugimoto, Daisuke
Kawamori, Ryuzo
Tamura, Yoshifumi
Shimada, Kazunori
Kaga, Hideyoshi
Kadowaki, Satoshi
Aoki, Shigeki
Kaneko, Kazuo
Nojiri, Shuko
Hattori, Nobutaka
Watada, Hirotaka
Daida, Hiroyuki
Someya, Yuki
Ishijima, Muneaki
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  organization: Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan
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  fullname: Kadowaki, Satoshi
  organization: Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan
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  fullname: Suzuki, Ruriko
  organization: Department of Metabolism & Endocrinology, Juntendo University Graduate School of Medicine, Tokyo, Japan
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  surname: Watada
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Keywords Dynapenia
Community-dwelling
Obesity
Cognition
Probable sarcopenia
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  text: May 2022
PublicationDecade 2020
PublicationPlace England
PublicationPlace_xml – name: England
PublicationTitle Clinical nutrition (Edinburgh, Scotland)
PublicationTitleAlternate Clin Nutr
PublicationYear 2022
Publisher Elsevier Ltd
Publisher_xml – name: Elsevier Ltd
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Snippet Coexistence of obesity and decreased muscle strength, defined as sarcopenic obesity, is often observed in the older adults. The present study investigated...
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SubjectTerms Aged
body mass index
clinical nutrition
Cognition
cognitive disorders
Cognitive Dysfunction - complications
Community-dwelling
confidence interval
Cross-Sectional Studies
dementia
Dementia - complications
Dementia - epidemiology
Dynapenia
Female
females
hand strength
Hand Strength - physiology
Humans
Independent Living
Japan
Male
Obesity
Obesity - complications
Obesity - diagnosis
Obesity - epidemiology
Probable sarcopenia
sarcopenia
Sarcopenia - complications
Sarcopenia - diagnosis
Sarcopenia - epidemiology
urban areas
Title Sarcopenic obesity is associated with cognitive impairment in community-dwelling older adults: The Bunkyo Health Study
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https://dx.doi.org/10.1016/j.clnu.2022.03.017
https://www.ncbi.nlm.nih.gov/pubmed/35390728
https://www.proquest.com/docview/2648874076
https://www.proquest.com/docview/2648898861
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