Dynapenic abdominal obesity and metabolic risk factors in adults 50 years of age and older

J Aging Health. 2012 Aug;24(5):812-26. doi: 10.1177/0898264312440324. Epub 2012 Mar 26.

Abstract

Objectives: To investigate the additive effect of dynapenia and abdominal obesity on metabolic risk factors in older adults.

Method: A total of 3,007 men and women from the National Health and Nutrition Examination Survey (NHANES) study were categorized as follows: (a) non-dynapenic/non-abdominally obese (N-DYN/N-AO), (b) dynapenic/non-abdominally obese (DYN/N-AO), (c) non-dynapenic/abdominally obese (N-DYN/AO), (d) dynapenic/ abdominally obese (DYN/AO) based on waist circumference (WC) and leg muscle strength tertiles. Dependent variables were lipids, glucose, blood pressure, and other chronic conditions.

Results: The DYN/AO group had lower plasma HDL-chol and higher triglyceride and glucose levels than N-DYN/N-AO and DYN/N-AO groups (all p ≤ .01). Higher plasma triglyceride was observed in the DYN/AO group compared with N-DYN/AO group (p ≤ .01). The odds of having metabolic syndrome, cardiovascular diseases, and type II diabetes were higher in DYN/AO compared with DYN/N-AO and N-DYN/N-AO.

Conclusion: DYN/AO older adults might be at greater risk of metabolic alterations than those displaying dynapenia alone or those with neither abdominal obesity nor dynapenia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Blood Glucose
  • Canada / epidemiology
  • Cholesterol, HDL / blood
  • Female
  • Humans
  • Leg / physiology
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / epidemiology*
  • Middle Aged
  • Muscle Strength / physiology
  • Muscle, Skeletal / physiopathology
  • Nutrition Surveys
  • Obesity, Abdominal / blood
  • Obesity, Abdominal / complications*
  • Risk Factors
  • Sarcopenia / complications*
  • Sarcopenia / physiopathology
  • Triglycerides / blood
  • Waist Circumference

Substances

  • Blood Glucose
  • Cholesterol, HDL
  • Triglycerides