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Osteosarcopenic Obesity Associated with Poor Physical Performance in the Elderly Chinese Community

机译：骨质晚期肥胖与老年人社区的身体表现不佳相关

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Objective: The aims of this study were to investigate the association between osteosarcopenic obesity (OSO) and physical performance in Chinese elderly communities. Methods: Our study population is comprised of residents of the Township Central Hospital in the suburban of Tianjin, China. Participants (n=303; percent body fat (PBF): ≥ 25% for men and ≥ 32% for women) were assessed using the direct segmental multi-frequency bioelectrical impedance analysis (BIA) for body composition. Sarcopenia was defined as the lower 20th percentile of appendicular skeletal muscle mass/height2 (ASMI). A quantitative ultrasound scan of each participants’ calcaneus with a T score≤? 1.0 was used to identify the prevalence of osteopenia/osteoporosis (OP). We divided people into four groups: obesity only (O), osteopenic obesity (OO), sarcopenic obesity (SO), and osteosarcopenic obesity (OSO). We assessed the physical performance by grip strength, 4-m walk test (WS) and timed up and go test (TUGT). Results: A total of 303 participants had completed data (89 men, 214 women; mean age of 68.8± 6.0 years). The prevalence of OSO was 10.2% (men: 15.70%, women: 7.9%). After multiple adjustments, WS was significantly declined in OSO group when compared with the O group in men (mean value 95% CI was 0.84 (0.69, 0.99)) and women (mean value 95% CI was 0.93 (0.84, 1.02)). TUGT was significantly poorer in men (mean value 95% CI was 13.3 (10.6, 15.9)) and women (mean value 95% CI was 12.4 (11.2, 13.7)) with OSO when compared with the O group. Furthermore, the OSO group in women also had a significantly poorer TUGT compared with the OO group. The result of grip strength decreased significantly in women SO and OSO groups when compared with the O group (mean value 95% CI was 16.4 (14.5, 18.2) and 16.1 (13.9, 18.3)). But the results of grip strength in men showed no significant differences in any of the group. Conclusion: In Chinese community-dwelling elderly, slower WS and lower balance function were associated with OSO in men and women. Lower grip strength was associated with SO and OSO in women.
机译：目的：本研究的目的是探讨中国老年社区骨质症肥胖症（OSO）与身体表现之间的关联。方法：我们的研究人口由中国天津郊区乡镇中央医院的居民组成。参与者（n = 303;体脂百分比（PBF）：使用直接分段多频生物电解分析（BIA）对男性的男性脂肪（PBF）：≥22％用于身体组成。 SARCOPENIA被定义为阑尾骨骼肌质量/高度2（ASMI）的较低20百分位数。每个参与者的计算的定量超声扫描，T得分≤？ 1.0用于识别骨质增生/骨质疏松症（OP）的患病率。我们将人分为四组：仅肥胖（O），骨质肥胖症（OO），嗜睡性肥胖（SO）和骨抑郁症（OSO）。我们通过握力，4米的步行测试（WS）和定时和去测试（Tugt）来评估物理性能。结果：共有303名参与者已完成数据（89名男性，214名女性;平均年龄为68.8±6.0岁）。 OSO的患病率为10.2％（男性：15.70％，女性：7.9％）。在多次调整后，与男性o组（平均值95％Ci为0.84（0.69,0.99））和女性（平均值95％Ci为0.93（0.84,1.02）），WS在OSO组中显着下降。 TUGT在男性中显着较差（平均值95％CI为13.3（10.6,15.9）），与O组相比，妇女（平均值95％CI为12.4（11.2,13.7））。此外，与OO集团相比，女性中的OSO组也具有明显较差的Tugt。握持强度的结果在与O群相比（平均值95％CI）与O组相比时，握力显着下降（平均值95％CI（14.5,18.2）和16.1（13.9,18.3））。但男性握力的结果表明，任何组都没有显着差异。结论：在中国社区住宅的老年人中，较慢的WS和较低的余额函数与男性和女性的OSO相关。较低的抓握力与女性中的和oso有关。

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