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Influence of severe sarcopenia on cardiovascular risk factors in nonobese men

Takashi Abe1, Robert S Thiebaud, Jeremy P Loenneke

  • 1Department of Health, Exercise Sciences & Recreation Management, University of Mississippi, Oxford, MS 38677, USA. t12abe@gmail.com

Insights

Severe and moderate sarcopenia may impact high-density lipoprotein cholesterol (HDL-C) levels, though values remain within normal clinical ranges. This study investigated sarcopenia

Area of Science:

  • Gerontology and Geriatric Medicine
  • Cardiovascular Health
  • Metabolic Health

Background:

  • The impact of severe sarcopenia on cardiovascular risk factors remains largely unknown.
  • This study aimed to investigate the relationship between sarcopenia severity and cardiovascular risk markers in men.
  • Exclusion criteria included clinically relevant diseases and high body fat percentage (>25%) to focus on sarcopenia's effects.

Purpose of the Study:

  • To examine the influence of severe and moderate sarcopenia on selected cardiovascular risk factors in middle-aged and older men.
  • To assess how skeletal muscle mass index (SM) relates to lipid profiles and blood pressure.

Main Methods:

  • Sarcopenia was defined using skeletal muscle mass (SM) index: 1-2 SD below mean (moderate) or <2 SDs below mean (severe).
  • Ultrasound measured subcutaneous fat and muscle thickness to estimate SM, body fat percentage, and fat-free mass.
  • Fasting blood samples analyzed serum total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-C); blood pressure was also measured.

Main Results:

  • Total cholesterol (TC) was lower in moderate and severe sarcopenia groups compared to the normal group.
  • The TC:HDL-C ratio was lower in both sarcopenia groups.
  • After adjusting for covariates, HDL-C was lower in sarcopenia groups, with a high prevalence of moderate HDL-C in these groups.

Conclusions:

  • Moderate and severe sarcopenia appear to influence high-density lipoprotein cholesterol (HDL-C) levels.
  • Despite observed influences, HDL-C levels in sarcopenic men remained within clinically normal ranges.
  • Further research is warranted to understand the clinical implications of these findings.
Abstract

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