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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.
Background:
It is unknown whether severe sarcopenia produces unfavorable effects on cardiovascular risk factors. To examine the influence of severe and moderate sarcopenia on selected cardiovascular risk factors, 687 men were screened; those exhibiting clinically relevant diseases and higher body fat percentage (>25% fat) were excluded. A total of 410 men aged 40-76 years (mean age 56.0 years) were used for data analyses.
Methods:
Sarcopenia was defined as a skeletal muscle mass (SM) index (muscle mass/height squared) of 1-2 standard deviations (SD) below (moderate) or <2 SDs below (severe) the mean for young adult men. Ultrasound-measured subcutaneous fat and muscle thicknesses were used to estimate the SM, percent body fat, and fat-free mass. Serum total cholesterol (TC) and high-density lipoprotein cholesterol (HDL-C) levels were determined using fasting blood samples. Systolic blood pressure and diastolic blood pressure were also measured.
Results:
HDL-C was similar among the groups, but TC was lower in severe and moderate sarcopenia groups compared to the normal group. As a result, the TC:HDL-C ratio was lower in the moderate and severe sarcopenia groups than in the normal group. After adjusting for age, body mass index (BMI), waist circumference, and percent body fat, HDL-C was lower in both sarcopenia groups compared to the normal group, but other parameters were similar among the groups. A low prevalence of high HDL-C and high prevalence of moderate HDL-C were observed in the severe and the moderate sarcopenia groups.
Conclusion:
Our results suggest that moderate and severe sarcopenia may influence the HDL-C level, although the values are still maintained in the clinically normal range.
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