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根据不同诊断方法和减肥手术候选人的切断点,sarcopenic肥胖的患病率

Elena González Arnáiz¹, Diana Ariadel Cobo¹, Brisamar Estébanez²

¹Department of Endocrinology and Nutrition, Complejo Asistencial Universitario de León, Gerencia de Salud de Castilla y León (SACYL), Alto de Nava s/n, 24071 León, Spain; Department of Biomedical Sciences, Institute of Biomedicine (IBIOMED), University of León, 24071 León, Spain.

Clinical nutrition (Edinburgh, Scotland)

|April 5, 2024

概括

肥胖症 (SO) 影响13%-23%的减肥手术候选人. 本研究根据ESPEN/EASO标准使用生物阻抗分析 (BIA) 和双能X射线吸收计 (DXA) 评估了SO的流行程度.

科学领域:

内分泌学在内分泌学.
老年学是一门学科.
肥胖医学肥胖医学

背景情况:

肥胖症 (SO) 的特点是肌肉质量低,肌肉强度低,脂肪过多.
肥胖手术候选人中SO的患病率尚未得到充分确立.
根据ESPEN/EASO标准,提供了SO的标准化定义.

研究的目的:

为了确定肥胖症候选人的肥胖症 (SO) 的患病率.
为了比较SO的诊断方法,包括生物阻抗分析 (BIA) 和双能X射线吸收计 (DXA).
根据ESPEN/EASO标准进行SO评估.

主要方法:

对124名成人减肥手术候选人的回顾性研究 (BMI ≥40 kg/m2或≥35 kg/m2并发症).
通过DXA (脂肪质量百分比) 评估的肥胖度.
肌肉力量是通过手握来衡量的.
肌肉质量由DXA (尾肌肉质量/体重) 和BIA (骨肌肉质量/体重) 确定.

主要成果:

在不同的诊断方法和切断点中,SO的患病率从13%到23%不等.
根据用于肌肉质量计算的特定BIA或DXA方程,患病率估计有所不同.
在诊断方法之间观察到良好的到非常好的一致性 (kappa值0.60.97).

结论:

肥胖手术候选人中SO的患病率很大,从13%到23%不等.
诊断方法和选择的切线点会影响SO流行率的估计.
BIA和DXA之间一致的协议表明它们对这个人群的SO评估有所用.

关键词:

脂肪质量脂肪质量肌肉质量肌肉质量肌肉质量肥胖问题肥胖问题萨尔科佩尼亚是什么意思萨尔科佩尼亚标本性肥胖症标本性肥胖症

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