健康研究2024，Vol.44Issue(6)：701-705,710,6.DOI:10.19890/j.cnki.issn1674-6449.2024.06.020
不同诊断标准判定体检人群肌少性肥胖患病率的差异分析
Investigation and analysis on the prevalence of sarcopenic obesity in the people performing medical examination with different diagnostic criteria
摘要
Abstract
Objective To investigate the prevalence of sarcopenic obesity(SO)in the physical examination population over 40 years old using different diagnostic criteria,and to explore the SO diagnostic criteria suitable for the middle-aged and elderly population in China.Methods A total of 10 312 physical examination participants aged 40-89 were recruited,and data were collected through physical examination and body composition analysis.Kappa analysis was used to explore the consistency of SO diagnosis in the over-40 physical examination population using three combinations of appendicular skeletal muscle mass index(ASMI)with body mass index(BMI),waist circumference(WC),and body fat percent(BFP).Pearson correlation analysis was employed to observe the relationship between ASMI and BMI,WC,and BFP.Results When using BMI and ASMI to determine SO,the prevalence of SO was 1.33%in males and 0.86%in females;among the 80-89 age group,the prevalence was 6.67%in males and 11.54%in females.When using WC and ASMI to determine SO,the prevalence was 0.89%in males and 0.90%in females;among the 80-89 age group,the prevalence was 1.67%in males and 5.77%in females.When using BFP and ASMI to determine SO,the prevalence was 5.10%in males and 3.76%in females;among the 80-89 age group,the prevalence was 27.78%in males and 25.00%in females.The consistency between the BMI+ASMI combination and WC+ASMI combination in detecting SO was moderate,and both combinations had poor consistency with the BFP+ASMI combination in determining SO.Conclusions There is a significant difference in the prevalence of SO determined by different diagnostic criteria,and the BFP+ASMI combination may be more suitable for SO diagnosis in the Chinese population under 40 years.关键词
肌少性肥胖/患病率/诊断标准/调查Key words
sarcopenic obesity/prevalence/diagnostic criteria/investigation分类
医药卫生引用本文复制引用
罗希,金薇薇..不同诊断标准判定体检人群肌少性肥胖患病率的差异分析[J].健康研究,2024,44(6):701-705,710,6.基金项目
浙江省中医药科技计划项目(2024ZL349) （2024ZL349）
