Sarcopenia Exacerbates Obesity-Associated Insulin Resistance and Dysglycemia: Findings from the National Health and Nutrition Examination Survey III
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{"title"=>"Sarcopenia exacerbates obesity-associated insulin resistance and dysglycemia: Findings from the national health and nutrition examination survey III", "type"=>"journal", "authors"=>[{"first_name"=>"Preethi", "last_name"=>"Srikanthan", "scopus_author_id"=>"6506093897"}, {"first_name"=>"Andrea L.", "last_name"=>"Hevener", "scopus_author_id"=>"6602618981"}, {"first_name"=>"Arun S.", "last_name"=>"Karlamangla", "scopus_author_id"=>"8055242300"}], "year"=>2010, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"359515751", "sgr"=>"77956525248", "pmid"=>"22421977", "scopus"=>"2-s2.0-77956525248", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0010805", "issn"=>"19326203"}, "id"=>"55c29cfe-d346-34a0-bb28-336fbd1c8d0e", "abstract"=>"BACKGROUND Sarcopenia often co-exists with obesity, and may have additive effects on insulin resistance. Sarcopenic obese individuals could be at increased risk for type 2 diabetes. We performed a study to determine whether sarcopenia is associated with impairment in insulin sensitivity and glucose homeostasis in obese and non-obese individuals. METHODOLOGY We performed a cross-sectional analysis of National Health and Nutrition Examination Survey III data utilizing subjects of 20 years or older, non-pregnant (N = 14,528). Sarcopenia was identified from bioelectrical impedance measurement of muscle mass. Obesity was identified from body mass index. Outcomes were homeostasis model assessment of insulin resistance (HOMA IR), glycosylated hemoglobin level (HbA1C), and prevalence of pre-diabetes (6.0≤ HbA1C<6.5 and not on medication) and type 2 diabetes. Covariates in multiple regression were age, educational level, ethnicity and sex. PRINCIPAL FINDINGS Sarcopenia was associated with insulin resistance in non-obese (HOMA IR ratio 1.39, 95% confidence interval (CI) 1.26 to 1.52) and obese individuals (HOMA-IR ratio 1.16, 95% CI 1.12 to 1.18). Sarcopenia was associated with dysglycemia in obese individuals (HbA1C ratio 1.021, 95% CI 1.011 to 1.043) but not in non-obese individuals. Associations were stronger in those under 60 years of age. We acknowledge that the cross-sectional study design limits our ability to draw causal inferences. CONCLUSIONS Sarcopenia, independent of obesity, is associated with adverse glucose metabolism, and the association is strongest in individuals under 60 years of age, which suggests that low muscle mass may be an early predictor of diabetes susceptibility. Given the increasing prevalence of obesity, further research is urgently needed to develop interventions to prevent sarcopenic obesity and its metabolic consequences.", "link"=>"http://www.mendeley.com/research/sarcopenia-exacerbates-obesityassociated-insulin-resistance-dysglycemia-findings-national-health-nut-3", "reader_count"=>108, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>7, "Researcher"=>15, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>8, "Student > Master"=>17, "Other"=>8, "Student > Bachelor"=>15, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>8}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>7, "Researcher"=>15, "Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>8, "Student > Master"=>17, "Other"=>8, "Student > Bachelor"=>15, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1, "Professor"=>8}, "reader_count_by_subject_area"=>{"Unspecified"=>10, "Biochemistry, Genetics and Molecular Biology"=>7, "Nursing and Health Professions"=>7, "Materials Science"=>1, "Agricultural and Biological Sciences"=>18, "Medicine and Dentistry"=>56, "Neuroscience"=>1, "Sports and Recreations"=>6, "Veterinary Science and Veterinary Medicine"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>56}, "Neuroscience"=>{"Neuroscience"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>6}, "Psychology"=>{"Psychology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>18}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>7}, "Unspecified"=>{"Unspecified"=>10}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>1}}, "reader_count_by_country"=>{"South Korea"=>1, "United States"=>1, "Ireland"=>1, "Japan"=>1, "Brazil"=>1, "United Kingdom"=>1, "Italy"=>1, "Mexico"=>2}, "group_count"=>3}

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/847452"], "description"=>"1<p>Ratio of HOMA IR in sarcopenic obese group to HOMA IR in reference group (neither sarcopenic nor obese) where HOMA IR is the Homeostatic Model Assessment of Insulin Resistance.</p>2<p>Ratio of HbA1C in sarcopenic obese group to HbA1C in reference group (neither sarcopenic nor obese) where HbA1C is the blood level of glycosylated hemoglobin.</p>3<p>Pre-diabetes is defined as a 1) HbA1C ≥6% but <6.5%, OR fasting glucose ≥5.5 but <7 mmol/L, 2)no self-reported DM, <b><u>and</u></b> 3) absence of DM medications.</p>", "links"=>[], "tags"=>["insulin", "dysglycemia", "sarcopenic", "adjusted"], "article_id"=>517910, "categories"=>["Chemistry", "Computational Biology", "Virology"], "users"=>["Preethi Srikanthan", "Andrea L. Hevener", "Arun S. Karlamangla"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0010805.t002", "stats"=>{"downloads"=>3, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Associations_of_insulin_resistance_and_dysglycemia_with_sarcopenia_obesity_and_sarcopenic_obesity_adjusted_for_age_sex_race_and_education_/517910", "title"=>"Associations of insulin resistance and dysglycemia with sarcopenia, obesity, and sarcopenic obesity, adjusted for age, sex, race, and education.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 01:12:45"}
  • {"files"=>["https://ndownloader.figshare.com/files/847428"], "description"=>"<p>*Those in the NHANES III sample who were older than 20 years and not pregnant, but were excluded because they were missing bioelectrical impedance or body mass index measurement.</p>", "links"=>[], "tags"=>["inter-quartile"], "article_id"=>517885, "categories"=>["Chemistry", "Computational Biology", "Virology"], "users"=>["Preethi Srikanthan", "Andrea L. Hevener", "Arun S. Karlamangla"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0010805.t001", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Descriptive_statistics_median_with_inter_quartile_range_or_percentage_/517885", "title"=>"Descriptive statistics (median with inter-quartile range, or percentage).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 01:12:36"}
  • {"files"=>["https://ndownloader.figshare.com/files/847359"], "description"=>"1<p>Ratio of HOMA IR in sarcopenic obese group to HOMA IR in reference group (neither sarcopenic nor obese) where HOMA IR is the Homeostatic Model Assessment of Insulin Resistance.</p>2<p>Ratio of HbA1C in sarcopenic obese group to HbA1C in reference group (neither sarcopenic nor obese) where HbA1C is the blood level of glycosylated hemoglobin.</p>3<p>Pre-diabetes is defined as a 1) HbA1C ≥6% but <6.5%, OR fasting glucose ≥5.5 but <7 mmol/L, 2) no self-reported DM, <b><u>and</u></b> 3) absence of DM medications.</p>", "links"=>[], "tags"=>["insulin", "dysglycemia", "sarcopenic", "adults", "younger", "60", "adjusted"], "article_id"=>517814, "categories"=>["Chemistry", "Computational Biology", "Virology"], "users"=>["Preethi Srikanthan", "Andrea L. Hevener", "Arun S. Karlamangla"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0010805.t004", "stats"=>{"downloads"=>6, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Associations_of_insulin_resistance_and_dysglycemia_with_sarcopenia_obesity_and_sarcopenic_obesity_in_adults_younger_than_60_years_adjusted_for_age_sex_race_and_education_/517814", "title"=>"Associations of insulin resistance and dysglycemia with sarcopenia, obesity, and sarcopenic obesity, in adults younger than 60 years, adjusted for age, sex, race, and education.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-21 01:12:11"}
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Relative Metric

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