Association of a Combination of Sarcopenia and Type 2 Diabetes with Blood Parameters, Nutrient Intake, and Physical Activity: A Nationwide Population-Based Study
- PMID: 38068813
- PMCID: PMC10707809
- DOI: 10.3390/nu15234955
Association of a Combination of Sarcopenia and Type 2 Diabetes with Blood Parameters, Nutrient Intake, and Physical Activity: A Nationwide Population-Based Study
Abstract
This study aimed to investigate the association of sarcopenia and type 2 diabetes (T2D) with blood parameters, nutrient intake, and physical activity in older Korean adults. We divided 2952 participants into four groups: sarcopenic diabetes (SD), sarcopenia alone (S), diabetes alone (D), and non-sarcopenia and non-diabetes (NSND). Sarcopenia was defined by the appendicular skeletal muscle mass index, and T2D by fasting glucose levels or ongoing treatment. Blood samples were collected after an 8-h fast. Nutrient intake was assessed using a 24-h recall; physical activity was evaluated using a questionnaire. Compared with those in the other groups, the men in the S and SD groups showed significantly lower hemoglobin and hematocrit levels; vitamin D levels in men and parathyroid hormone levels in women were significantly lower in the SD group. Total energy, protein, and carbohydrate intakes were significantly lower in the SD and S groups than those in the D and NSND groups. Physical inactivity was significantly more common in the SD group (men: odds ratio, 1.61; women: odds ratio, 2.37) than in the NSND group. A combination of sarcopenia and diabetes as well as sarcopenia alone was associated with low levels of blood parameters, poor nutrient intake, and low physical activity.
Keywords: blood parameters; diabetes; nutritional status; older adults; physical activity; sarcopenia.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Sun H., Saeedi P., Karuranga S., Pinkepank M., Ogurtsova K., Duncan B.B., Stein C., Basit A., Chan J.C.N., Mbanya J.C., et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res. Clin. Pract. 2022;183:109119. doi: 10.1016/j.diabres.2021.109119. - DOI - PMC - PubMed
-
- Mayhew A.J., Amog K., Phillips S., Parise G., McNicholas P.D., de Souza R.J., Thabane L., Raina P., Raina P. The prevalence of sarcopenia in community-dwelling older adults, an exploration of differences between studies and within definitions: A systematic review and meta-analyses. Age Ageing. 2019;48:48–56. doi: 10.1093/ageing/afy106. - DOI - PubMed
-
- Mithal A., Bonjour J.P., Boonen S., Burckhardt P., Degens H., El Hajj Fuleihan G., Josse R., Lips P., Morales Torres J., Rizzoli R., et al. Impact of nutrition on muscle mass, strength, and performance in older adults. Osteoporos. Int. 2013;24:1555–1566. doi: 10.1007/s00198-012-2236-y. - DOI - PubMed
-
- Ispoglou T., Wilson O., McCullough D., Aldrich L., Ferentinos P., Lyall G., Stavropoulos-Kalinoglou A., Duckworth L., Brown M.A., Sutton L., et al. A Narrative Review of Non-Pharmacological Strategies for Managing Sarcopenia in Older Adults with Cardiovascular and Metabolic Diseases. Biology. 2023;12:892. doi: 10.3390/biology12070892. - DOI - PMC - PubMed
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical