Association of lifestyle factors and inflammation with sarcopenic obesity: data from the PREDIMED-Plus trial

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  • dc.contributor.author Abete, Itziar
  • dc.contributor.author Goday Arno, Alberto
  • dc.contributor.author Martínez, José Alfredo
  • dc.contributor.author PREDIMED-PLUS investigators
  • dc.date.accessioned 2020-02-06T07:26:42Z
  • dc.date.available 2020-02-06T07:26:42Z
  • dc.date.issued 2019
  • dc.description.abstract Background: Sarcopenia is a progressive age-related skeletal muscle disorder associated with increased likelihood of adverse outcomes. Muscle wasting is often accompanied by an increase in body fat, leading to 'sarcopenic obesity'. The aim of the present study was to analyse the association of lifestyle variables such as diet, dietary components, physical activity (PA), body composition, and inflammatory markers, with the risk of sarcopenic obesity. Methods: A cross-sectional analysis based on baseline data from the PREDIMED-Plus study was performed. A total of 1535 participants (48% women) with overweight/obesity (body mass index: 32.5 ± 3.3 kg/m2 ; age: 65.2 ± 4.9 years old) and metabolic syndrome were categorized according to sex-specific tertiles (T) of the sarcopenic index (SI) as assessed by dual-energy X-ray absorptiometry scanning. Anthropometrical measurements, biochemical markers, dietary intake, and PA information were collected. Linear regression analyses were carried out to evaluate the association between variables. Results: Subjects in the first SI tertile were older, less physically active, showed higher frequency of abdominal obesity and diabetes, and consumed higher saturated fat and less vitamin C than subjects from the other two tertiles (all P < 0.05). Multiple adjusted linear regression models evidenced significant positive associations across tertiles of SI with adherence to the Mediterranean dietary score (P-trend < 0.05), PA (P-trend < 0.0001), and the 30 s chair stand test (P-trend < 0.0001), whereas significant negative associations were found with an inadequate vitamin C consumption (P-trend < 0.05), visceral fat and leucocyte count (all P-trend < 0.0001), and some white cell subtypes (neutrophils and monocytes), neutrophil-to-lymphocyte ratio, and platelet count (all P-trend < 0.05). When models were additionally adjusted by potential mediators (inflammatory markers, diabetes, and waist circumference), no relevant changes were observed, only dietary variables lost significance. Conclusions: Diet and PA are important regulatory mediators of systemic inflammation, which is directly involved in the sarcopenic process. A healthy dietary pattern combined with exercise is a promising strategy to limit age-related sarcopenia.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Abete I, Konieczna J, Zulet MA, Galmés-Panades AM, Ibero-Baraibar I. et al. Association of lifestyle factors and inflammation with sarcopenic obesity: data from the PREDIMED-Plus trial. J Cachexia Sarcopenia Muscle. 2019 Oct;10(5):974-84. DOI: 10.1002/jcsm.12442
  • dc.identifier.doi http://dx.doi.org/10.1002/jcsm.12442
  • dc.identifier.issn 2190-5991
  • dc.identifier.uri http://hdl.handle.net/10230/43496
  • dc.language.iso eng
  • dc.publisher Wiley
  • dc.rights c) 2019 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of the Society on Sarcopenia, Cachexia and Wasting Disorders Journal of Cachexia, Sarcopenia and Muscle (2019) Published online in Wiley Online Library (wileyonlinelibrary.com) DOI:10.1002/jcsm.12442This is an open access article under the terms of the Creative Commons Attribution-Non Commercial License, https://creativecommons.org/licenses/by-nc/4.0/ which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri https://creativecommons.org/licenses/by-nc/4.0/
  • dc.subject.keyword Leucocyte count
  • dc.subject.keyword Mediterranean diet score
  • dc.subject.keyword Physical activity
  • dc.subject.keyword Sarcopenic index
  • dc.subject.keyword Systemic inflammation
  • dc.subject.keyword Visceral fat
  • dc.title Association of lifestyle factors and inflammation with sarcopenic obesity: data from the PREDIMED-Plus trial
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

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