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KMID : 1039620230130010023
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Korean Journal of Family Practice
2023 Volume.13 No. 1 p.23 ~ p.30
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Relationship between Body Composition and Arterial Stiffness in Korean Adults
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Jang Hye-Jin
Koh Hyun-Min
Jang Ji-Yong
Lee Hae-Jeong
Moon Jin-Sook
Ji Jeong-Min
Lee An-Na
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Abstract
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Background: This study is aimed to evaluate the relationship between sarcopenic obesity and atherosclerosis in Korean adults.
Methods: We studied 7,177 participants who visited the health promotion center of a university hospital between July 2019 and December 2020. Weassessed the brachial-ankle pulse wave velocity (baPWV) to analyze the relationships between skeletal muscle mass index and visceral fat area toatherosclerosis and atherosclerotic risk factors. The participants were divided into four groups according to appendicular skeletal mass index (ASMI)and visceral fat area (VFA): normal, sarcopenia, obesity, and sarcopenic obesity. The baPWV values were compared among the male and femaleseparately using analysis of variance. Analysis of covariance was performed to correct for age, smoking, exercise status, and disease. The relationshipbetween body composition index and baPWV was analyzed using Pearson correlation coefficient.
Results: The mean baPWV of the four groups were significantly different for male and female (P<0.05), and the sarcopenic obesity group had asignificantly higher baPWV (P<0.05). Among the male, the baPWV of the sarcopenic obesity group (1,487.2 cm/s) was highest after the adjustmentfor age, smoking status, exercise status, hypertension, diabetes, and hyperlipidemia (P<0.05). In female however, after the adjustment for age, thebaPWV of the obesity group was 1,293.1 cm/s, higher than that of the sarcopenic obesity group (1,279.6 cm/s). The tendency was maintained afterthe adjustment for lifestyle and disease.
Conclusion: This study showed that sarcopenic obesity, a known risk factor for cardiovascular disease, and increased baPWV were independentlycorrelated. Further studies are required to evaluate the effect of increased muscle mass on the prevention of atherosclerosis or cardiovascular events.
Finally, we suggest using a bioimpedance method to diagnose sarcopenic obesity in the primary care setting.
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KEYWORD
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Sarcopenia, Obesity, Atherosclerosis, Cardiovascular Risk, Arterial Stiffness
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