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KMID : 1200020200440030446
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Diabetes & Metabolism Journal
2020 Volume.44 No. 3 p.446 ~ p.457
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Association between the Thigh Muscle and Insulin Resistance According to Body Mass Index in Middle-Aged Korean Adults
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Heo Ji-Eun
Shim Jee-Seon
Lee Ho-Kyou
Kim Hyeon-Chang
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Abstract
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Background: We examined the associations between thigh muscle area (TMA) and insulin resistance (IR) according to body mass index (BMI) in middle-aged Korean general population.
Methods: TMA was measured using quantitative computed tomography and corrected by body weight (TMA/Wt) in 1,263 men, 788 premenopausal women, and 1,476 postmenopausal women all aged 30 to 64 years. The tertiles of TMA/Wt were calculated separately for men and for premenopausal and postmenopausal women. Homeostatic model assessment for insulin resistance (HOMA-IR) was performed using fasting blood glucose and insulin levels, and increased IR was defined according to sex-specific, top quartiles of HOMA-IR. Associations between the TMA/Wt tertiles and increased IR according to the BMI categories (<25 and ≥25 kg/m2) were assessed using multivariable logistic regression analysis.
Results: In men with higher BMIs, but not in those with lower BMIs, the presence of an increased IR had significantly higher odds ratios in the lower TMA/Wt tertiles, even after adjustment for visceral fat area. However, in premenopausal and postmenopausal women, there was no significant inverse association between TMA/Wt tertiles and increased IR, regardless of BMI category.
Conclusion: Our findings suggest that the thigh muscle is inversely associated with IR in men, particularly in those with higher BMIs.
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KEYWORD
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Body composition, Insulin resistance, Muscles, Sarcopenia, Tomography, X-ray computed
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