scholarly journals Association of Sarcopenia with Osteopenia and Osteoporosis in Community-Dwelling Older Korean Adults: A Cross-Sectional Study

2021 ◽  
Vol 11 (1) ◽  
pp. 129
Author(s):  
Do-Youn Lee ◽  
Sunghoon Shin

Sarcopenia and bone disorders, such as osteopenia and osteoporosis, are common musculoskeletal disorders in older adults. Therefore, this study aimed to establish the association between sarcopenia and bone disorders such as osteoporosis and osteopenia according to sex. We analyzed 3077 participants from the 2008–2011 Korean National Health and Nutrition Examination Survey aged 65 years or older. After adjusting for all covariates, such as physical examinations, exercise, and nutrient intake (model 4), the odds ratios for the association between sarcopenia and bone disorders were 2.051 (95% confidence interval [CI]: 1.498–2.808) in osteopenia and 2.258 (95% CI: 1.584–3.218) in osteoporosis. However, when sex was analyzed separately, the odds ratio was significantly different in men (osteopenia—2.068, 95% CI: 1.462–2.924; osteoporosis—3.247, 95% CI: 1.953–5.399), but not in women. Therefore, the results of this study show an association between sarcopenia and bone disorders in older Korean adults. Sarcopenia is significantly related to osteopenia and osteoporosis, especially in men, when stratified by sex.

2021 ◽  
Author(s):  
Yun-Jeong Kim ◽  
Jae-Young Lee ◽  
Young Ku ◽  
Hyun-Jae Cho

Abstract BackgroundAlthough the presence of prosthetic restorations has been associated with plaque accumulation, gingivitis, and periodontitis, there is a lack of large epidemiological investigations providing credible evidence on the association of prosthetic crowns with periodontitis. The purpose of the study was to analyze the association between the number of prosthetic crowns and the presence of periodontitis.MethodsThis study was based on the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). A total of 12,689 participants over the age of 19 years were surveyed. Multivariate logistic regression analyses were used to identify the association between the number of prosthetic crowns and periodontitis after adjusting for potential confounders, including demographic variables, socio-economic characteristics, oral health-related variables, and oral and systemic clinical variables. ResultsThe odds ratio of periodontitis showed statistically significant differences in the anterior and posterior regions, and the prevalence of periodontal disease increased as the number of crown prostheses increased. Participants with 6–10 and 11 prosthetic crowns had 1.24 and 1.28 times higher prevalence of periodontitis, respectively, than patients with no prosthetic crown.ConclusionsThe results of this study show that the number of prosthetic crowns present in adults is related to the prevalence of periodontitis.


Author(s):  
Hana Moon ◽  
Hae-Jin Ko ◽  
A-Sol Kim

Elevated homocysteine (Hcy) levels and metabolic syndrome (MetS) are associated with chronic kidney disease (CKD). We investigated the combined effects of hyperhomocysteinemia (HHcy) and MetS on CKD among community-dwelling adults in an urban area of South Korea. We also identified the combination of HHcy and individual MetS components associated with the maximal risk of CKD. A retrospective cross-sectional study involving 19,311 health examinees between 2 January 2011 and 31 December 2015 was conducted. The participants were divided into four groups—namely, the HHcy−/MetS−, HHcy−/MetS+, HHcy+/MetS−, and HHcy+/MetS+ groups. CKD was defined as a low eGFR <60 mL/min/1.73 m2 or albuminuria. The HHcy+/MetS+ group had a higher risk of CKD than the HHcy−/MetS+ group (odds ratio (OR): 1.750, p = 0.002 for males; OR: 3.224, p < 0.001 for females). The HHcy+/MetS+ group had a higher CKD risk than the HHcy+/MetS− group; however, the difference was not statistically significant (OR: 1.070, p = 0.712 for males; OR: 1.847, and p < 0.074 for females). HHcy concurrent with MetS increased the CKD risk. Among the combinations of HHcy and MetS components, the coexistence of HHcy and central obesity had the greatest effect on CKD. Therefore, the timely detection and treatment of HHcy and MetS are important for preventing CKD.


Nutrients ◽  
2019 ◽  
Vol 11 (4) ◽  
pp. 795 ◽  
Author(s):  
Simon Rønnow Schacht ◽  
Mads Vendelbo Lind ◽  
Rasmus Bechshøft ◽  
Grith Højfeldt ◽  
Søren Reitelseder ◽  
...  

Suboptimal intake of nutrients is associated with adverse health outcomes. The current study investigated the risk of suboptimal macro and micronutrient intake and their potential determinants in a cross-sectional study of community-dwelling older Danish adults (65–81 years). Nutrient intake was obtained through a 3-day weighted dietary record and information on personal characteristics and attitudes towards specific foods and dietary habits and nutrition through questionnaires. Dietary Reference Values (DRV) from the Nordic Nutrition Recommendations were used for the assessment. Among 157 participants, 68% and 66% had risk of suboptimal intake of dietary fiber and saturated fatty acids (SFA). For mono-unsaturated fatty acids (MUFA) and poly-unsaturated fatty acids (PUFA), the numbers were 47% and 62%, respectively. Increased risk of suboptimal protein intake was estimated in 3 to 45% of the participants, depending on the criteria used for the DRV and of the mode of expressing protein intake. Fifty percent had intakes of alcohol above the maximum recommended intake. Risk of micronutrient inadequacy was particularly high for vitamin D and thiamine (80 and 45%, respectively). Total energy intake and attitude regarding healthy eating were associated with lower nutrient intake. The current study illustrates that there is room for improvements in the dietary quality of community dwelling older Danish adults.


2020 ◽  
Author(s):  
Zhenhong Zhang ◽  
Qiuzhen Wang ◽  
Tao Zhang ◽  
Enhui Zhao ◽  
Shihan Ding ◽  
...  

Abstract Background: Hypertension is a major risk factor for many chronic diseases and mortality. We carried out this study aimed to investigate the possible effects of the interaction of sex, age, BMI and race on the prevalence of hypertension. Methods: By using the data of a sample-adjusted 2656 women and 2515 men in the American National Health and Nutrition Examination Survey 2015-2016, we analyzed the interaction of sex, age, BMI and race by logistic regression. Hypertension was defined as an SBP ≥130 mmHg or DBP ≥80 mmHg or taking anti-hypertensive medication. Results: Totally, there were 2776 (53.68%) hypertensive patients. Interactions were found between sex and age, BMI and age, race and age. The adjusted odds ratio (aOR) for age 60-80 (aOR 19.26 [95% CI 14.14–26.23]) and 40 to 59 (4.56 [3.54–5.88]) were significantly higher than the reference group (age 20 to 39) in women, and also in men (6.44 [4.80–8.63]) and (2.84[2.23–3.61]), respectively. And this risk trend was consistent in the BMI group and the race group. Conclusion: Association between obesity and the risk of hypertension varies according to the age and race of the population and age had a stronger effect on hypertension in women than in men. Differences in age and race should be considered when providing corresponding antihypertensive measures. Although the exact mechanism of hypertension remains to be further studied, these findings suggested that early prevention and intervention measures can effectively reduce the risk of hypertension, especially in women.


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