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E u r o p e a n C o n g r e s s o n
Obesity and
Eating Disorder
Obesity 2018
Journal of Obesity & Eating Disorders
ISSN 2471-8203
A p r i l 1 2 - 1 3 , 2 0 1 8
Am s t e r d a m , N e t h e r l a n d s
Page 51
Background:
Most patients with type 2 diabetes (T2D) have
an excess of body weight. Risk of sarcopenia is higher
and it occurs earlier than in people without diabetes.
Identification of sarcopenic obesity in patients with T2D will
allow correcting recommendations for diet and exercise and
reducing cardiovascular risks.
Aim:
To assess quantitative composition of muscle and
adipose tissue in patients with T2D by dual-energy X-ray
absorptiometry (DRA) for diagnosis of sarcopenic obesity
using current and new sarcopenia criteria.
Material & Methods:
42 patients with T2D (12 men and 30
women), ≥50 years of age were included in the study. Body
composition was determined on DRA Discovery A (Hologic
USA). Fat mass index (FMI), appendicular lean mass index
(ALMI), T-score ALMI, T-score ALMI corrected for fat mass
and T-ALMI (FMI) corrected for fat mass were calculated.
Results:
Normal body weight was found in 2.4%, overweight
in 52.4% obesity in 45.2% according assessment of obesity by
FMI. Median of FMI was 11.91 (10.40; 13.78) kg/m2. Median
of ALMI was 7.99 (7.32; 9.05) kg/m2. Median T-score ALMI
was 2.32 (1.73; 3.08). There was a decrease in appendicular
muscle mass with increasing age. An inverse correlation was
found between age and T-score ALMI (r=-0.319 (р=0.020)).
According to the results of ALMI and T-score ALMI, we did not
identify patients with sarcopenia. However, the calculation of
Sarcopenic obesity in type 2 diabetes patients
Misnikova I V, Kovaleva Y U A, Klimina N A, Polyakova
E Y U and Dreval A V
Moscow Regional Research and Clinical Institute (MONIKI), Russia
J Obes Eat Disord 2018, Volume: 4
DOI: 10.21767/2471-8203-C1-009
the T-criteria, corrected for fat mass, led to an appearance of
patients (97.6%) who met criteria of sarcopenia (T-score <2)
and sarcopenic obesity was detected in 42.9% (n=18).
Conclusion:
Basedon current criteria for sarcopeniaof European
Working Group on Sarcopenia, there was no sarcopenic obesity
among overweight patients with T2D. However, after adjusting
T-ALMI by FMI 42.9%, patients met the sarcopenic obesity
criteria.
inna-misnikova@mail.ru