Sarcopenia and sarcopenic obesity (SO) have a greater impact on the elderly. This study aimed to explore whether there were sex differences in the prevalence and adverse outcomes of sarcopenia and SO in community-dwelling elderly individuals in East China. This was a cross-sectional study that enrolled 213 males and 418 females aged > 65 years. Demographic characteristics, body composition, hand grip, gait speed, and indices of glucose and lipid metabolism were collected. Sarcopenia and SO were diagnosed using the Asian Working Group for Sarcopenia criteria. (1) The prevalence of sarcopenia was 19.2% in males and 8.6% in females. The prevalence of SO was 7.0% in males and 2.4% in females. (2) In males, the odds ratios (ORs) of osteoporosis and dyslipidemia in the SO group were 4.21-fold and 4.15-fold higher than those in the normal group, respectively. In females, the ORs of osteoporosis and hyperglycemia in the SO group were 1.12-fold and 4.21-fold higher than those in the normal group. Males were more likely to be sarcopenic and to have SO than females using the AWGS criteria. Females with SO were more likely to have higher blood glucose, whereas males with SO were more likely to have osteoporosis and dyslipidemia.

中文翻译：

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使用 AWGS 标准分析华东地区社区老年人肌少症和肌少症肥胖的患病率和不良后果的性别差异


少肌症和少肌症肥胖（SO）对老年人的影响更大。本研究旨在探讨华东地区社区老年人肌少症和SO的患病率和不良后果是否存在性别差异。这是一项横断面研究，招募了 213 名男性和 418 名女性，年龄 > 65 岁。收集人口统计学特征、身体成分、握力、步态速度以及糖脂代谢指数。肌肉减少症和 SO 是使用亚洲肌肉减少症工作组标准诊断的。 (1)肌肉减少症的患病率为男性19.2%，女性8.6%。 SO患病率男性为7.0%，女性为2.4%。 (2)在男性中，SO组骨质疏松和血脂异常的比值比(OR)分别是正常组的4.21倍和4.15倍。在女性中，SO组骨质疏松和高血糖的OR分别是正常组的1.12倍和4.21倍。根据 AWGS 标准，男性比女性更有可能出现肌肉减少症和 SO。患有SO的女性更有可能出现较高的血糖，而患有SO的男性则更有可能患有骨质疏松症和血脂异常。