medigraphic.com

2015, Número 3

<< Anterior Siguiente >>

Rev Clin Esc Med 2015; 5 (3)


Conceptos básicos sobre obesidad sarcopénica en el adulto mayor

Zuñiga R

Idioma: Español
Referencias bibliográficas: 28
Paginas:
Archivo PDF: 207.76 Kb.


RESUMEN

La obesidad sarcopénica es una entidad clínica y fisiopatológica que implica discapacidad y riesgo de mortalidad. Su definición ha sidosujeto de consensopor “The European Working Group on Sarcopenia in Older People” (EWGSOP) y el “International Working Group on Sarcopenia” (IWGS). Gracias a los estudios realizados por Baumgartner y Janssen la estandarización del diagnóstico de sarcopenia ha sido determinada empleando el índice de masa apendicular en relación a talla( ASM/ht 2) y peso (ASM/Wt); basados en los análisis por densitometría dual por rayos X (DXA), e impedancia bioeléctrica (BIA). La obesidad se valora a través del índice de masa corporal y del porcentaje de grasa corporal. Metaanálisis recientes han estimado la incidencia de la obesidad sarcopénica entre el 2 y 20%. La obesidad sarcopénica se ha caracterizado por la resistencia a insulina e inflamación. El adipocito ha sido implicado en el mantenimiento de este proceso. Estudios han sugerido un abordaje e intervención basados en la composición corporal y el riesgo metabólico.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Fielding RA, Vellas B, Evans WJ, y col. Sarcopenia: An Undiagnosed Condition in Older Adults. Current Consensus Definition: Prevalence, Etiology, and Consequence;J Am Med Dir Assoc.; 2011; 12(4): 249–256. (Manuscrito del autor consultado en PubMed Central®)

  2. KimY; Chung Y; Lee D; y col. Prevalence of Sarcopenia and Sarcopenic Obesity in the Korean Population Based on the Fourth Korean National Health and Nutritional Examination Surveys. J Gerontol A BiolSci Med Sci.; 2012;67(10):1107–1113

  3. Baumgartner R; Koehler K; Gallagher D; y col. Epidemiology of Sarcopenia among the Elderly in New Mexico Am.J. Epidemiol; 1998;147:755-63.

  4. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, y col. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing; 2010;39(4):412-23.

  5. Abellan Van Kan G., Cedarbaum J.M.,Cesari M; y col. Sarcopenia: Biomarkers And Imaging (International Conference On Sarcopenia Research) The Journal of Nutrition, Health & Aging. 2011; 10: 834:846

  6. Donin L.M; Poggiogalle E; Migliaccio S; y col. Body composition in sarcopenic obesity: systematic review of the literature Mediterr. J. Nutr.Metab. 2013;6:191–198.

  7. Mathus-Vliegen E.M. Obesity and the Elderly J.Clin. Gastroenterol; 2012;46:533–544.

  8. Schaap L; Koster A; Visser M (2013) Adiposity, Muscle Mass, and Muscle Strength in Relation to Functional Decline in Older Persons Epidemiologic Reviews 2013

  9. Zoico E, Francesco V, Guralnik JM, y col (2004) Physical disability and muscular strength in relation to obesity and different body composition indexes in a sample of healthy elderly women International Journal of Obesity 28, 234–241

  10. Domiciano D;.Figueiredo C, Lopes J; OsteoporosInt (2013) 24:595–603 DOI 10.1007/s00198-012-2002-1 Discriminating sarcopenia in community-dwelling older women with high frequency of overweight/obesity: the São Paulo Ageing & Health Study (SPAH)

  11. Lipschitz DA. (1994) Screening for nutritional status in the elderly. Prim Care. ;21:55–67

  12. Kelly TL, Wilson KE, Heymsfield SB (2009) Dual Energy X-Ray Absorptiometry Body Composition Reference Values from NHANES. PLoS ONE 4(9): e7038. doi:10.1371/journal.pone.0007038

  13. Baumgartner RN, Wayne SJ, Waters DL, y col. (2004) Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obes Res.;12:1995–2004.

  14. EPIDOS Rolland Y, Lauwers-Cances V, Cristini C, y col (2009) Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic-obesity in community-dwelling elderly women: the EPIDOS (EPIDemiologie de l’OSteoporose) Study. Am J Clin Nutr;89:1895–900

  15. Gómez-Cabello A; G. Rodríguez V; Vila- Maldonado S; y col;(2012) Revisión, Envejecimiento y composición corporal: la obesidad sarcopénica en España Nutr Hosp.;27(1):22-30

  16. Kohara K, (2013)Sarcopenic obesity in aging population: current status and future directions for research Endocrine. DOI 10.1007/s12020- 013-9992-0

  17. Janssen I, Heymsfield SB, Ross R (2002). Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. J Am Geriatr Soc;50:889 – 896

  18. Prado C, Wells J, Smith SR;et al (2012) Review Sarcopenic obesity: A Critical appraisal of the current evidence Clinical Nutrition 31 583e601

  19. Narici M; Maffulli N; (2010) Sarcopenia: characteristics, mechanisms and functional significance. British Medical Bulletin 2010;95: 139–15

  20. StenholmS ., Harris T, Rantanen., Sarcopenic obesity - definition, etiology and consequences CurrOpinClinNutrMetab Care. 2008 November ; 11(6): 693–700

  21. Goodpaster B, Park S, HarrisT , y col (2006)The Loss of Skeletal Muscle Strength, Mass, and Quality in Older Adults: The Health,Aging and Body Composition Study. Journal of Gerontology: MEDICAL SCIENCES 2006, Vol. 61A, No. 10, 1059–1064

  22. Kohara K, Ochi M, Tabara Y, Nagai T, Igase M, y col. (2011) Leptin in Sarcopenic Visceral Obesity: Possible Link between Adipocytes and Myocytes. PLoS ONE 6(9): e24633. doi:10.1371/journal.pone.0024633

  23. Migliaccio, S Francomano D; Bruzziches R; y col, (2013)Trunk Fat Negatively Influences Skeletal and Testicular Functions in Obese Men: Clinical Implications for the Aging Male International Journal of Endocrinologyconsultado en 15 de enero de 2013en http://dx.doi.org/10.1155/2013/18275

  24. Reynolds S; Recent Developments in Obesity Research: Linkages between Obesity, Disability, and Physical Functioning CurrObes Rep.2013;2:267–274.

  25. Abbatecola A.M; Chiodini P; Gallo C; y col Pulse wave velocity is associated with muscle mass decline: Health ABC study AGE. 2012;34:469–478

  26. Strandberg T; Stenholm S; Strandberg A; y col (2013) The“ObesityParadox,”Frailty, Disability, and Mortality in Older Men: A Prospective, Longitudinal Cohort Study Am J Epidemiol. 2013;178(9):1452–1460

  27. Lim S; KimJ; YoonJ; y col Sarcopenic Obesity: Prevalence and Association With Metabolic Syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA) Diabetes Care; 2010;33:1652–1654.

  28. Waters D; Baumgartner R, Sarcopenia and Obesity ClinGeriatr Med 2011;27: 401–421




2020     |     www.medigraphic.com