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Table 1 Characteristics of 23 prospective cohort studies included into the present meta-analysis

From: Association of sarcopenic obesity with the risk of all-cause mortality among adults over a broad range of different settings: a updated meta-analysis

 

Year

country

Duration of follow up

Sample size

sex

Age rang (years)

Sarcopenic obesity

Adjustments

Stenholm

2014

Finland

33

3594

mixed

≥50

BMI ≥ 30 kg/m2, MS < 42 and 23 kp for men and women below 69 years, respectively; MS < 28 and 18 for men and women aged 70 y, respectively

Age, sex, education, smoking, alcohol use, physical activity hypertension, cardiovascular disease, diabetes and cancer

Hirani

2017

Australian

5

917

men

76.9 ± 5.5

(ALM/BMI) less than 0.789 for men, Obesity: (fat mass > 30.0%)

age, income, smoking status, physical activity, no of comorbidities, dementia, myocardial infarction, ADL disability, polypharmacy, white cell

count and haemoglobin levels

Atkins

2014

UK

11.3

4252

men

60–79

WC > 102 cm and MAMC ≤25.9 cm

Age, smoking, alcohol, occupational social class, physical activity prevalent MI, prevalent stroke, HDL, SBP, FEV1, CRP, D-dimer, vWF, weight loss

Atkins

2014

UK

11.3

4252

men

60–79

FFMI ≤16.7 kg/m2 and FMI >11.1 kg/m2

Age, smoking, alcohol, occupational social class, physical activity prevalent MI, prevalent stroke, HDL, SBP, FEV1, CRP, D-dimer, vWF, weight loss

Batsis

2014

USA

14.3

2283

men

≥60

BF ≥ 27% and SMMI ≤10.75 kg/m2

Age, sex, ethnicity, hypertension, diabetes mellitus, osteoporosis, congestive heart failure, non-skin cancer, arthritis coronary artery disease, physical activity, self-reported health, smoking status and mobility limitation

Batsis

2014

USA

14.3

2369

women

≥60

BF ≥ 38% and SMMI ≤6.75 kg/m2

Age, sex, ethnicity, hypertension, diabetes mellitus, osteoporosis, congestive heart failure, non-skin cancer, arthritis coronary artery disease, physical activity, self-reported health, smoking status and mobility limitation

Batsis JA

2017

USA

8.5

2453

man

71.1 ± 0.19

LLM as an ALM below 19.75 kg in men body fat 25% or above in men

age, race, poverty income ratio, and smoking, diabetes mellitus, congestive heart failure, non-skin cancer, coronary artery disease,

arthritis, physical activity, and smoking status

Batsis JA

2017

USA

8.5

2531

women

71.1 ± 0.19

and below 15.02 kg in women BF d ≥ 35% in men

age, race, poverty income ratio, and smoking, diabetes mellitus, congestive heart failure, non-skin cancer, coronary artery disease,

arthritis, physical activity, and smoking status

Hamer M

2017

UK

8

6864

mixed

66.2 ± 9.5

(BMI ≥30) grip strength (35.3 kg for men and 19.6 kg for women)

age, sex, physical activity, smoking, wealth,

depressive symptoms, and chronic illnesses

Sanade a

2018

Japen

11.7

2309

men

71–93

WC ≥ 85 cm and SMI <7.77 kg/m2

Age, education, marital status, hypertension, diabetes mellitus, pack-years smoking, alcohol intake, total cholesterol, and physical activityIndex, Cognitive Abilities Screening Instrument (CASI) score

Sanade b

2018

Japen

11.7

2309

men

71–93

BF ≥ 20 and SMI <7.77 kg/m2

Age, education, marital status, hypertension, diabetes mellitus, pack-years smoking, alcohol intake, total cholesterol, and physical activity Index, Cognitive Abilities Screening Instrument (CASI) score

Sanade c

2018

Japen

11.7

2309

men

71–93

BMI ≥ 25 and SMI <7.77 kg/m2

Age, education, marital status, hypertension, diabetes mellitus, pack-years smoking, alcohol intake, total cholesterol, and physical activity Index, Cognitive Abilities Screening Instrument (CASI) score

Liu

2014

China

3

680

men

82.5 ± 4.7

central obesity (WC of 90 cm or greater) and sarcopenia (surrogated by low handgrip strength < 22.5 kg)

Not available

Lodewick

2015

Netherlands

7

171

Mixed gender

64

Body fat: > 44.4% for women

and > 35.7% for men.

L3 skeletal muscle index < 41 cm2/m2 in women, < 43 cm2/m2 in men

Not available

Hara

2016

Japen

6

161

Mixed gender

> 65

visceral fat area (VFA)at 100 cm2 for visceral obesity

sarcopenia was skeletal muscle mass at 1.7 kg/m2 for men and 1.2 kg/m2 for women

Not available

Itoh

2016

Japen

12

153

Mixed gender

 

SVR, Skeletal muscle mass-to-visceral fat area ratio

Not available

Montano-Laza

2016

Canada

13

457

Mixed gender

57

Sarcopenia:(L3 SMI: ≤41 cm2/m2 for women and ≤ 53 cm2/m2 for men with BMI ≥25 and ≤ 43 cm2/m2 in patients with BMI < 25).

overweight or obesity: (BMI > 25 kg/m2)

Not available

kobayashi

2017

Japen

10

522

Mixed

67.6 (9.60)

SMI were defined as 40.31 cm2/m2 in males and 30.88 cm2/m2 in females.

Visceral obesity: visceral adipose tissue area was ≥100 cm2

AFP, DCP, tumor differentiation, TNM stage, surgical procedure, operative blood loss, and SO. Tumor size, number of tumor

Androga

2017

USA

7

10,515

Mixed

63.4 (0.9)

Sarcopenia was defined as ASMI of < 5.45 kg/m2 in women and < 7.26 kg/m2 in men.

Obesity: percentage of total body fat (TBF) greater than 42.1% for women and 29.6% for men.

age, sex, race/ethnicity, education level, activity level, smoking status, diagnosis of diabetes mellitus, hypertension, cardiovascular disease, history of cancer (other than nonmelanoma skin cancer), eGFR categories, log-transformed urine albumincreatinine ratio, serum albumin, log-transformed C-reactive protein

Androga

2017

USA

7

1101

Mixed

63.4 (0.9)

Sarcopenia was defined as ASMI of < 5.45 kg/m2 in women and < 7.26 kg/m2 in men.

Obesity: percentage of total body fat (TBF) greater than 42.1% for women and 29.6% for men.

age, sex, race/ethnicity, education level, activity level, smoking status, diagnosis of diabetes mellitus, hypertension, cardiovascular disease, history of cancer (other than nonmelanoma skin cancer), eGFR categories, log-transformed urine albumincreatinine ratio, serum albumin, log-transformed C-reactive protein

Rier

2017

Netherlands

4

380

Mixed

58 ± 11.3

BMI ≥ 30

Low muscle mass (LMM) was defined as a SMI of 41 cm2/m2

Age body mass index year of diagnosis disease free interval metastatic location.

Palmela

2017

Portugal

2

48

Mixed

69.3 ± 9.1

SMI lower than 41 cm2/m2 in women or lower than 43 cm2/m2 in men with BMI < 25 kg/m2 and < 53 cm2/m2 in men with BMI ≥25 kg/m2.

BMI ≥25 kg/m2 as obesity

Not available

Ji

2018

China

4

236

Mixed

≥65

Skeletal muscle index: 40.8 cm2/m2 for male and 34.9 cm2/m2 for female

Visceral obesity visceral adipose tissue ≥100cm2

Age, use of vasopressor,mixed organism, and sequential organ failure assessment score.