Skip to main content
Log in

A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors

  • Original Article
  • Published:
European Journal of Applied Physiology Aims and scope Submit manuscript

Abstract

In this study of Japanese men and women, we determine reference values for sarcopenia and test the hypothesis that sarcopenia is associated with risk factors for cardiovascular disease, independent of waist circumference. A total of 1,488 Japanese men and women aged 18–85 years participated in this study. Appendicular muscle mass (AMM) was measured by dual-energy X-ray absorptiometry. Reference values for classes 1 and 2 sarcopenia (skeletal muscle index: AMM/height2, kg m−2) in each sex were defined as values one and two standard deviations below the sex-specific means of reference values obtained in this study from young adults aged 18–40 years. The reference values for class 1 and class 2 sarcopenia were 7.77 and 6.87 kg m−2 in men and 6.12 and 5.46 kg m−2 in women. In subjects both with class 1 and class 2 sarcopenia, body mass index and % body fat were significantly lower than in normal subjects. Despite whole-blood glycohaemoglobin A1c in men with class 1 sarcopenia was significantly higher than in normal subjects, and brachial-ankle pulse wave velocity in women both with class 1 and class 2 sarcopenia were significantly higher than in normal subjects, using one-way ANCOVA with adjustment for the covariate of waist circumference. Although sarcopenia is associated with thin body mass, it is associated with more glycation of serum proteins in men and with greater arterial stiffness in women, independent of waist circumference.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexander NB, Fry-Welch DK, Marshall LM, Chung CC, Kowalski AM (1995) Healthy young and old women differ in their trunk elevation and hip pivot motions when rising from supine to sitting. J Am Geriatr Soc 43:338–343

    CAS  PubMed  Google Scholar 

  • Aniansson A, Sperling L, Rundgren A, Lehnberg E (1983) Muscle function in 75-year-old men and women. A longitudinal study. Scand J Rehabil Med Suppl 9:92–102

    CAS  PubMed  Google Scholar 

  • Asmar R, Benetos A, Topouchian J, Laurent P, Pannier B, Brisac AM, Target R, Levy BI (1995) Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 26:485–490

    CAS  PubMed  Google Scholar 

  • Aubertin-Leheudre M, Lord C, Goulet ED, Khalil A, Dionne IJ (2006) Effect of sarcopenia on cardiovascular disease risk factors in obese postmenopausal women. Obesity (Silver Spring) 14:2277–2283

    Article  Google Scholar 

  • Balagopal P, Ljungqvist O, Nair KS (1997) Skeletal muscle myosin heavy-chain synthesis rate in healthy humans. Am J Physiol 272:E45–E50

    CAS  PubMed  Google Scholar 

  • Bank AJ, Kaiser DR (1998) Smooth muscle relaxation: effects on arterial compliance, distensibility, elastic modulus, and pulse wave velocity. Hypertension 32:356–359

    CAS  PubMed  Google Scholar 

  • Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, Garry PJ, Lindeman RD (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763

    CAS  PubMed  Google Scholar 

  • Borg GA (1982) Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14:377–381

    CAS  PubMed  Google Scholar 

  • Cohn JN (1999) Vascular wall function as a risk marker for cardiovascular disease. J Hypertens Suppl 17:S41–S44

    Article  CAS  PubMed  Google Scholar 

  • DeFronzo RA (1988) Lilly lecture 1987. The triumvirate: beta-cell, muscle, liver. A collusion responsible for NIDDM. Diabetes 37:667–687

    CAS  PubMed  Google Scholar 

  • Doherty TJ (2003) Invited review: aging and sarcopenia. J Appl Physiol 95:1717–1727

    CAS  PubMed  Google Scholar 

  • Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727

    Article  PubMed  Google Scholar 

  • Friedewald WT, Levy RI, Fredrickson DS (1972) Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18:499–502

    CAS  PubMed  Google Scholar 

  • Gasteyger C, Tremblay A (2002) Metabolic impact of body fat distribution. J Endocrinol Invest 25:876–883

    CAS  PubMed  Google Scholar 

  • Helliwell PS, Jackson S (1994) Relationship between weakness and muscle wasting in rheumatoid arthritis. Ann Rheum Dis 53:726–728

    Article  CAS  PubMed  Google Scholar 

  • 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

    Article  PubMed  Google Scholar 

  • Johnson D, Prud’homme D, Despres JP, Nadeau A, Tremblay A, Bouchard C (1992) Relation of abdominal obesity to hyperinsulinemia and high blood pressure in men. Int J Obes Relat Metab Disord 16:881–890

    CAS  PubMed  Google Scholar 

  • Judge JO, Underwood M, Gennosa T (1993) Exercise to improve gait velocity in older persons. Arch Phys Med Rehabil 74:400–406

    CAS  PubMed  Google Scholar 

  • Karakelides H, Nair KS (2005) Sarcopenia of aging and its metabolic impact. Curr Top Dev Biol 68:123–148

    Article  CAS  PubMed  Google Scholar 

  • Kuan JW, Kuan SS, Guilbault GG (1977) Determination of plasma glucose with use of a stirrer containing immobilized glucose dehydrogenase. Clin Chem 23:1058–1061

    CAS  PubMed  Google Scholar 

  • Lara-Castro C, Weinsier RL, Hunter GR, Desmond R (2002) Visceral adipose tissue in women: longitudinal study of the effects of fat gain, time, and race. Obes Res 10:868–874

    Article  PubMed  Google Scholar 

  • Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27:2588–2605

    Article  PubMed  Google Scholar 

  • Lear SA, Humphries KH, Kohli S, Frohlich JJ, Birmingham CL, Mancini GB (2007) Visceral adipose tissue, a potential risk factor for carotid atherosclerosis: results of the Multicultural Community Health Assessment Trial (M-CHAT). Stroke 38:2422–2429

    Article  PubMed  Google Scholar 

  • Licastro F, Candore G, Lio D, Porcellini E, Colonna-Romano G, Franceschi C, Caruso C (2005) Innate immunity and inflammation in ageing: a key for understanding age-related diseases. Immun Ageing 2:8

    Article  PubMed  CAS  Google Scholar 

  • Lu Q, Cheng LT, Wang T, Wan J, Liao LL, Zeng J, Qin C, Li KJ (2008) Visceral fat, arterial stiffness, and endothelial function in peritoneal dialysis patients. J Ren Nutr 18:495–502

    Article  PubMed  Google Scholar 

  • Miyatani M, Kawano H, Masani K, Gando Y, Yamamoto K, Tanimoto M, Oh T, Usui C, Sanada K, Higuchi M, Tabata I, Miyachi M (2008) Required muscle mass for preventing lifestyle-related diseases in Japanese women. BMC Publ Health 8:291

  • Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289:76–79

    Article  PubMed  Google Scholar 

  • Oparil S, Oberman A (1999) Nontraditional cardiovascular risk factors. Am J Med Sci 317:193–207

    Article  CAS  PubMed  Google Scholar 

  • Pouliot MC, Despres JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, Nadeau A, Lupien PJ (1994) Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 73:460–468

    Article  CAS  PubMed  Google Scholar 

  • Roubenoff R (2000) Sarcopenic obesity: does muscle loss cause fat gain? Lessons from rheumatoid arthritis and osteoarthritis. Ann N Y Acad Sci 904:553–557

    Article  CAS  PubMed  Google Scholar 

  • Roubenoff R (2004) Sarcopenic obesity: the confluence of two epidemics. Obes Res 12:887–888

    Article  PubMed  Google Scholar 

  • Roubenoff R, Hughes VA (2000) Sarcopenia: current concepts. J Gerontol A Biol Sci Med Sci 55:M716–M724

    CAS  PubMed  Google Scholar 

  • Sanada K, Miyachi M, Tabata I, Miyatani M, Tanimoto M, Oh TW, Yamamoto K, Usui C, Takahashi E, Kawano H, Gando Y, Higuchi M (2009a) Muscle mass and bone mineral indices: does the normalized bone mineral content differ with age? Eur J Clin Nutr 63:465–472

    Article  CAS  PubMed  Google Scholar 

  • Sanada K, Miyachi M, Tabata I, Suzuki K, Yamamoto K, Kawano H, Usui C, Higuchi M (2009b) Differences in body composition and risk of lifestyle-related diseases between young and older male rowers and sedentary controls. J Sports Sci 27:1027–1034

    Article  PubMed  Google Scholar 

  • Schrager MA, Metter EJ, Simonsick E, Ble A, Bandinelli S, Lauretani F, Ferrucci L (2007) Sarcopenic obesity and inflammation in the InCHIANTI study. J Appl Physiol 102:919–925

    Article  PubMed  Google Scholar 

  • Seidell JC (1997) Time trends in obesity: an epidemiological perspective. Horm Metab Res 29:155–158

    Article  CAS  PubMed  Google Scholar 

  • Shepherd PR, Kahn BB (1999) Glucose transporters and insulin action—implications for insulin resistance and diabetes mellitus. N Engl J Med 341:248–257

    Article  CAS  PubMed  Google Scholar 

  • Snijder MB, Henry RM, Visser M, Dekker JM, Seidell JC, Ferreira I, Bouter LM, Yudkin JS, Westerhof N, Stehouwer CD (2004) Regional body composition as a determinant of arterial stiffness in the elderly: the Hoorn study. J Hypertens 22:2339–2347

    Article  CAS  PubMed  Google Scholar 

  • Stephen WC, Janssen I (2009) Sarcopenic-obesity and cardiovascular disease risk in the elderly. J Nutr Health Aging 13:460–466

    Article  CAS  PubMed  Google Scholar 

  • Stucki G, Schonbachler J, Bruhlmann P, Mariacher S, Stoll T, Michel BA (1994) Does a muscle strength index provide complementary information to traditional disease activity variables in patients with rheumatoid arthritis? J Rheumatol 21:2200–2205

    CAS  PubMed  Google Scholar 

  • Sugawara J, Hayashi K, Yokoi T, Cortez-Cooper MY, DeVan AE, Anton MA, Tanaka H (2005) Brachial-ankle pulse wave velocity: an index of central arterial stiffness? J Hum Hypertens 19:401–406

    Article  CAS  PubMed  Google Scholar 

  • Tanner CJ, Barakat HA, Dohm GL, Pories WJ, MacDonald KG, Cunningham PR, Swanson MS, Houmard JA (2002) Muscle fiber type is associated with obesity and weight loss. Am J Physiol Endocrinol Metab 282:E1191–E1196

    CAS  PubMed  Google Scholar 

  • Walsh CH, Soler NG, James H, Harvey TC, Thomas BJ, Fremlin JH, Fitzgerald MG, Malins JM (1976) Studies in whole body potassium and whole body nitrogen in newly diagnosed diabetics. Q J Med 45:295–301

    CAS  PubMed  Google Scholar 

  • Walsh MC, Hunter GR, Livingstone MB (2006) Sarcopenia in premenopausal and postmenopausal women with osteopenia, osteoporosis and normal bone mineral density. Osteoporos Int 17:61–67

    Article  PubMed  Google Scholar 

  • Wang J, Heymsfield SB, Aulet M, Thornton JC, Pierson RN Jr (1989) Body fat from body density: underwater weighing vs. dual-photon absorptiometry. Am J Physiol 256:E829–E834

    CAS  PubMed  Google Scholar 

  • Wolfson L, Judge J, Whipple R, King M (1995) Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol A Biol Sci Med Sci 50:64–67

    Google Scholar 

  • Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S (2002) Twenty-year changes in the prevalence of overweight in Japanese adults: the National Nutrition Survey 1976–95. Obes Rev 3:183–190

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the subjects who participated in this study. This study was supported in part by “Establishment of Consolidated Research Institute for Advanced Science and Medical Care”; the “Encouraging Development Strategic Research Centers Program”; the Special Coordination Funds for Promoting Science and Technology of the Ministry of Education, Culture, Sports, Science and Technology, Japan; and a grant from the Ministry of Health, Labour and Welfare of Japan.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to K. Sanada.

Additional information

Communicated by Susan Ward.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Sanada, K., Miyachi, M., Tanimoto, M. et al. A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors. Eur J Appl Physiol 110, 57–65 (2010). https://doi.org/10.1007/s00421-010-1473-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00421-010-1473-z

Keywords

Navigation