Skip to main content
Log in

Elderly Mexicans have less muscle and greater total and truncal fat compared to African-Americans and Caucasians with the same BMI

  • Published:
The journal of nutrition, health & aging

Abstract

Background

How body composition, specifically skeletal muscle mass, compares in Mexican elderly to other ethnic groups has not previously been reported. We tested the hypothesis that older adults from Northwest Mexico (Mex) would have similar total appendicular skeletal muscle (TASM) compared with New York dwelling Caucasians (Cauc) and African-Americans (AA).

Methods

Two hundred and eighty nine Mex (135 males and 154 females), 166 AA (36 males and 130 females) and 229 Cauc (64 males and 165 females), aged 60–98 years were assessed. Total and regional fat and lean tissues were measured by whole-body dual energy X-ray absorptiometry where TASM is the sum of arm and leg bone-free and fat-free lean tissue. Differences in TASM were tested by ANCOVA, with age, height, and body mass index (BMI) as covariates.

Results

TASM adjusted for ethnicity, age, height and BMI, were 22.6 ± 0.2 kg and 17.8 ± 0.1 kg for males and females, respectively (p<0.001). Among males with similar age, height, and BMI, Mex had less TASM compared with AA and Cauc (p<0.001). Total body fat and truncal fat were higher (p< 0.001) and FFM lower (p<0.001) in Mex compared to both AA and Cauc males after adjusting for age and BMI. Among females, Mex had higher total and truncal fat (p<0.001) after adjusting for age and BMI, and significantly lower TASM (p<0.001) after adjusting for age, height, and BMI compared to AA and Cauc females.

Conclusions

Elderly Mex have a different body composition compared with AA and Cauc of a similar BMI and age. Mex have significantly less TASM with greater total and truncal fat. In the long-term, Mex elderly may be at greater risk for sarcopenic obesity compared to other ethnic groups.

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

  1. Kyle UG, Genton L, Hans D, Karsegard VL, Michel JP, Slosman DO, Pichard C. Total body mass, fat mass, fat-free mass, and skeletal muscle in older people: crosssectional differences in 60-year-old persons. J Am Geriatr Soc 2001;49:1633–1640.

    CAS  PubMed  Google Scholar 

  2. Raguso CA, Kyle U, Kossovsky MP, Roynette C, Paoloni-Giacobino A, Hans D, et al. A 3-year longitudinal study on body composition changes in the elderly: role of physical exercise. Clin Nutr 2006;25:573–580.

    Article  PubMed  Google Scholar 

  3. He Q, Heo M, Heshka S, Wang J, Pierson RN Jr, Albu J, et al. Total body potassium differs by sex and race across the adult age span. Am J Clin Nutr 2003;78:72–77.

    Article  CAS  PubMed  Google Scholar 

  4. Kyle UG, Genton L, Hans D, Karsegard L, Slosman DO, Pichard C. Age-related differences in fat-free mass, skeletal muscle, body cell mass and fat mass between 18 and 94 years. Eur J Clin Nutr 2001;55:663–672.

    Article  CAS  PubMed  Google Scholar 

  5. Gallagher D, Ruts E, Visser M, Heshka S, Baumgartner RN, Wang J, et al. Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab 2000;279:366–375.

    Article  Google Scholar 

  6. Cook Z, Kirk S, Lawrenson S, Sandford S. Use of BMI in the assessment of undernutrition in older subjects: reflecting on practice. Proc Nutr Soc 2005;64:313–317.

    Article  CAS  PubMed  Google Scholar 

  7. McCargar L. New insights into body composition and health through imaging analysis. Can J Diet Pract Res 2007;68:160–165.

    Article  PubMed  Google Scholar 

  8. Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes 2008;32:959–966.

    Article  CAS  Google Scholar 

  9. Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18–88 yr. J Appl Physiol 2000;89:81–88.

    Article  CAS  PubMed  Google Scholar 

  10. Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med 2001;137:231–243.

    Article  CAS  PubMed  Google Scholar 

  11. Roubenoff R. Origins and clinical relevance of sarcopenia. Can J Appl Physiol 2001;26:78–89.

    Article  CAS  PubMed  Google Scholar 

  12. Janssen I. Influence of sarcopenia on the development of physical disability: the Cardiovascular Health Study. J Am Geriatr Soc 2006;54:56–62.

    Article  PubMed  Google Scholar 

  13. Bortz WM II. A conceptual framework of frailty: a review. J Gerontol A Biol Sci Med Sci 2002;57:283–288.

    Article  Google Scholar 

  14. Gallagher D, Visser M, De Meersman RE, Sepúlveda D, Baumgartner RN, Pierson RN, et al. Appendicular skeletal muscle mass: effects of age, gender, and ethnicity. J Appl Physiol 1997;83:229–239.

    Article  CAS  PubMed  Google Scholar 

  15. Casas YG, Schiller BC, Desouza CA, Seals DR. Total and regional body composition across age in healthy Hispanic and white women of similar socioeconomic status. Am J Clin Nutr 2001;73:13–18.

    Article  CAS  PubMed  Google Scholar 

  16. Deurenberg P, Yap M, van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord 1998;22:1164–1171.

    Article  CAS  PubMed  Google Scholar 

  17. Obisesan TO, Aliyu MH, Bond V, Adams RG, Akomolafe A, Rotimi CN. Ethnic and age-related fat free mass loss in older Americans: the Third National Health and Nutrition Examination Survey (NHANES III). BMC Public Health 2005;5:41.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Wu CH, Heshka S, Wang J, Pierson RN Jr, Heymsfield SB, Laferrère B, et al. Truncal fat in relation to total body fat: influences of age, sex, ethnicity and fatness. Int J Obes 2007;31:1384–1391.

    Article  Google Scholar 

  19. Heymsfield SB, Smith R, Aulet M, Bensen B, Lichtman S, Wang J, Pierson RN Jr. Appendicular skeletal muscle mass: measurement by dual-photon absorptiometry. Am J Clin Nutr 1990;52:214–218.

    Article  CAS  PubMed  Google Scholar 

  20. Hansen RD, Raja C, Aslani A, Smith RC, Allen BJ. Determination of skeletal muscle and fat-free mass by nuclear and dual-energy x-ray absorptiometry methods in men and women aged 51–84 y. Am J Clin Nutr 1999;70:228–233.

    Article  CAS  PubMed  Google Scholar 

  21. Fernández JR, Heo M, Heymsfield SB, Pierson RN Jr, Pi-Sunyer FX, Wang ZM, et al. Is percentage body fat differentially related to body mass index in Hispanic Americans, African Americans, and European Americans? Am J Clin Nutr 2003;77:71–75.

    Article  PubMed  Google Scholar 

  22. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr 2000;72:694–701

    Article  CAS  PubMed  Google Scholar 

  23. Deurenberg-Yap M, Schmidt G, van Staveren WA, Deurenberg P. The paradox of low body mass index and high body fat percentage among Chinese, Malays and Indians in Singapore. Int J Obes Relat Metab Disord 2000;24:1011–1017.

    Article  CAS  PubMed  Google Scholar 

  24. St-Onge MP. Relationship between body composition changes and changes in physical function and metabolic risk factors in aging. Curr Opin Clin Nutr Metab Care 2005;8:523–528.

    Article  PubMed  Google Scholar 

  25. Gallagher D, Heymsfield SB. Muscle distribution: variations with body weight, gender, and age. Appl Radiat Isot 1998;49:733–734.

    Article  CAS  PubMed  Google Scholar 

  26. Doherty TJ. Invited review: Aging and sarcopenia. J Appl Physiol 2003;95:1717–1727.

    Article  CAS  PubMed  Google Scholar 

  27. Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med 2001;137:231–243.

    Article  CAS  PubMed  Google Scholar 

  28. Marcell TJ. Sarcopenia: causes, consequences, and preventions. J Gerontol A Biol Sci Med Sci 2003;58:M911–M916.

    Article  PubMed  Google Scholar 

  29. Baumgartner RN, Waters DL, Gallagher D, Morley JE, Garry PJ. Predictors of skeletal muscle mass in elderly men and women. Mech Ageing Dev 1999;107:123–36.

    Article  CAS  PubMed  Google Scholar 

  30. Arden NK, Spector TD. Genetic influences on muscle strength, lean body mass, and bone mineral density: a twin study. J Bone Miner Res 1997;12:2076–2081.

    Article  CAS  PubMed  Google Scholar 

  31. Gerace L, Aliprantis A, Russell M, Allison DB, Buhl KM, Wang J, et al. Skeletal differences between black and white men and their relevance to body composition estimates. Am J Hum Biol 1994;6:255–262.

    Article  PubMed  Google Scholar 

  32. Reid KF, Naumova EN, Carabello RJ, Phillips EM, Fielding RA. Lower extremity muscle mass predicts functional performance in mobility-limited elders. J Nutr Health Aging 2008;12:493–498.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Vincent KR, Braith RW, Feldman RA, Magyari PM, Cutler RB, Persin SA, et al. Resistance exercise and physical performance in adults aged 60 to 83. J Am Geriatr Soc 2002;50:1100–1107.

    Article  PubMed  Google Scholar 

  34. Skelton DA, Young A, Greig CA, Malbut KE. Effects of resistance training on strength, power, and selected functional abilities of women aged 75 and older. J Am Geriatr Soc 1995;43:1081–1087

    Article  CAS  PubMed  Google Scholar 

  35. Rolland Y, Czerwinski S, Van Kan Abellan G, Morley JE, Cesari M, Onder G, et al. Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives. J Nutr Health Aging 2008;12:433–450.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Baumgartner RN, Wayne SJ, Waters DL, Janssen I, Gallagher D, Morley JE. Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obes Res 2004;12:1995–2004.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Heliodoro Alemán-Mateo.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Alemán-Mateo, H., Lee, S.Y., Javed, F. et al. Elderly Mexicans have less muscle and greater total and truncal fat compared to African-Americans and Caucasians with the same BMI. J Nutr Health Aging 13, 919–923 (2009). https://doi.org/10.1007/s12603-009-0252-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-009-0252-1

Key words

Navigation