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  4. Association Between Sarcopenic Obesity and Activities of Daily Living in Individuals with Spinal Cord Injury

Association Between Sarcopenic Obesity and Activities of Daily Living in Individuals with Spinal Cord Injury

J. Clin. Med., 2024 · DOI: 10.3390/jcm13237071 · Published: November 22, 2024

Spinal Cord InjuryParticipationPhysiology

Simple Explanation

Sarcopenic obesity, a condition combining muscle loss and obesity, is common in individuals with spinal cord injury (SCI). This study examines how sarcopenic obesity affects activities of daily living (ADL) in people with SCI. The study found that decreased muscle mass and increased body fat were independently associated with decreased independence in ADL. This suggests that managing body composition could improve the quality of life for individuals with SCI. The findings highlight the importance of routine body composition assessments for early detection of sarcopenic obesity. Early detection and intervention may improve physical function and overall health in this population.

Study Duration
September 2016 and May 2024
Participants
82 participants (median age: 63.5 years; 18.3% women)
Evidence Level
Not specified

Key Findings

  • 1
    Participants with sarcopenic obesity had significantly lower FIM motor scores than those without the condition (54 vs. 69 points, p = 0.006).
  • 2
    Skeletal muscle mass index (SMI) was positively associated with FIM motor scores (β = 0.416, p < 0.001), indicating that higher muscle mass is linked to greater ADL independence.
  • 3
    Percent body fat (%BF) was negatively associated with FIM motor scores (β = −0.325, p = 0.009), suggesting that higher body fat is linked to decreased ADL independence.

Research Summary

This study investigated the relationship between sarcopenic obesity and ADL in individuals with chronic SCI, revealing that decreased SMI and increased %BF were independently associated with reduced ADL independence. The prevalence of sarcopenic obesity was found to be high among individuals with chronic SCI, highlighting the need for routine body composition assessments and therapeutic interventions. The study emphasizes the importance of early detection and management of body composition to improve physical function and health outcomes in individuals with spinal cord injury.

Practical Implications

Clinical Assessments

Routine body composition assessments are crucial for early detection of sarcopenic obesity in individuals with SCI.

Therapeutic Interventions

Early therapeutic interventions targeting body composition may improve physical function and health outcomes.

Quality of Life

Managing sarcopenic obesity can potentially improve the quality of life for individuals with SCI by enhancing ADL independence.

Study Limitations

  • 1
    Retrospective cross-sectional study design limits causal inferences.
  • 2
    Limited number of participants may restrict generalizability.
  • 3
    Assessment of sarcopenia did not include muscle strength or physical function measures.

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