Relationships Between Level and Change in Sarcopenia and Other Body Composition Components and Adverse Health Outcomes:
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ORIGINAL RESEARCH
Relationships Between Level and Change in Sarcopenia and Other Body Composition Components and Adverse Health Outcomes: Findings from the Health, Aging, and Body Composition Study Leo D. Westbury1 · Holly E. Syddall1 · Nicholas R. Fuggle1 · Elaine M. Dennison1,2 · Nicholas C. Harvey1,3 · Jane A. Cauley4 · Eric J. Shiroma5 · Roger A. Fielding6 · Anne B. Newman4 · Cyrus Cooper1,3,7 Received: 19 August 2020 / Accepted: 27 October 2020 © The Author(s) 2020
Abstract We investigated how baseline values and rates of decline in components of sarcopenia and other body composition parameters relate to adverse clinical outcomes using the Health, Aging, and Body Composition Study. 2689 participants aged 70–79 years were studied. Appendicular lean mass, whole body fat mass, and total hip BMD were ascertained using DXA; muscle strength by grip dynamometry; and muscle function by gait speed. Baseline values and 2–3 year conditional changes (independent of baseline) in each characteristic were examined as predictors of mortality, hospital admission, low trauma fracture, and recurrent falls in the subsequent 10–14 years using Cox regression (generalized estimating equations used for recurrent falls) with adjustment for sex, ethnicity, age, and potential confounders. Lower levels and greater declines in all parameters (excluding hip BMD level) were associated (p
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