Association of Body Composition with Type 2 Diabetes: A Retrospective Chart Review Study

Chia-Ling Lin, Neng-Chun Yu, Hsueh-Ching Wu, Yung-Yen Lee, Wan-Chun Lin, I-Ying Chiu, Wu-Chien Chien and Yuan-Ching Liu
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Chia-Ling Lin: Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 33303, Taiwan
Neng-Chun Yu: Neng-Chun Diabetes Clinic, Yilan County 265, Taiwan
Hsueh-Ching Wu: Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taoyuan 33303, Taiwan
Yung-Yen Lee: Neng-Chun Diabetes Clinic, Yilan County 265, Taiwan
Wan-Chun Lin: Neng-Chun Diabetes Clinic, Yilan County 265, Taiwan
I-Ying Chiu: Neng-Chun Diabetes Clinic, Yilan County 265, Taiwan
Wu-Chien Chien: Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
Yuan-Ching Liu: Neng-Chun Diabetes Clinic, Yilan County 265, Taiwan

IJERPH, 2021, vol. 18, issue 9, 1-8

Abstract: This study analyzed the body composition of individuals with type 2 diabetes (T2DM). In this retrospective chart review study, body composition was measured through multifrequency bioelectrical impedance analysis (InBody 770). Body composition assessments were conducted in individuals with T2DM, who were aged ?18?years. The parameters included body mass index (BMI), body fat mass (BFM), fat-free mass (FFM), visceral fat area, percent body fat (PBF), appendicular skeletal muscle mass (ASM), and skeletal muscle index (SMI). One-way ANOVA and independent t -tests were used to calculate differences in body composition distribution by age and sex. A total of 2404 participants were recruited. The prevalence of overall low muscle mass and sarcopenic obesity was 28.0% and 18.7%, respectively, which increased with age. The overall prevalence of obesity when PBF was used was 71.5%, which was higher than that when BMI was applied (32.4%). The normal BMI group exhibited a prevalence of low muscle mass of 55.6% and sarcopenic obesity of 34.8%. For both men and women, bodyweight, BFM, FFM, ASM, and SMI all decreased with age. The prevalence of low muscle mass and sarcopenic obesity was high in older adults and people with normal BMI. Using BMI to assess obesity and determine insufficient muscle mass underestimates the prevalence of obesity and neglects the problems of sarcopenia and high body fat in people with normal BMI.

Keywords: body composition; body fat mass; body mass index; type 2 diabetes; skeletal muscle mass (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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