PMID- 25848236 OWN - NLM STAT- MEDLINE DCOM- 20151127 LR - 20181113 IS - 1178-1998 (Electronic) IS - 1176-9092 (Print) IS - 1176-9092 (Linking) VI - 10 DP - 2015 TI - Monocyte chemoattractant protein-1: a proinflammatory cytokine elevated in sarcopenic obesity. PG - 605-9 LID - 10.2147/CIA.S78901 [doi] AB - OBJECTIVE: Sarcopenic obesity (SO) is associated with poorer physical outcomes and functional status in the older adult. A proinflammatory milieu associated with central obesity is postulated to enhance muscle catabolism. We set out to examine associations of the chemokine monocyte chemoattractant protein-1 (MCP-1) in groups of older adults, with sarcopenia, obesity, and the SO phenotypes. METHODS: A total of 143 community dwelling, well, older adults were recruited. Cross-sectional clinical data, physical performance, and muscle mass measurements were collected. Obesity and sarcopenia were defined using revised National Cholesterol Education Program (NCEP) obesity guidelines and those of the Asian Working Group for Sarcopenia. Serum levels of MCP-1 were measured by enzyme-linked immunosorbent assay (ELISA). RESULTS: In all, 25.2% of subjects were normal, 15.4% sarcopenic, 48.3% obese, and 11.2% were SO. The SO groups had the lowest appendicular lean mass, highest percentage body fat, and lowest performance scores on the Short Physical Performance Battery and grip strength. The MCP-1 levels were significantly different, with the highest levels found in SO participants (P<0.05). CONCLUSION: Significantly raised MCP-1 levels in obese and SO subjects support the theory of chronic inflammation due to excess adiposity. Longitudinal studies will reveal whether SO represents a continuum of obesity causing accelerated sarcopenia and cardiovascular events, or the coexistence of two separate conditions with synergistic effects affecting functional performance. FAU - Lim, Jun Pei AU - Lim JP AD - Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore ; Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. FAU - Leung, Bernard P AU - Leung BP AD - Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore. FAU - Ding, Yew Yoong AU - Ding YY AD - Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore ; Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. FAU - Tay, Laura AU - Tay L AD - Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore ; Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. FAU - Ismail, Noor Hafizah AU - Ismail NH AD - Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore ; Department of Community and Continuing Care, Tan Tock Seng Hospital, Singapore. FAU - Yeo, Audrey AU - Yeo A AD - Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. FAU - Yew, Suzanne AU - Yew S AD - Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. FAU - Chong, Mei Sian AU - Chong MS AD - Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore ; Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150325 PL - New Zealand TA - Clin Interv Aging JT - Clinical interventions in aging JID - 101273480 RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) SB - IM MH - Aged MH - Chemokine CCL2/*blood MH - Cross-Sectional Studies MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Hand Strength MH - Humans MH - Male MH - Obesity/*blood/complications MH - Physical Fitness/physiology MH - Sarcopenia/*blood/complications PMC - PMC4378871 OTO - NOTNLM OT - chemokine C-C motif ligand 2 (CCL-2) OT - elderly OT - sarcopenia EDAT- 2015/04/08 06:00 MHDA- 2015/12/15 06:00 PMCR- 2015/03/25 CRDT- 2015/04/08 06:00 PHST- 2015/04/08 06:00 [entrez] PHST- 2015/04/08 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2015/03/25 00:00 [pmc-release] AID - cia-10-605 [pii] AID - 10.2147/CIA.S78901 [doi] PST - epublish SO - Clin Interv Aging. 2015 Mar 25;10:605-9. doi: 10.2147/CIA.S78901. eCollection 2015.