PMID- 34836286 OWN - NLM STAT- MEDLINE DCOM- 20211221 LR - 20211221 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 13 IP - 11 DP - 2021 Nov 11 TI - Using Dietary Macronutrient Patterns to Predict Sarcopenic Obesity in Older Adults: A Representative Korean Nationwide Population-Based Study. LID - 10.3390/nu13114031 [doi] LID - 4031 AB - Older adults with sarcopenic obesity (SO) are at increased risk of adverse health outcomes. It has not been identified which pattern of macronutrient intake is appropriate in relation to SO. We aimed to compare the patterns of macronutrient intake for predicting SO in older adults. Data from a total of 3828 older adults who participated in the 2008-2011 Korea National Health and Nutrition Examination Survey were analyzed. The one-day 24 h dietary recall method was used to assess macronutrient intake. SO was defined by a combination of body mass index (BMI) >/= 25 kg/m(2) and BMI adjusted-appendicular skeletal muscle mass <0.789 for men and <0.512 for women. Weighted logistic regression analysis revealed the odds ratio (95% confidence interval) for SO of total calorie intake per 100 increments and carbohydrate (CHO) intake (g/kg/day) per 1 increment to be 0.95 (0.91-0.99) and 0.83 (0.74-0.94), respectively, after adjusting for confounding variables in women. The predictive power for SO of CHO intake (g/kg/day) was higher compared with the other patterns of macronutrient intake both in men and women. In conclusion, total calorie intake and CHO intake (g/kg/day) are inversely related to SO in women. CHO intake (g/kg/day) could be the best index for determining SO. FAU - Lee, Jun-Hyuk AU - Lee JH AUID- ORCID: 0000-0002-1007-1633 AD - Department of Family Medicine, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul 01830, Korea. FAU - Park, Hye-Min AU - Park HM AD - Department of Family Medicine, Chaum Medical Checkup Center Samseongdong Branch, Cha University, Seoul 06125, Korea. FAU - Lee, Yong-Jae AU - Lee YJ AUID- ORCID: 0000-0002-6697-476X AD - Department of Family Medicine, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul 06273, Korea. LA - eng PT - Journal Article DEP - 20211111 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Dietary Carbohydrates) SB - IM MH - Aged MH - Aged, 80 and over MH - Body Mass Index MH - Diet MH - Dietary Carbohydrates MH - Energy Intake MH - Female MH - Humans MH - Male MH - Muscle, Skeletal MH - Nutrients/*administration & dosage MH - Nutrition Surveys MH - Obesity/*diagnosis MH - Odds Ratio MH - Republic of Korea MH - Sarcopenia/*diagnosis PMC - PMC8625406 OTO - NOTNLM OT - dietary carbohydrates OT - energy intake OT - muscle OT - obesity OT - skeletal COIS- The authors declare no conflict of interest. EDAT- 2021/11/28 06:00 MHDA- 2021/12/22 06:00 PMCR- 2021/11/11 CRDT- 2021/11/27 01:30 PHST- 2021/10/19 00:00 [received] PHST- 2021/11/07 00:00 [revised] PHST- 2021/11/08 00:00 [accepted] PHST- 2021/11/27 01:30 [entrez] PHST- 2021/11/28 06:00 [pubmed] PHST- 2021/12/22 06:00 [medline] PHST- 2021/11/11 00:00 [pmc-release] AID - nu13114031 [pii] AID - nutrients-13-04031 [pii] AID - 10.3390/nu13114031 [doi] PST - epublish SO - Nutrients. 2021 Nov 11;13(11):4031. doi: 10.3390/nu13114031.