PMID- 35858996 OWN - NLM STAT- MEDLINE DCOM- 20220722 LR - 20220929 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 12 IP - 1 DP - 2022 Jul 20 TI - Relationship between hyperhomocysteinemia and coexisting obesity with low skeletal muscle mass in asymptomatic adult population. PG - 12439 LID - 10.1038/s41598-022-16401-1 [doi] LID - 12439 AB - The relationship between hyperhomocysteinemia (HHcy) and obesity with low skeletal muscle mass (LMM) has not been established. We aim to assess the association between HHcy and the coexistence of obesity and LMM in asymptomatic adult population. We conducted a population-based cross-sectional study among asymptomatic individuals who underwent measurements of plasma homocysteine and body composition analysis. HHcy was defined as > 15 umol/L, obesity as body mass index >/= 25 (kg/m(2)), and LMM as skeletal muscle index less than 2 SD below the sex-specific mean of young adults. The participants were classified into 'control', 'obesity alone', 'LMM alone', and 'obesity with LMM'. Among 113,805 participants, the prevalence of HHcy was 8.3% in control, 8.7% in obesity alone, 10.0% in LMM alone, and 13.0% in obesity with LMM (p for trend < 0.001). In a multivariable logistic regression analysis, the associations showed a positive trend for HHcy along the groups from obesity alone, to LMM alone, and to obesity with LMM. HHcy was independently associated with the presence of LMM alone (adjusted odds ratio 1.186 [95% confidence interval 1.117-1.259]) and obesity with LMM (1.424 [1.134-1.788]), respectively. This study demonstrated that HHcys was more strongly associated with coexistence of obesity and LMM than either condition alone in the adult population. CI - (c) 2022. The Author(s). FAU - Yoo, Tae Kyung AU - Yoo TK AD - Department of Medicine, MetroWest Medical Center/Tufts University School of Medicine, Framingham, MA, USA. FAU - Rhim, Hye Chang AU - Rhim HC AD - Department of Medicine, MetroWest Medical Center/Tufts University School of Medicine, Framingham, MA, USA. FAU - Lee, Yong-Taek AU - Lee YT AD - Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunanro, Jongno-gu, Seoul, 03181, Republic of Korea. FAU - Yoon, Kyung Jae AU - Yoon KJ AD - Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunanro, Jongno-gu, Seoul, 03181, Republic of Korea. AD - Medical Research Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Park, Chul-Hyun AU - Park CH AD - Department of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunanro, Jongno-gu, Seoul, 03181, Republic of Korea. chpark0930@gmail.com. AD - Medical Research Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. chpark0930@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220720 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Cross-Sectional Studies MH - Female MH - Homocysteine MH - Humans MH - *Hyperhomocysteinemia/complications/epidemiology MH - Male MH - Muscle, Skeletal MH - Obesity/complications/epidemiology MH - Risk Factors PMC - PMC9300668 COIS- The authors declare no competing interests. EDAT- 2022/07/21 06:00 MHDA- 2022/07/23 06:00 PMCR- 2022/07/20 CRDT- 2022/07/20 23:46 PHST- 2022/01/21 00:00 [received] PHST- 2022/07/08 00:00 [accepted] PHST- 2022/07/20 23:46 [entrez] PHST- 2022/07/21 06:00 [pubmed] PHST- 2022/07/23 06:00 [medline] PHST- 2022/07/20 00:00 [pmc-release] AID - 10.1038/s41598-022-16401-1 [pii] AID - 16401 [pii] AID - 10.1038/s41598-022-16401-1 [doi] PST - epublish SO - Sci Rep. 2022 Jul 20;12(1):12439. doi: 10.1038/s41598-022-16401-1.