PMID- 38324863 OWN - NLM STAT- MEDLINE DCOM- 20240209 LR - 20240210 IS - 1678-4464 (Electronic) IS - 0102-311X (Print) IS - 0102-311X (Linking) VI - 40 IP - 1 DP - 2024 TI - Dynapenia and sarcopenia: association with the diagnosis, duration and complication of type 2 diabetes mellitus in ELSA-Brasil. PG - e00081223 LID - S0102-311X2024000105009 [pii] LID - 10.1590/0102-311XEN081223 [doi] LID - e00081223 AB - Sarcopenia (the loss of muscle mass, strength and skeletal muscle function) increases mortality and the risk of hospitalization in the older population. Although it is known that older adults with type 2 diabetes mellitus (T2DM) have a higher risk of dynapenia and sarcopenia, few studies have investigated these conditions in middle-aged populations. The objective of this study was to investigate whether T2DM, its duration, the presence of albuminuria, and glycemic control are associated with sarcopenia and its components in adults. The cross-sectional analysis was based on data from visit 2 of the Brazilian Longitudinal Study of Adult Health (2012-2014). The 2018 European Working Group on Sarcopenia in Older People criteria were used to define dynapenia, low appendicular muscle mass (LAMM), and sarcopenia (absent/probable/confirmed). The explanatory variables were: T2DM; duration of T2DM; T2DM according to the presence of albuminuria; and glycemic control (HbA1C < 7%) among people with T2DM. A total of 12,132 participants (mean age = 55.5, SD: 8.9 years) were included. The odds ratio for LAMM was greater among those with T2DM, T2DM duration from 5 to 10 years, and T2DM without albuminuria. Chances of dynapenia were higher among those with T2DM, T2DM duration > 10 years, and T2DM with and without albuminuria. The variables T2DM, T2DM >/= 10 years, and T2DM with albuminuria increased the odds of probable sarcopenia, and T2DM duration from 5 to 10 years increased the odds of confirmed sarcopenia. The results support the importance of frequently monitoring the musculoskeletal mass and strength of individuals with T2DM to prevent sarcopenia and related outcomes. FAU - Santos, Debora Noara Duarte Dos AU - Santos DNDD AUID- ORCID: 0000-0003-3079-6831 AD - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. FAU - Coelho, Carolina Gomes AU - Coelho CG AUID- ORCID: 0000-0002-7294-3724 AD - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. AD - Hospital das Clinicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. FAU - Diniz, Maria de Fatima Haueisen Sander AU - Diniz MFHS AUID- ORCID: 0000-0001-9146-5003 AD - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. FAU - Duncan, Bruce Bartholow AU - Duncan BB AUID- ORCID: 0000-0002-7491-2630 AD - Programa de Pos-graduacao em Epidemiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. AD - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. FAU - Schmidt, Maria Ines AU - Schmidt MI AUID- ORCID: 0000-0002-3837-0731 AD - Programa de Pos-graduacao em Epidemiologia, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. AD - Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil. FAU - Bensenor, Isabela Judith Martins AU - Bensenor IJM AUID- ORCID: 0000-0002-6723-5678 AD - Universidade de Sao Paulo, Sao Paulo, Brasil. FAU - Szlejf, Claudia AU - Szlejf C AUID- ORCID: 0000-0002-0569-1184 AD - Hospital Universitario, Universidade de Sao Paulo, Sao Paulo, Brasil. FAU - Telles, Rosa Weiss AU - Telles RW AUID- ORCID: 0000-0003-4027-2943 AD - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. AD - Hospital das Clinicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. FAU - Barreto, Sandhi Maria AU - Barreto SM AUID- ORCID: 0000-0001-7383-7811 AD - Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil. LA - eng PT - Journal Article DEP - 20240202 PL - Brazil TA - Cad Saude Publica JT - Cadernos de saude publica JID - 8901573 SB - IM MH - Humans MH - Middle Aged MH - Aged MH - *Sarcopenia/complications MH - *Diabetes Mellitus, Type 2/complications MH - Brazil/epidemiology MH - Cross-Sectional Studies MH - Longitudinal Studies MH - Albuminuria/complications MH - Hand Strength/physiology PMC - PMC10841377 EDAT- 2024/02/07 18:41 MHDA- 2024/02/09 06:43 PMCR- 2024/02/02 CRDT- 2024/02/07 17:13 PHST- 2023/05/08 00:00 [received] PHST- 2023/10/16 00:00 [accepted] PHST- 2024/02/09 06:43 [medline] PHST- 2024/02/07 18:41 [pubmed] PHST- 2024/02/07 17:13 [entrez] PHST- 2024/02/02 00:00 [pmc-release] AID - S0102-311X2024000105009 [pii] AID - 10.1590/0102-311XEN081223 [doi] PST - epublish SO - Cad Saude Publica. 2024 Feb 2;40(1):e00081223. doi: 10.1590/0102-311XEN081223. eCollection 2024.