Prevalence of and Factors Associated with Sarcopenia in Korean Cancer Survivors: Based on Data Obtained by the Korea National Health and Nutrition Examination Survey (KNHANES) 2008-2011

Nutr Cancer. 2017 Apr;69(3):394-401. doi: 10.1080/01635581.2017.1267776. Epub 2017 Jan 20.

Abstract

Using a representative dataset from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2008 to 2011, we analyzed anthropometric and dual-energy X-ray absorptiometry (DXA)-determined body composition findings for 493 cancer survivors (mean age a61.1 ± 12.6 years; 35.7% male). A much higher proportion of men (30.1%) than women (0.6%) met the criteria of sarcopenia. Subjects with a history of lung cancer, genitourinary cancer, or gastric cancer were prone to develop sarcopenia (31.6%, 26.3%, and 21.4%, respectively). Furthermore, sarcopenia was more prevalent among elderly (≥65 years; P < 0.001), those with a lower BMI level (<23 kg/m2; P < 0.001), heavy drinker (P = 0.012), or smoker (P < 0.001), and those with inadequate intakes of protein (P = 0.017) and vitamin A (P = 0.024). Multivariable logistic analyses revealed sarcopenia was significantly associated with male gender (odds ratio [OR], 68.14; 95% CI, 15.52-299.13), a BMI of <23 kg/m2 (OR 35.93, 95% CI, 8.24-156.67), and inadequate protein intake (OR 3.07, 95% CI, 1.30-7.22); these factors are significant predictors of sarcopenia in Korean cancer survivors.

MeSH terms

  • Absorptiometry, Photon
  • Aged
  • Anthropometry
  • Asian People*
  • Body Composition
  • Cancer Survivors*
  • Cross-Sectional Studies
  • Diet
  • Female
  • Health Behavior
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Nutrition Assessment
  • Nutrition Surveys*
  • Prevalence
  • Republic of Korea / epidemiology
  • Sarcopenia / epidemiology*
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood

Substances

  • Vitamin D
  • 25-hydroxyvitamin D