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Associations between high-risk alcohol consumption and sarcopenia among postmenopausal women

Kwon, Yu-Jin MD1,2; Lim, Hyoung-Ji MD3; Lee, Yong-Jae MD1; Lee, Hye-Sun PhD4; Linton, John A. MD, PhD5; Lee, Jae Woo MD3; Kang, Hee-Taik MD2,3,6

doi: 10.1097/GME.0000000000000879
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Objective: Sarcopenia is an age-related process, leading to cardio-metabolic diseases and disabilities. High-risk drinking is also closely related to diabetes, hypertension, and dyslipidemia, which are modifiable risk factors for sarcopenia. In the present study, we aimed to investigate the association between alcohol-drinking patterns and sarcopenia in Korean postmenopausal women.

Methods: Data from 2,373 postmenopausal women were analyzed from the 2008 to 2011 Korean National Health and Nutrition Examination Survey. We defined sarcopenia as two standard deviations below the sex-specific means of the appendicular skeletal muscle/weight (percentage) values of a young reference group. Participants were categorized into three groups according to alcohol-drinking patterns, as assessed by the Alcohol Use Disorders Identification Test questionnaire. The odds ratios and 95% confidence intervals for sarcopenia were calculated using multiple logistic regression analyses.

Results: In total, 8.2% of Korean postmenopausal women met criteria for sarcopenia. The prevalence of sarcopenia increased from low-risk to high-risk alcohol-drinking groups as follows: 7.6, 11.0, and 22.7%, respectively. Compared with the low-risk group, the odds ratio (95% confidence interval) for the high-risk group was 4.29 (1.87-9.82) after adjusting for age, body mass index, systolic blood pressure, total cholesterol, fasting blood glucose, household income, education level, daily calorie intake, current smoking and regular exercise, and household food security status

Conclusions: High-risk alcohol drinking was associated with a higher risk of sarcopenia in postmenopausal Korean women.

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1Department of Family Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea

2Department of Medicine, Graduate School of Yonsei University College of Medicine, Seoul, Republic of Korea

3Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Republic of Korea

4Biostatistics Collaboration Unit, Department of Research Affairs, Yonsei University College of Medicine, Seoul, Republic of Korea

5International Health Care Center, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea

6Department of Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea.

Address correspondence to: Hee-Taik Kang, MD, Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Republic of Korea. E-mail: kanght0818@gmail.com

Received 24 November, 2016

Revised 26 January, 2017

Accepted 26 January, 2017

Y.-J.K. and H.-J.L. are co-first authors who contributed equally to this work.

Funding/support: None reported.

Financial disclosure/conflicts of interest: None reported.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Website (www.menopause.org).

© 2017 by The North American Menopause Society.