{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T19:35:28Z","timestamp":1792092928135,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,9,8]],"date-time":"2018-09-08T00:00:00Z","timestamp":1536364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007312","name":"National Center for Geriatrics and Gerontology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>To investigate the prevalence of sarcopenia, its related factors and indicators of physical evaluation in elderly diabetes patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This was a cross\u2010sectional observation study. A total of 267 diabetes patients (159 men, 108 women) aged &gt;65 years were recruited in the present study. Skeletal muscle mass index, grip strength and usual gait speed were measured to diagnose sarcopenia according to the Asian Working Group for Sarcopenia. Body composition was measured using bioelectrical impedance analysis. Body mass index (<jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>) and body fat percentage were evaluated in quartiles to investigate the relationship with sarcopenia. A multiple logistic regression analysis examined sarcopenia\u2010related factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of sarcopenia in all participants was 18.7% and increased with age. Sarcopenia decreased as <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> increased (<jats:italic>P<\/jats:italic> &lt; 0.01, Cochran\u2013Armitage test). In contrast, the third quartile body fat percentage group showed the lowest prevalence of sarcopenia. A strong positive correlation was observed between body mass and skeletal muscle mass indices (<jats:italic>R<\/jats:italic> = 0.702\u20130.682). Multiple logistic regression analysis showed that sarcopenia was associated with lower <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>, non\u2010use of metformin and lower bone mineral content in men (<jats:italic>P<\/jats:italic> &lt; 0.05), and lower bone mineral content, lower serum levels of albumin and older age in women (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The present study suggests that diabetes patients with a high body fat percentage in addition to low <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> might develop sarcopenia. It is suggested that physical management in elderly diabetes patients should be carried out based on the evaluation of <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> and body fat percentage to prevent sarcopenia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.12908","type":"journal-article","created":{"date-parts":[[2018,8,11]],"date-time":"2018-08-11T09:09:04Z","timestamp":1533978544000},"page":"322-330","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":114,"title":["Importance of physical evaluation using skeletal muscle mass index and body fat percentage to prevent sarcopenia in elderly Japanese diabetes patients"],"prefix":"10.1111","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6467-3026","authenticated-orcid":false,"given":"Yuki","family":"Fukuoka","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Metabolism and Geriatric Medicine Akita University Graduate School of 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