{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:26:01Z","timestamp":1787761561182,"version":"build-2784847793"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T00:00:00Z","timestamp":1712620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43 TW009340"],"award-info":[{"award-number":["D43 TW009340"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["K43TW011586"],"award-info":[{"award-number":["K43TW011586"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["1K01HL140048"],"award-info":[{"award-number":["1K01HL140048"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["MR\/P008984\/1"],"award-info":[{"award-number":["MR\/P008984\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Sarcopenia and sarcopenic obesity (SO) have emerged as significant contributors to negative health outcomes in the past decade. We aimed to estimate the prevalence of probable sarcopenia, sarcopenia, and SO in a community-dwelling population of 1151 adults aged \u226555 years in Lima, Peru.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross-sectional study was conducted between 2018 and 2020. Sarcopenia was defined as the presence of low muscle strength (LMS) and low muscle mass (LMM) according to European (EWGSOP2), US (FNIH) and Asian (AWGS2) guidelines. We measured muscle strength by maximum handgrip strength and muscle mass using bioelectrical impedance analyzer. SO was defined as a body mass index \u2265 30 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and sarcopenia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study participants had a mean age of 66.2 years (SD 7.1), age range between 60 to 92 years old, of which 621 (53.9%) were men. Among the sample, 41.7% were classified as obese (BMI \u226530.0 kg\/m\u00b2). The prevalence of probable sarcopenia was estimated to be 22.7% (95%CI: 20.3\u201325.1) using the EWGSOP2 criteria and 27.8% (95%CI: 25.2\u201330.4) using the AWGS2 criteria. Sarcopenia prevalence, assessed using skeletal muscle index (SMI), was 5.7% (95%CI: 4.4\u20137.1) according to EWGSOP2 and 8.3% (95%CI: 6.7\u20139.9) using AWGS2 criteria. The prevalence of sarcopenia based on the FNIH criteria was 18.1% (95%CI: 15.8\u201320.3). The prevalence of SO, considering different sarcopenia definitions, ranged from 0.8% (95%CI: 0.3\u20131.3) to 5.0% (95%CI: 3.8\u20136.3).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings reveal substantial variation in the prevalence of sarcopenia and SO, underscoring the necessity for context-specific cut-off values. Although the prevalence of SO was relatively low, this result may be underestimated. Furthermore, the consistently high proportion of probable sarcopenia and sarcopenia point to a substantial public health burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0300224","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T14:01:20Z","timestamp":1712671280000},"page":"e0300224","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Sarcopenia and sarcopenic obesity among community-dwelling Peruvian adults: A cross-sectional study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9780-937X","authenticated-orcid":true,"given":"Oscar","family":"Flores-Flores","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5314-8469","authenticated-orcid":true,"given":"Alejandro","family":"Zevallos-Morales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne L.","family":"Pollard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Checkley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trishul","family":"Siddharthan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John R.","family":"Hurst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Bernab\u00e9-Ortiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando M.","family":"Runzer-Colmenares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miles D.","family":"Witham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0336-0584","authenticated-orcid":true,"given":"Jose F.","family":"Parodi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,9]]},"reference":[{"key":"pone.0300224.ref001","doi-asserted-by":"crossref","first-page":"1231","DOI":"10.1093\/ajcn\/50.5.1231","article-title":"Summary Comments","volume":"50","author":"IH Rosenberg","year":"1989","journal-title":"The American Journal of Clinical Nutrition"},{"issue":"5","key":"pone.0300224.ref002","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1002\/jcsm.12147","article-title":"Welcome to the ICD-10 code for sarcopenia","volume":"7","author":"SD Anker","year":"2016","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"7","key":"pone.0300224.ref003","doi-asserted-by":"crossref","first-page":"633","DOI":"10.2174\/1389203718666170607113459","article-title":"Sarcopenia: An Overview on Current Definitions, Diagnosis and Treatment","volume":"19","author":"F Landi","year":"2018","journal-title":"Current protein & peptide science"},{"issue":"1","key":"pone.0300224.ref004","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: revised European consensus on definition and diagnosis","volume":"48","author":"AJ Cruz-Jentoft","year":"2019","journal-title":"Age Ageing"},{"issue":"4","key":"pone.0300224.ref005","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1159\/000490361","article-title":"Sarcopenic obesity: time to meet the challenge","volume":"11","author":"R Barazzoni","year":"2018","journal-title":"Obesity facts"},{"issue":"3","key":"pone.0300224.ref006","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1159\/000521241","article-title":"Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement","volume":"15","author":"LM Donini","year":"2022","journal-title":"Obesity facts"},{"issue":"4","key":"pone.0300224.ref007","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jamda.2011.01.003","article-title":"Sarcopenia: an undiagnosed condition in older adults. 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Strengthening the scientific foundation for policymaking to meet the challenges of aging in Latin America and the Caribbean: summary of a workshop: National Academies Press; 2015."},{"issue":"3","key":"pone.0300224.ref014","doi-asserted-by":"crossref","first-page":"e13165","DOI":"10.1111\/obr.13165","article-title":"Obesity and COVID\u201019 in Latin America: A tragedy of two pandemics\u2014Official document of the Latin American Federation of Obesity Societies","volume":"22","author":"B Halpern","year":"2021","journal-title":"Obes Rev"},{"issue":"5","key":"pone.0300224.ref015","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1002\/jcsm.12112","article-title":"Reference ranges of handgrip strength from 125,462 healthy adults in 21 countries: a prospective urban rural epidemiologic (PURE) study","volume":"7","author":"DP Leong","year":"2016","journal-title":"J Cachexia Sarcopenia 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association with self-reported disability and prediction of mortality and nursing home admission","volume":"49","author":"JM Guralnik","year":"1994","journal-title":"J Gerontol"},{"issue":"1","key":"pone.0300224.ref028","doi-asserted-by":"crossref","first-page":"17531","DOI":"10.1038\/s41598-022-22153-9","article-title":"Sarcopenia and mortality risk in community-dwelling Brazilian older adults","volume":"12","author":"CC Pereira","year":"2022","journal-title":"Sci Rep"},{"key":"pone.0300224.ref029","doi-asserted-by":"crossref","first-page":"e12038","DOI":"10.7717\/peerj.12038","article-title":"Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil","volume":"9","author":"SGG Fernandes","year":"2021","journal-title":"PeerJ"},{"key":"pone.0300224.ref030","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1590\/0004-282x-anp-2020-0186","article-title":"Probable sarcopenia is associated with cognitive impairment among community-dwelling 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