{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T11:04:58Z","timestamp":1764587098936,"version":"3.44.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Sarcopenia significantly impacts quality of life and increases morbidity in older adults with type 2 diabetes mellitus (T2DM). This study aimed to investigate the association between Living habits, physical activity levels, and sarcopenia in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study included 65 older adults with T2DM from a tertiary hospital in Shanxi Province, China. Dietary habits were assessed using a 3-day dietary recall method. Physical activity levels were quantified using the International Physical Activity Questionnaire (IPAQ) and categorized (high\/moderate\/low) based on metabolic equivalent (MET)-minutes\/week. Sleep patterns were evaluated using the Pittsburgh Sleep Quality Index (PSQI), with regular sleep defined as 7\u20139 h nightly and a PSQI score \u2264 5. Sarcopenia was diagnosed according to the 2019 Asian Working Group for Sarcopenia (AWGS) criteria. Participants were categorized into sarcopenia and non-sarcopenia groups. Clinical data were compared, and multivariate logistic regression analyzed associations between lifestyle factors, physical activity, and sarcopenia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The proportions of regular exercise, regular sleep, balanced diet, and high physical activity were significantly lower in the sarcopenia group (<jats:italic>P<\/jats:italic> &amp;lt; 0.05). Multivariate analysis identified regular exercise (OR = 0.42, 95% CI: 0.25\u20130.71), regular sleep (OR = 0.56, 95% CI: 0.33\u20130.94), balanced diet (OR = 0.61, 95% CI: 0.37\u20130.99), and high physical activity (OR = 0.48, 95% CI: 0.29\u20130.80) as protective factors against sarcopenia (all <jats:italic>P<\/jats:italic> &amp;lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Living habits and physical activity levels are significantly associated with sarcopenia risk in older adults with T2DM, suggesting potential targets for prevention strategies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1608511","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T16:31:31Z","timestamp":1756917091000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["The association between living habits, physical activity level and sarcopenia in chinese older adults 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