The association between mid-upper arm circumference and sarcopenia in middle-aged and elderly patients with type 2 diabetes mellitus
10.3969/j.issn.1673-9701.2025.22.005
- VernacularTitle:中上臂围与中老年2型糖尿病肌少症患者的关联
- Author:
Qian LI
1
;
Meng YE
;
Fang SU
;
Wen WANG
;
Yanzhe WU
;
Li WU
;
Hong ZHU
Author Information
1. 徐州医科大学附属宿迁医院/南京鼓楼医院集团宿迁医院临床营养科,江苏宿迁 223800
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
Sarcopenia;
Mid-upper arm circumference;
Middle-aged and elderly
- From:
China Modern Doctor
2025;63(22):16-20,25
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the association between mid-upper arm circumference(MUAC)and sarcopenia in middle-aged and elderly patients with type 2 diabetes mellitus(T2DM).Methods A total of 402 middle-aged and elderly patients with T2DM admitted to Nanjing Drum Tower Hospital Group Suqian Hospital from March 2022 to October 2024 were selected.Among them,308 patients with simple diabetes mellitus were included in non-sarcopenia group,and 94 patients with combined sarcopenia were included in sarcopenia group.Multivariate Logistic regression analysis was used to determine the association between MU AC and sarcopenia in middle-aged and elderly patients with T2DM.The predictive ability of MUAC for sarcopenia in middle-aged and elderly patients with T2DM was evaluated by using the receiver operating characteristic curve.Results There were statistically significant differences in age,body mass index,MUAC,triglycerides,direct bilirubin,alanine aminotransferase,aspartate aminotransferase,appendicular skeletal muscle mass,appendicular skeletal muscle mass index,grip strength and 6-meter walking speed between two groups of patients(P＜0.05).The results of multivariate Logistic regression showed that a smaller MUAC and increased age were both risk factors for sarcopenia in middle-aged and elderly patients with T2DM(P＜0.05).The optimal cutoff value of MUAC for diagnosing sarcopenia in middle-aged and elderly patients with T2DM:27.90cm for males and 26.95cm for females.Conclusion MUAC is associated with sarcopenia in middle-aged and elderly patients with T2DM and can be used for the early identification and diagnosis of middle-aged and elderly T2DM patients with sarcopenia.
