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자료유형
학술저널
저자정보
안성희 (인하대학교) 정희원 (서울아산병원) 이은주 (서울아산병원) 백지연 (서울아산병원) 장일영 (울산대학교) 박소정 (Asan Institute for Life Sciences Asan Medical Center Korea) 이진영 (울산대학교) 최은아 (Asan Institute for Life Sciences Asan Medical Center Korea) 이윤선 (Asan Institute for Life Sciences Asan Medical Center Korea) 홍성빈 (인하대학교) 김범준 (서울아산병원)
저널정보
대한내분비학회 Endocrinology and Metabolism Endocrinology and Metabolism Vol.37 No.3
발행연도
2022.6
수록면
487 - 496 (10page)
DOI
https://doi.org/10.3803/EnM.2022.1428

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Background: Although muscles and bones interact with each other through various secretory factors, the role of sclerostin, an osteocyte-secreted factor, on muscle metabolism has not been well studied. We investigated the levels of serum sclerostin in Korean olderadults with sarcopenia. Methods: Blood samples were collected from 129 participants who underwent evaluation of muscle mass and function in an outpatient geriatric clinic of a teaching hospital. Sarcopenia and related parameters were determined using cutoff values for the Asian population. Serum sclerostin levels were measured using an enzyme-linked immunosorbent assay. Results: The mean age of the participants was 69.6 years, and 20 participants (15.5%) were classified as having sarcopenia. Afteradjusting for age, sex, and body mass index, serum sclerostin levels were significantly lower in participants with sarcopenia, lowmuscle mass, or weak muscle strength (P=0.003 to 0.045). Serum sclerostin levels were positively associated with skeletal muscleindex and grip strength after adjusting for confounders (P=0.001 and P=0.003), whereas sarcopenic phenotype score showed a negative association (P=0.006). These increases in muscle mass and strength were also dose dependent as serum sclerostin levels increased (P for trends=0.003 and P for trends=0.015). Higher serum sclerostin levels were associated with lower odds ratio (ORs)for sarcopenia, low muscle mass, and weak muscle strength after adjusting for confounders (OR, 0.27 to 0.50; P<0.001 to 0.025). Conclusion: Higher serum sclerostin levels were associated with a lower risk of sarcopenia, low muscle mass, and weak musclestrength in Korean older adults.

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