Osteosarcopenic obesity syndrome: what is it and how can it be identified and diagnosed?
Open accessAbstract
Conditions related to body composition and aging, such as osteopenic obesity, sarcopenia/sarcopenic obesity, and the newly termed osteosarcopenic obesity (triad of bone muscle and adipose tissue impairment), are beginning to gain recognition. However there is still a lack of definitive diagnostic criteria for these conditions. Little is known about the long-term impact of these combined conditions of osteoporosis, sarcopenia, and obesity in older adults. Many may go undiagnosed and progress untreated. Therefore, the objective of this research is to create diagnostic criteria for osteosarcopenic obesity in older women. The proposed diagnostic criteria are based on two types of assessments: physical, via body composition measurements, and functional, via physical performance measures. Body composition measurements such as T -scores for bone mineral density, appendicular lean mass for sarcopenia, and percent body fat could all be obtained via dual energy X-ray absorptiometry. Physical performance tests: handgrip strength, one-leg stance, walking speed, and sit-to-stand could be assessed with minimal equipment. A score could then be obtained to measure functional decline in the older adult. For diagnosing osteosarcopenic obesity and other conditions related to bone loss and muscle loss combined with obesity, a combination of measures may more adequately improve the assessment process.
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DXA manifests strength in assessment of bone mass and density, thus simultaneously providing the conditions of bone, muscle, and fat.
“Moreover, it also manifests strength in assessment of bone mass and density, thus simultaneously providing the conditions of bone, muscle, and fat (130, 131).”
From Diabetes and Sarcopenic Obesity: Pathogenesis, Diagnosis, and Treatments (2020) · cites this paper as [130]
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- Authors
- Ilich, J. Z., Kelly, O. J., & Inglis, J. E.
- Affiliations
- Florida State University (US)
- Abbott Nutrition (United States) (US)
- Corresponding author
- Ilich, Jasminka Z.
- Venue
- Current Gerontology and Geriatrics Research
- Publisher
- Wiley
- Published
- 2016
- Volume
- 2016
- Pages
- 1-7
- ISSN
- 1687-7063 (ISSN-L)
- 1687-7071
- PMC
- PMC5030469
- OpenAlex
- W2517362901
- Cited by
- 115
- References
- 42
- Citations by year
- 2026: 7 · 2025: 9 · 2024: 5 · 2023: 13 · 2022: 13 · 2021: 18 · 2020: 16 · 2019: 17 · 2018: 9 · 2017: 8
- FWCI
- 1.33
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Current Gerontology and Geriatrics Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- osteosarcopenic obesity, sarcopenic obesity, diagnostic criteria, older women, body composition, bone mineral density, appendicular lean mass, body fat percentage, physical performance, grip strength, walking speed, sit-to-stand, single-leg stance, functional decline, sarcopenia, osteoporosis, obesity
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