Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria

Background/Objective. Sarcopenic obesity (SO) is a hidden condition of reduced lean soft tissue (LST) in context of excess adiposity. SO is most commonly reported in older adults and both its risk and prevalence increase with age. A variety of body composition indices and cut points have been used t...

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Main Authors: Carlene A. Johnson Stoklossa, Arya M. Sharma, Mary Forhan, Mario Siervo, Raj S. Padwal, Carla M. Prado
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2017/7307618
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author Carlene A. Johnson Stoklossa
Arya M. Sharma
Mary Forhan
Mario Siervo
Raj S. Padwal
Carla M. Prado
author_facet Carlene A. Johnson Stoklossa
Arya M. Sharma
Mary Forhan
Mario Siervo
Raj S. Padwal
Carla M. Prado
author_sort Carlene A. Johnson Stoklossa
collection DOAJ
description Background/Objective. Sarcopenic obesity (SO) is a hidden condition of reduced lean soft tissue (LST) in context of excess adiposity. SO is most commonly reported in older adults and both its risk and prevalence increase with age. A variety of body composition indices and cut points have been used to define this condition, leading to conflicting prevalence and risk prediction. Here, we investigate variability in the prevalence of SO in an adult sample of individuals with class II/III obesity (BMI ≥ 35 kg/m2) using different diagnostic criteria. Methods. SO definitions were identified from a literature review of studies using dual-energy X-ray absorptiometry (DXA) to assess LST. Demographics, anthropometrics, and body composition (by DXA) were measured in n=120, 86% female (46.9 ± 11.1 years). Results. LST was extremely variable in individuals, even with similar body sizes, and observed across the age spectrum. The prevalence of SO ranged from 0 to 84.5% in females and 0 to 100% in males, depending upon the definition applied, with higher prevalence among definitions accounting for measures of body size or fat mass. Conclusion. SO is present, yet variable, in adults with class II/III obesity. Accounting for body mass or fat mass may identify a higher number of individuals with SO, although risk prediction remains to be studied.
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spelling doaj-art-b3ea5a09b5944119bf816c8b479d54452025-02-03T01:33:05ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322017-01-01201710.1155/2017/73076187307618Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic CriteriaCarlene A. Johnson Stoklossa0Arya M. Sharma1Mary Forhan2Mario Siervo3Raj S. Padwal4Carla M. Prado5Department of Agriculture, Food and Nutritional Science, University of Alberta, Edmonton, AB, CanadaDepartment of Medicine, University of Alberta, Edmonton, AB, CanadaDepartment of Occupational Therapy, University of Alberta, Edmonton, AB, CanadaHuman Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle on Tyne, UKDepartment of Medicine, University of Alberta, Alberta Diabetes Institute, Edmonton, AB, CanadaDepartment of Agriculture, Food and Nutritional Science, University of Alberta, Edmonton, AB, CanadaBackground/Objective. Sarcopenic obesity (SO) is a hidden condition of reduced lean soft tissue (LST) in context of excess adiposity. SO is most commonly reported in older adults and both its risk and prevalence increase with age. A variety of body composition indices and cut points have been used to define this condition, leading to conflicting prevalence and risk prediction. Here, we investigate variability in the prevalence of SO in an adult sample of individuals with class II/III obesity (BMI ≥ 35 kg/m2) using different diagnostic criteria. Methods. SO definitions were identified from a literature review of studies using dual-energy X-ray absorptiometry (DXA) to assess LST. Demographics, anthropometrics, and body composition (by DXA) were measured in n=120, 86% female (46.9 ± 11.1 years). Results. LST was extremely variable in individuals, even with similar body sizes, and observed across the age spectrum. The prevalence of SO ranged from 0 to 84.5% in females and 0 to 100% in males, depending upon the definition applied, with higher prevalence among definitions accounting for measures of body size or fat mass. Conclusion. SO is present, yet variable, in adults with class II/III obesity. Accounting for body mass or fat mass may identify a higher number of individuals with SO, although risk prediction remains to be studied.http://dx.doi.org/10.1155/2017/7307618
spellingShingle Carlene A. Johnson Stoklossa
Arya M. Sharma
Mary Forhan
Mario Siervo
Raj S. Padwal
Carla M. Prado
Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
Journal of Nutrition and Metabolism
title Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
title_full Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
title_fullStr Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
title_full_unstemmed Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
title_short Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria
title_sort prevalence of sarcopenic obesity in adults with class ii iii obesity using different diagnostic criteria
url http://dx.doi.org/10.1155/2017/7307618
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