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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2017-01-01
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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. |
format | Article |
id | doaj-art-b3ea5a09b5944119bf816c8b479d5445 |
institution | Kabale University |
issn | 2090-0724 2090-0732 |
language | English |
publishDate | 2017-01-01 |
publisher | Wiley |
record_format | Article |
series | Journal of Nutrition and Metabolism |
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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