Curr Gerontol Geriatr Res. 2016;2016:7325973. doi: 10.1155/2016/7325973. Epub 2016 Sep 07.
Osteosarcopenic Obesity Syndrome: What Is It and How Can It Be Identified and Diagnosed?.
Current gerontology and geriatrics research
Jasminka Z Ilich, Owen J Kelly, Julia E Inglis
Affiliations
Affiliations
- Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, FL, USA.
- Abbott Nutrition, Columbus, OH, USA.
PMID: 27667996
PMCID: PMC5030469 DOI: 10.1155/2016/7325973
Abstract
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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