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Definition and diag...
Definition and diagnostic criteria for sarcopenic obesity : ESPEN and EASO consensus statement
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- Donini, Lorenzo M. (author)
- Sapienza Univ, Rome, Italy
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- Busetto, Luca (author)
- Univ Padua, Padua, Italy
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- Bischoff, Stephan C. (author)
- Univ Hohenheim, Stuttgart, Germany
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- Cederholm, Tommy (author)
- Uppsala universitet,Klinisk nutrition och metabolism
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- Ballesteros-Pomar, Maria D. (author)
- Complejo Asistencial Univ Leon, Leon, Spain
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- Batsis, John A. (author)
- Univ N Carolina, Chapel Hill, NC 27515 USA
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- Bauer, Juergen M. (author)
- Heidelberg Univ, Heidelberg, Germany
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- Boirie, Yves (author)
- Univ Clermont Auvergne, CHU Clermont Ferrand, CRNH, INRA, Clermont Ferrand, France.
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- Cruz-Jentoft, Alfonso J. (author)
- Hosp Univ Ramon Y Cajal IRYCIS, Madrid, Spain
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- Dicker, Dror (author)
- Tel Aviv Univ, Sackler Fac Med, Tel Aviv, Israel
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- Frara, Stefano (author)
- San Raffaele Vita Salute Univ, Milan, Italy.;IRCCS Hosp, Milan, Italy
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- Frühbeck, Gema (author)
- Clin Univ Navarra, IdiSNA, CIBEROBN, Pamplona, Spain
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- Genton, Laurence (author)
- Hop Univ Geneve, Geneva, Switzerland
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- Gepner, Yftach (author)
- Tel Aviv Univ, Tel Aviv, Israel
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- Giustina, Andrea (author)
- San Raffaele Vita Salute Univ, Milan, Italy.;IRCCS Hosp, Milan, Italy
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- Gonzalez, Maria Cristina (author)
- Catholic Univ Pelotas UCPEL, Pelotas, RS, Brazil
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- Han, Ho-Seong (author)
- Seoul Natl Univ, Bundang Hosp SNUBH, Seoul, South Korea
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- Heymsfield, Steven B. (author)
- Pennington Biomed Res Ctr, 6400 Perkins Rd, Baton Rouge, LA 70808 USA
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- Higashiguchi, Takashi (author)
- Fujita Hlth Univ, Sch Med, Toyoake, Aichi, Japan
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- Laviano, Alessandro (author)
- Sapienza Univ, Rome, Italy
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- Lenzi, Andrea (author)
- Sapienza Univ, Rome, Italy
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- Nyulasi, Ibolya (author)
- Monash Univ, Clayton, Vic, Australia
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- Parrinello, Edda (author)
- Sapienza Univ, Rome, Italy
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- Poggiogalle, Eleonora (author)
- Sapienza Univ, Rome, Italy
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- Prado, Carla M. (author)
- Univ Alberta, Edmonton, AB, Canada
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- Salvador, Javier (author)
- Univ Navarra, IdiSNA, CIBEROBN, Pamplona, Spain
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- Rolland, Yves (author)
- Toulouse Univ Hosp, Gerontopole Toulouse, INSERM 1027, Toulouse, France
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- Santini, Ferruccio (author)
- Univ Pisa, Pisa, Italy
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- Serlie, Mireille J. (author)
- Amsterdam Univ Med Ctr, Amsterdam, Netherlands
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- Shi, Hanping (author)
- Capital Med Univ, Beijing Shijitan Hosp, Beijing, Peoples R China
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- Sieber, Cornel C. (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Nurnberg, Germany
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- Siervo, Mario (author)
- Univ Nottingham, Nottingham, England
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- Vettor, Roberto (author)
- Univ Padua, Padua, Italy
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- Villareal, Dennis T. (author)
- Baylor Coll Med, Houston, TX 77030 USA
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- Volkert, Dorothee (author)
- Friedrich Alexander Univ Erlangen Nurnberg, Nurnberg, Germany
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- Yu, Jianchun (author)
- Peking Union Med Coll Hosp, Beijing, Peoples R China
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- Zamboni, Mauro (author)
- Univ Verona, Verona, Italy
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- Barazzoni, Rocco (author)
- Univ Trieste, Dept Med Surg & Hlth Sci, Str Fiume 447, I-34149 Trieste, Italy
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(creator_code:org_t)
- Elsevier, 2022
- 2022
- English.
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In: Clinical Nutrition. - : Elsevier. - 0261-5614 .- 1532-1983. ; 41:4, s. 990-1000
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Abstract
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- Introduction: Loss of skeletal muscle mass and function (sarcopenia) is common in individuals with obesity due to metabolic changes associated with a sedentary lifestyle, adipose tissue derangements, comorbidities (acute and chronic diseases), and during the ageing process. Co-existence of excess adiposity and low muscle mass/function is referred to as sarcopenic obesity (SO), a condition increasingly recognized for its clinical and functional features that negatively influence important patient-centred outcomes. Effective prevention and treatment strategies for SO are urgently needed, but efforts are hampered by the lack of an universally established SO Definition and diagnostic criteria. Resulting inconsistencies in the literature also negatively affect the ability to define prevalence as well as clinical relevance of SO for negative health outcomes.Aims and methods: The European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO) launched an initiative to reach expert consensus on a Definition and diagnostic criteria for SO. The jointly appointed international expert panel proposes that SO is defined as the co-existence of excess adiposity and low muscle mass/function. The diagnosis of SO should be considered in at-risk individuals who screen positive for a co-occurring elevated body mass index or waist circumference, and markers of low skeletal muscle mass and function (risk factors, clinical symptoms, or validated questionnaires). Diagnostic procedures should initially include assessment of skeletal muscle function, followed by assessment of body composition where presence of excess adiposity and low skeletal muscle mass or related body compartments confirm the diagnosis of SO. Individuals with SO should be further stratified into Stage I in the absence of clinical complications, or Stage II if cases are associated with complications linked to altered body composition or skeletal muscle dysfunction.Conclusions: ESPEN and EASO, as well as the expert international panel, advocate that the proposed SO Definition and diagnostic criteria be implemented into routine clinical practice. The panel also encourages prospective studies in addition to secondary analysis of existing datasets, to study the predictive value, treatment efficacy, and clinical impact of this SO definition. (c) 2022 The Author(s). Published by Elsevier Ltd. on behalf of European Society for Clinical Nutrition and Metabolism and Obesity Facts published by S. Karger AG. This article is published under the Creative Commons CC-BY license. All rights reserved.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
Keyword
- Obesity
- Sarcopenia
- Sarcopenic obesity
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Donini, Lorenzo ...
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Busetto, Luca
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Bischoff, Stepha ...
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Cederholm, Tommy
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Ballesteros-Poma ...
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Batsis, John A.
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show more...
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Bauer, Juergen M ...
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Boirie, Yves
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Cruz-Jentoft, Al ...
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Dicker, Dror
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Frara, Stefano
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Frühbeck, Gema
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Genton, Laurence
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Gepner, Yftach
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Giustina, Andrea
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Gonzalez, Maria ...
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Han, Ho-Seong
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Heymsfield, Stev ...
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Higashiguchi, Ta ...
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Laviano, Alessan ...
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Lenzi, Andrea
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Nyulasi, Ibolya
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Parrinello, Edda
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Poggiogalle, Ele ...
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Prado, Carla M.
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Salvador, Javier
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Rolland, Yves
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Santini, Ferrucc ...
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Serlie, Mireille ...
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Shi, Hanping
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Sieber, Cornel C ...
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Siervo, Mario
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Vettor, Roberto
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Villareal, Denni ...
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Volkert, Dorothe ...
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Yu, Jianchun
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Zamboni, Mauro
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Barazzoni, Rocco
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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Clinical Nutriti ...
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Uppsala University