Abstract
Sarcopenic obesity (SO) refers to an obesity disease accompanied by low skeletal muscle quality, strength and/or function, which is more common in the elderly and seriously affects their quality of life and can lead to falls, unstable walking, balance disorders and fractures in the elderly. The increase in aging populations and the various health problems and medical costs associated with SO have aroused widespread concern in society. However, the pathogenesis of SO has not been fully clarified and the diagnostic criteria are not uniform, meaning that there are inconsistent data on the prevalence of SO and the potential correlation between SO and health outcomes. Therefore, we review the research progress on delineating the pathogenesis and diagnostic criteria of SO, to assist in the early diagnosis and evaluation of SO and subsequent interventions.
Similar content being viewed by others
References
Sakamoto K (2017) Progress of sarcopenia research. Nihon Yakurigaku Zasshi 149:186
Lee DC, Shook RP, Drenowatz C, et al (2016) Physical activity and sarcopenic obesity: definition, assessment, prevalence and mechanism. Fut Sci OA. pp. fsoa-2016-0028
Kemmler W, Stengel SV, Engelke K et al (2016) Prevalence of sarcopenic obesity in Germany using established definitions. Osteoporos Int 27:275–281
Turner GS, Tjaden K (2015) United Nations, Department of Economic and Social Affairs, Population Division, World Fertility Report 2013: fertility at the extremes. Popul Dev Rev 41:R6987–R6989
Sun-Young K, Eun LG, Keun KY et al (2017) Association between sarcopenic obesity and metabolic syndrome in postmenopausal women: a cross-sectional study based on the Korean National Health and Nutritional examination surveys from 2008 to 2011. J Bone Metab 24:9–14
Bellanti F, Romano AD, Lo Buglio A et al (2018) Oxidative stress is increased in sarcopenia and associated with cardiovascular disease risk in sarcopenic obesity. Maturitas 109:6–12
Wang H, Hai S, Liu Y et al (2019) Associations between sarcopenic obesity and cognitive impairment in elderly Chinese community-dwelling individuals. J Nutr Health Aging 23:14–20
Consolacion GC, Marta VG, Laura TR et al (2018) Characterization of ageing- and diet-related swine models of sarcopenia and sarcopenic obesity. Int J Mol Sci 19:823
Inez T, Amely V, Robert M et al (2018) Exercise and nutrition strategies to counteract sarcopenic obesity. Nutrients 10:605–626
Stenholm S, Harris TB, Rantanen T et al (2008) Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care 11:693–700
Xu DF, Sun JQ (2013) Research progress of sarcopenic obesity in older adults. Chin J Geriatr 32:1017–1020
Santos CM, Dias JMD, Samora GAR et al (2017) Prevalence of obesity, sarcopenic obesity and associated factors: A FIBRA Network study. Fisioterapia em Movimento 30:161–169
Yang Y, Wang Y (2018) Research progress of sarcopenic obesity. Modern Med J China 20:98–101
Shao A, Campbell W, Chen CYO et al (2017) The emerging global phenomenon of sarcopenic obesity: role of functional foods; a conference report. J Funct Foods 33:244–250
Mraz M, Haluzik M (2014) The role of adipose tissue immune cells in obesity and low-grade inflammation. Endocrinology 222:R113–R127
Choi KM (2013) Sarcopenia and sarcopenic obesity. Endocrinol Metab 28:86–89
Batsis JA, Mackenzie TA, Jones JD (2016) Sarcopenia, sarcopenic obesity and inflammation: results from the 1999–2004 National Health and Nutrition Examination Survey. Clin Nutr 35:1472–1483
Scott D, Cumming R, Naganathan V et al (2018) Associations of sarcopenic obesity with the metabolic syndrome and insulin resistance over five years in older men: the Concord Health and Ageing in Men Project. Exp Gerontol 21:5562–5570
Kalinkovich A, Livshits G (2017) Sarcopenic obesity or obese sarcopenia: a cross talk between age-associated adipose tissue and skeletal muscle inflammation as a main mechanism of the pathogenesis. Ageing Res Rev 35:200–221
Baker LD, Barsness SM, Borson S et al (2012) Effects of growth hormone-releasing hormone on cognitive function in adults with mild cognitive impairment and healthy older adults: results of a controlled trial. Arch Neurol 69:1420–1429
Tyrovolas S, Koyanagi A, Olaya B et al (2016) Factors associated with skeletal muscle mass, sarcopenia, and sarcopenic obesity in older adults: a multi-continent study. J Cachexia Sarcopenia Muscle 7:312–321
Park SW, Goodpaster BH, Strotmeyer ES et al (2007) Accelerated loss of skeletal muscle strength in older adults with type 2 diabetes: the health, aging, and body composition study. Diabetes Care 30:1507–1512
Kim J, Lee Y, Kye S et al (2017) Diet quality and osteosarcopenic obesity in community-dwelling adults 50 years and older. Maturitas 104:73–79
Ilich JZ, Kim Y, Gilman JC et al (2017) Macronutrient intake and distribution in the etiology, prevention and treatment of osteosarcopenic obesity. Curr Aging Sci 10:178–260
Manoy P, Anomasiri W, Yuktanandana P et al (2017) Elevated serum leptin levels are associated with low vitamin D, sarcopenic obesity, poor muscle strength, and physical performance in knee osteoarthritis. Biomarkers 22:723–730
Li SM, Xu ZR, Ou YQ et al (2018) The role of intestinal microecological changes in the pathogenesis of sarcopenia. Chin J Geriatr Res (Electronic Edition) 5:13–16
Polyzos SA, Margioris AN (2018) Sarcopenic obesity. Hormones 17:321–331
Aggio D, Sartini C, Papacosta O et al (2016) Association of objectively measured physical activity and sedentary time with sarcopenia, severe sarcopenia and sarcopenic obesity in older men. J Epidemiol Community Health 70:A113
Rossi AP, Rubele S, Calugi S et al (2019) Weight cycling as a risk factor for low muscle mass and strength in a population of males and females with obesity. Obesity (Silver Spring, Md) 27:1068–1075
Kob R, Bollheimer LC, Bertsch T et al (2015) Sarcopenic obesity: molecular clues to a better understanding of its pathogenesis? Biogerontology 16:15–29
Iwabu M, Yamauchi T, Okada-Iwabu M et al (2010) Adiponectin and AdipoR1 regulate PGC-1 alpha and mitochondria by Ca2+ and AMPK/SIRT1. Nature 464:1313–1319
Luo L, Yang JP, Wang ST et al (2017) Advances of molecular mechanisms on obesity inducing muscle atrophy. Chin J Rehabil Theory Pract 23:553–557
McPherron AC (2016) The ups and downs of exercise and insulin sensitivity: a role for the myokine myostatin in glucose metabolism? Acta Physiol 217:6–10
Xie WQ, Lu MJ, Wang M et al (2018) Advances in research on diagnostic criteria and evaluation methods for sarcopenia. Gansu Sci Technol 34:150–154
Wang H, Hai S, Cao L et al (2016) Estimation of prevalence of sarcopenia by using a new bioelectrical impedance analysis in Chinese community-dwelling elderly people. BMC Geriatr 16:216
Beaudart C, Dawson A, Shaw SC et al (2017) Nutrition and physical activity in the prevention and treatment of sarcopenia: systematic review. Osteoporos Int 28:1817–1833
Baumgartner RN, Koehler KM, Gallagher D et al (1998) Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 147:755–763
Lera L, Albala C, Sánchez H et al (2017) Prevalence of sarcopenia in community-dwelling Chilean elders according to an adapted version of the European Working Group on Sarcopenia in Older people (EWGSOP) criteria. J Frail Aging 6:12–17
Studenski SA, Peters KW, Alley DE et al (2014) The FNIH Sarcopenia Project: rationale, study description, conference recommendations and final estimates. J Gerontol 69:547–558
Cruz-Jentoft AJ, Bahat G, Bauer J et al (2019) Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 48:16–31
Locquet M, Beaudart C, Reginster JY et al (2017) Comparison of the performance of five screening methods for sarcopenia. Clin Epidemiol 10:71–82
Murray TE, Williams D, Lee MJ (2018) Osteoporosis, obesity, and sarcopenia on abdominal CT: a review of epidemiology, diagnostic criteria, and management strategies for the reporting radiologist. Abdom Radiol 42:2376–2386
Bahat G, Yilmaz O, Kilic C et al (2018) Performance of SARC-F in regard to sarcopenia definitions, muscle mass and functional measures. J Nutr Health Aging 22:898–903
Hajaoui M, Locquet M, Beaudart C et al (2019) Sarcopenia: performance of the SARC-F questionnaire according to the European consensus criteria, EWGSOP1 and EWGSOP2. J Am Med Direct Assoc 20:1182–1183
Gómez-Tabares G, García W, Bedoya-Dorado E et al (2019) Screening sarcopenia through SARC-F in postmenopausal women: a single-center study from South America. Climacteric 22:627–631
Kemmler W, Sieber C, Freiberger E et al (2017) The SARC-F Questionnaire: diagnostic overlap with established sarcopenia definitions in older German men with sarcopenia. Gerontology 63:411–416
Bahat G, Oren M, Yilmaz O et al (2018) Comparing SARC-F with SARC-CalF to screen sarcopenia in community living older adults. J Nutr Health Aging 22:1034–1038
Cruz-Jentoft AJ, Baeyens JP, Bauer JM et al (2010) Sarcopenia: European consensus on definition and diagnosis report of the European Working Group on Sarcopenia in Older People. Age Ageing 39:412–423
Chumlea WC, Cesari M, Evans WJ et al (2011) International Working Group on Sarcopenia. J Nutr Health Aging 15:450–455
Chen LK, Liu LK, Woo J et al (2014) Sarcopenia in Asia: consensus report of the Asian working Group for Sarcopenia. J Am Med Dir Assoc 15:95–101
Hebebrand J, Holm JC, Woodward E et al (2017) A proposal of the European Association for the Study of Obesity to Improve the ICD-11 diagnostic criteria for obesity based on the three dimensions etiology, degree of adiposity and health risk. Obes Facts 10:284–307
Xiao WY, Dong RW, Guo Q, et al. Cutoff point of fat percentage in obesity diagnosis for Chinese adults, Academic Conference on Obesity and Weight Management and Jinling Health Management Forum. 2015
Wang YX, Yu KL, Jia YL et al (2018) Evaluation of several indexes of obesity with the standard of percent body fat. J Anhui Normal Univ (Nat Sci) 41:157–160
Baumgartner RN (2010) Body composition in healthy aging. Ann N Y Acad Sci 904:437–448
Davison KK, Ford ES, Cogswell ME et al (2002) Percentage of body fat and body mass index are associated with mobility limitations in people aged 70 and older from NHANES III. J Am Geriatr Soc 50:1802–1809
Kemmler W, Teschler M, Wei Enfels A et al (2017) Prevalence of sarcopenia and sarcopenic obesity in older German men using recognized definitions: high accordance but low overlap! Osteoporos Int 28:1881–1891
Oliveira TM, Roriz AKC, Barreto-Medeiros JM et al (2019) Sarcopenic obesity in community-dwelling older women, determined by different diagnostic methods. Nutr Hosp. https://doi.org/10.20960/nh.02593
Funding
This work was supported by the National Natural Science Foundation of China (No. 81874030 and 81871096), the Provincial Natural Science Foundation of Hunan (No. 2019JJ50949), the Provincial Health Commission of Hunan (No. B2019187) and the Initial Funding for Outstanding Young People in Zhejiang Provincial People’s Hospital (ZRY2018C004).
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no competing interests.
Ethical approval
This article does not contain any studies with human participants performed by any of the authors.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Xie, Wq., Xiao, Gl., Fan, Yb. et al. Sarcopenic obesity: research advances in pathogenesis and diagnostic criteria. Aging Clin Exp Res 33, 247–252 (2021). https://doi.org/10.1007/s40520-019-01435-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40520-019-01435-9