4.7 Review

Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management

Journal

FRONTIERS IN ENDOCRINOLOGY
Volume 14, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fendo.2023.1185221

Keywords

sarcopenia; obesity; pathogenesis; endocrine; cardiovascular disease

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Sarcopenic obesity is the combination of muscle loss and obesity in the same individual, which is detrimental to health and associated with various diseases and increased mortality rates. The condition primarily affects older individuals and requires improvements in definition, prevalence identification, and therapeutic interventions for better prognosis. This review provides an overview of sarcopenic obesity and its associations with cardiovascular diseases and mortality.
Sarcopenic obesity is defined as the coexistence of sarcopenia and obesity in the same individual, characterized by of the co-presence of body fat accumulation and muscle loss. This condition is currently a major concern as it is associated with frailty and disabilities such as cardiovascular disease, fractures, dementia, cancer, and increased all-cause mortality. Particularly, older individuals remain at risk of sarcopenic obesity. Progress at several levels is needed to improve the global prognostic outlook for this condition, including the elaboration and implementation of a more uniform definition that may favor the identification and specification of prevalence by age group. Furthermore, improvements in the understanding of the pathogenesis of sarcopenic obesity may lead to the development of more specific therapeutic interventions to improve prognosis. We reviewed the knowledge on sarcopenic obesity and its associations with cardiovascular diseases and mortality.

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