PMID- 36084796 OWN - NLM STAT- MEDLINE DCOM- 20221115 LR - 20221229 IS - 1872-6216 (Electronic) IS - 0047-6374 (Linking) VI - 208 DP - 2022 Dec TI - Prevalence of sarcopenic obesity based on newly proposed diagnostic criteria and functional outcomes in older adults undergoing rehabilitation. PG - 111728 LID - S0047-6374(22)00110-5 [pii] LID - 10.1016/j.mad.2022.111728 [doi] AB - In 2022, the European Society for Clinical Nutrition and Metabolism (ESPEN) and European Association for the Study of Obesity (EASO) working group proposed uniform diagnostic criteria for sarcopenic obesity. However, no study has adapted these criteria to an Asian population or examined sarcopenic obesity prevalence diagnosed using these criteria or its association with functional outcomes. This retrospective cohort study investigated sarcopenic obesity prevalence diagnosed based on the ESPEN and EASO criteria, and its association with functional outcomes in 1080 older Japanese patients (mean age 79.5 years, 43.5 % male) undergoing rehabilitation. Based on the mentioned criteria, sarcopenic obesity is defined as a BMI >/= 25 kg/m(2), increased percent body fat (PBF), reduced skeletal muscle mass (SMM), and low handgrip strength. Sarcopenic obesity prevalence was investigated using various ESPEN- and EASO-proposed definitions of increased PBF and reduced SMM. Functional outcomes were evaluated based on whether patients improved in the minimal clinically important difference (MCID) of the Functional Independence Measure (FIM). The prevalence was 4.3-5.3 %. Sarcopenic obesity was not independently related to FIM MCID achievement. Sarcopenic obesity prevalence-based on the ESPEN and EASO criteria-in older Japanese patients undergoing rehabilitation was low and was not associated with poor functional outcomes. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Shimizu, Akio AU - Shimizu A AD - Department of Health Science, Faculty of Health and Human Development, The University of Nagano, Nagano, Japan; Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan. Electronic address: a.shimizu.diet@gmail.com. FAU - Maeda, Keisuke AU - Maeda K AD - Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan. FAU - Ueshima, Junko AU - Ueshima J AD - Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Clinical Nutrition and Food Service, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan. FAU - Inoue, Tatsuro AU - Inoue T AD - Department of Geriatric Medicine, Hospital, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan; Department of Physical Therapy, Niigata University of Health and Welfareo, Niigata, Japan. FAU - Murotani, Kenta AU - Murotani K AD - Biostatistics Center, Kurume University, Kurme, Fukuoka, Japan. FAU - Ohno, Tomohisa AU - Ohno T AD - Department of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Shizuoka, Japan. FAU - Nomoto, Akiko AU - Nomoto A AD - Department of Dentistry, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Shizuoka, Japan. FAU - Nagano, Ayano AU - Nagano A AD - Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan; Department of Nursing, Nishinomiya Kyoritsu Neurosurgical Hospital, Nishinomiya, Hyogo, Japan. FAU - Kayashita, Jun AU - Kayashita J AD - Department of Health Sciences, Faculty of Human Culture and Science, Prefectural University of Hiroshima, Hiroshima, Japan. FAU - Mori, Naoharu AU - Mori N AD - Palliative and Supportive Medicine, Graduate School of Medicine, Aichi Medical University, Nagakute, Aichi, Japan. FAU - Fujishima, Ichiro AU - Fujishima I AD - Department of Rehabilitation Medicine, Hamamatsu City Rehabilitation Hospital, Hamamatsu, Shizuoka, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220906 PL - Ireland TA - Mech Ageing Dev JT - Mechanisms of ageing and development JID - 0347227 SB - IM MH - Humans MH - Male MH - Aged MH - Female MH - *Sarcopenia/diagnosis/epidemiology MH - Prevalence MH - Hand Strength MH - Retrospective Studies MH - Obesity OTO - NOTNLM OT - Obesity OT - Overweight OT - Sarcopenia OT - Sarcopenic obesity COIS- Conflict of Interests The authors have no conflicts. EDAT- 2022/09/10 06:00 MHDA- 2022/11/16 06:00 CRDT- 2022/09/09 19:25 PHST- 2022/05/29 00:00 [received] PHST- 2022/08/16 00:00 [revised] PHST- 2022/08/29 00:00 [accepted] PHST- 2022/09/10 06:00 [pubmed] PHST- 2022/11/16 06:00 [medline] PHST- 2022/09/09 19:25 [entrez] AID - S0047-6374(22)00110-5 [pii] AID - 10.1016/j.mad.2022.111728 [doi] PST - ppublish SO - Mech Ageing Dev. 2022 Dec;208:111728. doi: 10.1016/j.mad.2022.111728. Epub 2022 Sep 6.