DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips

The proper assessment and follow-up of obesity and sarcopenia are relevant for the proper management of the complications of cardiometabolic and musculoskeletal frailty. A total body dual-energy X-ray absorptiometry (DXA) scan should be systematically incorporated in the rehabilitative routine manag...

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Main Authors: Marco A. Minetto, Chiara Busso, Piera Lalli, Giulia Gamerro, Giuseppe Massazza
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2021.712977/full
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author Marco A. Minetto
Chiara Busso
Piera Lalli
Giulia Gamerro
Giuseppe Massazza
author_facet Marco A. Minetto
Chiara Busso
Piera Lalli
Giulia Gamerro
Giuseppe Massazza
author_sort Marco A. Minetto
collection DOAJ
description The proper assessment and follow-up of obesity and sarcopenia are relevant for the proper management of the complications of cardiometabolic and musculoskeletal frailty. A total body dual-energy X-ray absorptiometry (DXA) scan should be systematically incorporated in the rehabilitative routine management of patients with obesity and sarcopenia. In the former patients, the total body DXA can be used to assess the fat tissue amount and distribution, while in the latter patients, it can be used to quantify the reduction of appendicular lean mass and to investigate the inter-limb lean mass asymmetry. This tutorial article provides an overview of different DXA-derived fat and lean indices and describes a step-by-step procedure on how to produce a complete DXA report. We suggest that the systematic incorporation of these indices into routine examinations of the patients with obesity and sarcopenia can be useful for identifying the patients at risk for cardiometabolic and neuromuscular impairment-related comorbidities and for evaluating the effectiveness of pharmacological and rehabilitative interventions.
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spelling doaj.art-4c93361719e445169ece59281bedcfd62023-01-02T01:21:51ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612021-10-01210.3389/fresc.2021.712977712977DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting TipsMarco A. MinettoChiara BussoPiera LalliGiulia GamerroGiuseppe MassazzaThe proper assessment and follow-up of obesity and sarcopenia are relevant for the proper management of the complications of cardiometabolic and musculoskeletal frailty. A total body dual-energy X-ray absorptiometry (DXA) scan should be systematically incorporated in the rehabilitative routine management of patients with obesity and sarcopenia. In the former patients, the total body DXA can be used to assess the fat tissue amount and distribution, while in the latter patients, it can be used to quantify the reduction of appendicular lean mass and to investigate the inter-limb lean mass asymmetry. This tutorial article provides an overview of different DXA-derived fat and lean indices and describes a step-by-step procedure on how to produce a complete DXA report. We suggest that the systematic incorporation of these indices into routine examinations of the patients with obesity and sarcopenia can be useful for identifying the patients at risk for cardiometabolic and neuromuscular impairment-related comorbidities and for evaluating the effectiveness of pharmacological and rehabilitative interventions.https://www.frontiersin.org/articles/10.3389/fresc.2021.712977/fullfat massfrailtylean massmuscle massvisceral adipose tissue
spellingShingle Marco A. Minetto
Chiara Busso
Piera Lalli
Giulia Gamerro
Giuseppe Massazza
DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
Frontiers in Rehabilitation Sciences
fat mass
frailty
lean mass
muscle mass
visceral adipose tissue
title DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
title_full DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
title_fullStr DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
title_full_unstemmed DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
title_short DXA-Derived Adiposity and Lean Indices for Management of Cardiometabolic and Musculoskeletal Frailty: Data Interpretation Tricks and Reporting Tips
title_sort dxa derived adiposity and lean indices for management of cardiometabolic and musculoskeletal frailty data interpretation tricks and reporting tips
topic fat mass
frailty
lean mass
muscle mass
visceral adipose tissue
url https://www.frontiersin.org/articles/10.3389/fresc.2021.712977/full
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