Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review

This paper presents a review of the available literature on sarcopenic obesity (SO) in young and middle-aged female adults with obesity in weight management settings. A literature review using the PubMed/Medline and Science Direct databases was conducted, and the data were summarized through a narra...

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Main Authors: Massimo Pellegrini, Leila Itani, Andrea P. Rossi, Dima Kreidieh, Dana El Masri, Hana Tannir, Marwan El Ghoch
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/10/2042
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author Massimo Pellegrini
Leila Itani
Andrea P. Rossi
Dima Kreidieh
Dana El Masri
Hana Tannir
Marwan El Ghoch
author_facet Massimo Pellegrini
Leila Itani
Andrea P. Rossi
Dima Kreidieh
Dana El Masri
Hana Tannir
Marwan El Ghoch
author_sort Massimo Pellegrini
collection DOAJ
description This paper presents a review of the available literature on sarcopenic obesity (SO) in young and middle-aged female adults with obesity in weight management settings. A literature review using the PubMed/Medline and Science Direct databases was conducted, and the data were summarized through a narrative approach. Firstly, some physical performance tests and questionnaires are available for screening young and middle-aged female adults with a high risk of SO. Secondly, these patients can undergo instrumental measurements such as dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) to confirm or reject a diagnosis of SO, applying definitions that account for body mass. Thirdly, SO is a prevalent phenotype in females seeking weight management treatment, as well as being strongly associated (vs. non-SO) with obesity-related comorbidities that need to be promptly managed, initially with nutritional programs or/and in combination with medications. Finally, patients with SO have a reduced baseline resting energy expenditure and more sedentary behaviors, which seem to account for the relationship between SO and poorer weight management outcomes, such as a higher early dropout rate and major later difficulties in weight loss maintenance. Therefore, specific strategies for personalized weight management programs for patients with SO should be incorporated to determine a successful management of this phenotype.
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spelling doaj.art-877f8cdc0ab8455d84bf394d030d512e2023-11-24T00:21:24ZengMDPI AGHealthcare2227-90322022-10-011010204210.3390/healthcare10102042Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative ReviewMassimo Pellegrini0Leila Itani1Andrea P. Rossi2Dima Kreidieh3Dana El Masri4Hana Tannir5Marwan El Ghoch6Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Giuseppe Campi, 287, 41125 Modena, ItalyDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonGeriatric Division, Department of Medicine, Ospedale Cà Foncello ULSS2 Treviso, Piazzale Ospedale 1, 31100 Treviso, ItalyDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDepartment of Nutrition and Dietetics, Faculty of Health Sciences, Beirut Arab University, Riad El Solh, Beirut P.O. Box 11-5020, LebanonDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Via Giuseppe Campi, 287, 41125 Modena, ItalyThis paper presents a review of the available literature on sarcopenic obesity (SO) in young and middle-aged female adults with obesity in weight management settings. A literature review using the PubMed/Medline and Science Direct databases was conducted, and the data were summarized through a narrative approach. Firstly, some physical performance tests and questionnaires are available for screening young and middle-aged female adults with a high risk of SO. Secondly, these patients can undergo instrumental measurements such as dual-energy X-ray absorptiometry (DXA) and bioelectrical impedance analysis (BIA) to confirm or reject a diagnosis of SO, applying definitions that account for body mass. Thirdly, SO is a prevalent phenotype in females seeking weight management treatment, as well as being strongly associated (vs. non-SO) with obesity-related comorbidities that need to be promptly managed, initially with nutritional programs or/and in combination with medications. Finally, patients with SO have a reduced baseline resting energy expenditure and more sedentary behaviors, which seem to account for the relationship between SO and poorer weight management outcomes, such as a higher early dropout rate and major later difficulties in weight loss maintenance. Therefore, specific strategies for personalized weight management programs for patients with SO should be incorporated to determine a successful management of this phenotype.https://www.mdpi.com/2227-9032/10/10/2042clinical outcomedefinitionobesitytreatmentsarcopenic obesityscreening
spellingShingle Massimo Pellegrini
Leila Itani
Andrea P. Rossi
Dima Kreidieh
Dana El Masri
Hana Tannir
Marwan El Ghoch
Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
Healthcare
clinical outcome
definition
obesity
treatment
sarcopenic obesity
screening
title Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
title_full Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
title_fullStr Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
title_full_unstemmed Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
title_short Approaching Sarcopenic Obesity in Young and Middle-Aged Female Adults in Weight Management Settings: A Narrative Review
title_sort approaching sarcopenic obesity in young and middle aged female adults in weight management settings a narrative review
topic clinical outcome
definition
obesity
treatment
sarcopenic obesity
screening
url https://www.mdpi.com/2227-9032/10/10/2042
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