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2015, Number 3

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Rev Clin Esc Med 2015; 5 (3)

Conceptos básicos sobre obesidad sarcopénica en el adulto mayor

Zuñiga R

Language: Spanish
References: 28
Page:
PDF size: 207.76 Kb.


ABSTRACT

Sarcopenic Obesity is a clinical and pathophysiological entity that implies disability and risk of mortality. Its definition has been subject of consensus by The European Working Group on Sarcopenia in Older People (EWGSOP) and the International Working Group on Sarcopenia (IWGS). Thanks to the studies conducted by Baumgartner and Janssen, the standardization of sarcopenia´s diagnosis has been determinated by the measurement of the appendicular muscle mass index using the height (ASM/ht 2) and body weight (ASM/Wt) analyzed on the Dual-energy X-ray Absorptiometry (DXA) and the Bioelectrical Impedance Analysis (BIA). Obesity is assessed by the body mass index and the body fat percentage. Recent meta-analysis has estimated an incidence of Sarcopenic Obesity from 2 to 20%. Sarcopenic Obesity has been characterized by insulin, resistance and inflammation. The adipocyte has been implicated in maintaining this process. There have been studies that suggest an approach and intervention based on the body composition and the metabolic risk.


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