Osteosarcopenic Visceral Obesity and Osteosarcopenic Subcutaneous Obesity, Two New Phenotypes of Sarcopenia: Prevalence, Metabolic Profile, and Risk Factors
Table 1
Diagnostic criteria for osteosarcopenic obesity based on body composition (via dual-energy X-ray absorptiometry) [2, 3, 5].
Diagnostic criteria
T-score for BMD ≤ −1.0 SD at the hip femoral
SMI > 5.5 kg/h2 for women and 7.23 kg/h2 for men
Fat mass ≥ 38% for women and ≥28% for men
Visceral/subcutaneous fat ratio > 1
Osteopenia/osteoporosis
Yes
No
No
No
Sarcopenia
No
Yes
No
No
Visceral obesity
No
No
Yes
Yes
Subcutaneous obesity
No
No
Yes
No
Osteopenic sarcopenia
Yes
Yes
No
No
Osteopenic subcutaneous obesity
Yes
No
Yes
No
Osteopenic visceral obesity
Yes
No
Yes
Yes
Sarcopenic subcutaneous obesity
No
Yes
Yes
No
Sarcopenic visceral obesity
No
Yes
Yes
Yes
Osteosarcopenic subcutaneous obesity
Yes
Yes
Yes
No
Osteosarcopenic visceral obesity
Yes
Yes
Yes
Yes
BMD: bone mineral density; SMI: skeletal muscle index [5].