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Journal of Nutrition and Metabolism
Volume 2017 (2017), Article ID 7307618, 11 pages
Research Article

Prevalence of Sarcopenic Obesity in Adults with Class II/III Obesity Using Different Diagnostic Criteria

1Department of Agriculture, Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada
2Department of Medicine, University of Alberta, Edmonton, AB, Canada
3Department of Occupational Therapy, University of Alberta, Edmonton, AB, Canada
4Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle on Tyne, UK
5Department of Medicine, University of Alberta, Alberta Diabetes Institute, Edmonton, AB, Canada

Correspondence should be addressed to Carla M. Prado

Received 26 July 2016; Accepted 12 February 2017; Published 22 March 2017

Academic Editor: Pedro Moreira

Copyright © 2017 Carlene A. Johnson Stoklossa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background/Objective. Sarcopenic obesity (SO) is a hidden condition of reduced lean soft tissue (LST) in context of excess adiposity. SO is most commonly reported in older adults and both its risk and prevalence increase with age. A variety of body composition indices and cut points have been used to define this condition, leading to conflicting prevalence and risk prediction. Here, we investigate variability in the prevalence of SO in an adult sample of individuals with class II/III obesity (BMI ≥ 35 kg/m2) using different diagnostic criteria. Methods. SO definitions were identified from a literature review of studies using dual-energy X-ray absorptiometry (DXA) to assess LST. Demographics, anthropometrics, and body composition (by DXA) were measured in , 86% female (46.9 ± 11.1 years). Results. LST was extremely variable in individuals, even with similar body sizes, and observed across the age spectrum. The prevalence of SO ranged from 0 to 84.5% in females and 0 to 100% in males, depending upon the definition applied, with higher prevalence among definitions accounting for measures of body size or fat mass. Conclusion. SO is present, yet variable, in adults with class II/III obesity. Accounting for body mass or fat mass may identify a higher number of individuals with SO, although risk prediction remains to be studied.