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Osteosarcopenic obesity (OSO) syndrome is a newly identified condition characterized
by concurrent occurrence of impaired bone health (osteopenia/osteoporosis), reduced
muscle mass or strength (sarcopenia or dynapenia), and increased adiposity (Figure 1). Important point to note in this definition is that increased adiposity can be present
either as an overt overweight/obesity or redistributed fat into visceral organs and/or
infiltrated fat into bone and muscle, occurring with age and some other chronic diseases.
The initial concept was proposed based on scientific evidence and theoretical presumptions
incorporating some preliminary data collected in midlife and older Caucasian women.
where it was associated with diminished functionality and/or greater frailty; Korean
National representative sample of women and men older than 50 years
Fig. 1Osteopenia/osteoporosis, sarcopenia and obesity overlap, creating combination of other
tissue derangements, with osteosarcopenic obesity being the most multifaceted.
Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the Short Physical Performance Battery.
Bays HE, Seger JC, Primack C, et al. Obesity Algorithm, presented by the Obesity Medicine Association. Available at: www.obesityalgorithm.org. 2016-2017. Accessed April 20, 2017.
Criteria for relevant weakness and low lean mass and their longitudinal association with incident mobility impairment and mortality: The Foundation for the National Institutes of Health (FNIH) Sarcopenia Project.
New insight into fat, muscle and bone relationship in women: Determining the threshold at which body fat assumes negative relationship with bone mineral density.
2010 Computed tomographic measurements of thigh muscle cross-sectional area and attenuation coefficient predict hip fracture: The Health, Aging, and Body Composition Study.
Health, Aging, and Body Composition Study Group. Prediction of clinical non-spine fractures in older black and white men and women with volumetric BMD of the spine and areal BMD of the hip: The Health, Aging, and Body Composition Study.
Abdominal body composition measured by quantitative computed tomography and risk of non-spine fractures: The Osteoporotic Fractures in Men (MrOS) Study.
