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This cross-sectional study evaluated whether combined sarcopenia and obesity associates with greater functional impairment in hospitalized older adults. SO required concurrent obesity and sarcopenia, with obesity assessed by high body fat percentage via bioelectrical impedance and sarcopenia by reduced muscle strength and mass. Function was measured by the Barthel Index and gait speed in 176 patients. SO showed independent associations with poor Barthel Index performance (OR 2.9) and slow gait speed (OR 3.3).",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/comparative-analysis-of-the-relationship-of-sarcopenia-or-sarcopenic-obesity-with-functional-impairment-across-sectional-study/456141/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/comparative-analysis-of-the-relationship-of-sarcopenia-or-sarcopenic-obesity-with-functional-impairment-across-sectional-study/456141.png","ImageObject",300,407,{"name":92,"@type":93},"supergirl","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study objective regarding sarcopenia and obesity?","Question",{"text":112,"@type":113},"To evaluate whether the combination of sarcopenia and obesity is associated with increased functional impairment in hospitalized older adults.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was sarcopenic obesity (SO) defined in the study?",{"text":117,"@type":113},"SO was defined as the simultaneous presence of obesity and sarcopenia, with obesity based on high body fat percentage from bioelectrical impedance analysis and sarcopenia based on reduced muscle strength and mass.",{"name":119,"@type":110,"acceptedAnswer":120},"Which tools were used to assess functional impairment?",{"text":121,"@type":113},"Functional impairment was assessed using the Barthel Index and the gait speed test.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},456141,1791080689,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962088121634,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","DOI: 10.1002/ncp.70046  \nCLINICAL OBSE RVATIONS  \nComparative analysis of the relationship of sarcopenia or sarcopenic obesity with functional impairment: Across‐sectional study  \nFlavia Alves Gomes1,2 | Stephany Beatriz do Nascimento MSc1,2 | Letícia Sabino Santos1,2 | Taynara de Sousa Rego Mendes1,2 | Roana Carolina Bezerra dos Santos MSc1,3 |  \nMaria Conceição Chaves de Lemos PhD3 | Cláudia Porto Sabino Pinho PhD1,2   \n1Hospital of Clinics, Federal University of Pernambuco, Recife, Brazil 2Brazilian Company of Hospital Services (EBSERH), Recife, Brazil  \n3Department of Nutrition, Federal University of Pernambuco, Recife, Brazil  \nCorrespondence  \nCláudia Porto Sabino Pinho, Hospital of Clinics, Federal University of Pernambuco, Recife, Pernambuco, 50670‐901, Brazil.  \nEmail: [claudiasabinopinho@hotmail.com](claudiasabinopinho@hotmail.com)  \nFunding information None  \nAbstract  \nGrowing evidence suggests that sarcopenic obesity (SO) may have a more pronounced effect on functionality compared with isolated sarcopenia, but research in this crucial area remains scarce. Therefore, this study aimed to evaluate whether the combination of sarcopenia and obesity is associated with increased functional impairment in hospitalized older adults. This is a cross‐ sectional study involving hospitalized older patients. SO was defined as the simultaneous presence of obesity and sarcopenia. Obesity was determined based on a high body fat percentage obtained through bioelectrical impedance analysis, whereas both reduced muscle strength and mass identified sarcopenia. Functionality was evaluated using the Barthel Index and the gait speed test. Additional sociodemographic, clinical, nutrition, and behavioral data were assessed. A total of 176 patients were included in our study. The mean age was 69.8 ± 7.8 years. The frequency of sarcopenia was 37.5%, whereas SO was found in 17.6% . Barthel Index indicated that 64.2% of patients exhibited functional dependency, whereas 87.5% had a slow gait speed. Logistic regression analysis revealed that SO was independently associated with poor functionality by the Barthel Index (odds ratio [OR], 2.9; 95% confidence interval [CI], 1.1–8.5) and slow gait speed (OR, 3.3; 95% CI, 1.1–9.8) . Patients with SO showed poorer functional capacity compared with those with obesity alone (P \u003C 0.05), but not compared with those with sarcopenia alone (P > 0 .05) . In conclusion, we observe that SO was associated with diminished functionality but did not elevate the risk compared with sarcopenia alone.  \nKEYW OR DS  \naging, body composition, muscle strength, obesity, sarcopenia  \nThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.  \n© 2025 The Author(s) . Nutrition in Clinical Practice published by Wiley Periodicals LLC on behalf of American Society for Parenteral and Enteral Nutrition.  \nINTRODUCTION  \nAging is a natural dynamic process associated with physiological modifications that occur in later years of life, promoting changes and/or redistribution of body composition (ie, decrease in muscle mass and increase in adipose tissues) .1 Losing lean soft tissues is often linked to a decline in biological capacity. This process, characterized by muscle atrophy and fiber loss, begins in adulthood and continues throughout life, influenced by lifestyle and genetic factors. As a consequence, this muscle wasting may lead to abnormal conditions such as sarcopenia.2  \nSarcopenia is now recognized as a disease characterized by a progressive skeletal muscle mass disorder, which is associated with poor clinical outcomes, including impaired quality of life.2,3 Sarcopenia can be diagnosed by the reduction of muscle function and mass, also recognized as a multifactorial geriatric syndrome, linked to an increased risk of adverse outcomes.3  \nSarcopenia may be accompanied by a relative or ab","cbCailGr3ABfrOq0","https://ap.wps.com/l/cbCailGr3ABfrOq0","pdf",259636,"English","# Introduction\n# Methods","[{\"question\":\"What was the study objective regarding sarcopenia and obesity?\",\"answer\":\"To evaluate whether the combination of sarcopenia and obesity is associated with increased functional impairment in hospitalized older adults.\"},{\"question\":\"How was sarcopenic obesity (SO) defined in the study?\",\"answer\":\"SO was defined as the simultaneous presence of obesity and sarcopenia, with obesity based on high body fat percentage from bioelectrical impedance analysis and sarcopenia based on reduced muscle strength and mass.\"},{\"question\":\"Which tools were used to assess functional impairment?\",\"answer\":\"Functional impairment was assessed using the Barthel Index and the gait speed test.\"}]","Comparative analysis of the relationship of sarcopenia or sarcopenic obesity with functional impairment - Across-sectional study | PDF",1790745214,25]