{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:05:19Z","timestamp":1772982319926,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sarcopenic obesity (SO) is characterized by the presence of both obesity and sarcopenia and is related to disability and loss of independence in older adults. The extent to which time spent in light physical activity (LPA), or moderate\u2010to\u2010vigorous physical activity (MVPA) is associated with SO risk in older adults remains unclear. The aim of this study was (a) to examine the association between the level of adherence to recommended amounts of MVPA and the risk of SO in older adults and (b) to determine whether time spent in LPA is associated with SO risk independently of time spent in MVPA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study involved 862 community\u2010dwelling older adults (58% women; aged 65\u201379\u2009years) from four European countries. Accelerometer\u2010determined time in MVPA was categorized as follows: inactive (&lt;\u200975\u2009min\/week), moderately active (75\u2013149\u2009min\/week), active (150\u2013299\u2009min\/week) and highly active (\u2265\u2009300\u2009min\/week). Time in LPA was expressed in tertiles. The outcome measure SO risk was determined based on appendicular lean mass, waist circumference, handgrip strength and the 5\u2010times sit\u2010to\u2010stand test. Odds ratios (OR) with a 95% confidence interval (95% CI) of high SO risk across levels of MVPA and LPA were determined by binary logistic regression adjusted for the level of systemic inflammation (high\u2010sensitivity C\u2010reactive protein) and dietary protein intake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared to the inactive group, ORs of having a high SO risk were about 50%\u201380% lower, depending on the MVPA level, with the largest risk reduction in the highly active group (OR: 0.23, 95% CI: 0.13\u20130.39;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The likelihood of having a high SO risk was significantly lower among the highly active group compared to the active group (OR: 0.50; 95% CI: 0.33\u20130.77;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). More time in LPA was associated with a significantly lower likelihood of having high SO risk (highest vs. lowest tertile: OR: 0.52, 95% CI: 0.30\u20130.89;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) only in participants with low amounts of MVPA. In contrast, LPA was not associated with SO risk among participants meeting the MVPA recommendation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>MVPA is strongly associated with a lower likelihood of having a high SO risk in older adults, independently of the level of systemic inflammation and intakes of dietary proteins. LPA is related to SO risk in sedentary older adults, which supports the promotion of physical activity regardless of intensity for mitigating SO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jcsm.70149","type":"journal-article","created":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T02:51:11Z","timestamp":1764903071000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Accelerometer\u2010Determined Physical Activity and Sarcopenic Obesity Risk in Older European Men and Women"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3793-335X","authenticated-orcid":false,"given":"Andreas","family":"Nilsson","sequence":"first","affiliation":[{"name":"School of Health Sciences \u00d6rebro University  \u00d6rebro 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Sciences University of Bologna  Bologna Italy"},{"name":"Interdepartmental Centre \u201cAlma Mater Research Institute on Global Challenges and Climate Change (Alma Climate)\u201d University of Bologna  Bologna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes\u00a0A.\u00a0M.","family":"Berendsen","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition Wageningen University &amp; Research  Wageningen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisette\u00a0C.\u00a0P.\u00a0G.\u00a0M.","family":"de Groot","sequence":"additional","affiliation":[{"name":"Division of Human Nutrition Wageningen University &amp; Research  Wageningen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna","family":"Kaluza","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition Warsaw University of Life Sciences (WULS\u2010SGGW)  Warsaw 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