{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T11:35:51Z","timestamp":1794396951982,"version":"4.9.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T00:00:00Z","timestamp":1776470400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sarcopenia and sarcopenic obesity (SO) are increasingly prevalent among older adults and are associated with elevated mortality risk. However, the prognostic differences between these phenotypes remain unclear. This study aimed to compare five\u2010year all\u2010cause mortality between older adults with isolated sarcopenia and those with SO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, we analyzed 730 community\u2010dwelling individuals aged \u226560 years who attended a geriatrics outpatient clinic between 2018 and 2023. Participants were categorized as having sarcopenia, having SO, or controls based on EWGSOP2 criteria and BMI\u2009\u2265\u200930\u2009kg\/m\u00b2. Comprehensive geriatric assessments\u2014including evaluations of nutrition, cognition, function, and frailty\u2014were performed at baseline. Mortality data were obtained from institutional records. Survival outcomes were assessed using Kaplan\u2013Meier analysis and Cox proportional hazards models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the participants, 123 had sarcopenia and 174 had sarcopenic obesity (SO). Over a median follow\u2010up of five years, both groups exhibited significantly higher mortality rates than controls. Individuals with isolated sarcopenia showed the lowest survival probability (log\u2010rank\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In multivariable Cox analysis, chronic kidney disease, lower BMI, and older age were independent predictors of mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both individuals with sarcopenia and those with SO are associated with increased five\u2010year mortality in older adults. However, individuals with isolated sarcopenia have a higher risk than those with SO, suggesting that excess adiposity may partially mitigate the adverse effects of muscle loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ncp.70125","type":"journal-article","created":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T06:34:04Z","timestamp":1776580444000},"page":"822-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparative five\u2010year mortality risk in older adults with sarcopenia and sarcopenic obesity: A retrospective cohort analysis"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8331-941X","authenticated-orcid":false,"given":"Ezgi Akandere","family":"Barlas","sequence":"first","affiliation":[{"name":"Department of Geriatrics, Faculty of Medicine Erciyes University Kayseri Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibel","family":"Ak\u0131n","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Faculty of Medicine Erciyes University Kayseri Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6441-7847","authenticated-orcid":false,"given":"Neslihan","family":"Do\u011fan","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, Faculty of Medicine Erciyes University Kayseri Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcl\u015fah G\u00fcne\u015f","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics Cappadocia University Nevsehir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Funda","family":"\u0130pekten","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Medical Informatics, Faculty of Medicine 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