{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T20:56:10Z","timestamp":1793134570097,"version":"4.5.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T00:00:00Z","timestamp":1736553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["U23A20470"],"award-info":[{"award-number":["U23A20470"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"China Higher Education Institution Industry-University-Research Innovation Fund","award":["2023HT041"],"award-info":[{"award-number":["2023HT041"]}]},{"name":"Postgraduate Research & Practice Innovation Program of Jiangsu Province","award":["KYCX24_3601"],"award-info":[{"award-number":["KYCX24_3601"]}]},{"name":"Jiangsu Provincial Medical Key Discipline Cultivation Unit","award":["JSDW202205"],"award-info":[{"award-number":["JSDW202205"]}]},{"name":"Jiangsu Provincial Research Hospital","award":["YJXYY202204"],"award-info":[{"award-number":["YJXYY202204"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Geriatr Med"],"DOI":"10.1007\/s41999-024-01139-y","type":"journal-article","created":{"date-parts":[[2025,1,11]],"date-time":"2025-01-11T16:30:11Z","timestamp":1736613011000},"page":"89-97","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The association between sarcopenic obesity, sarcopenia and functional dependence, malnutrition, and mortality: the phenomenon of obesity paradox in sarcopenic obesity"],"prefix":"10.1007","volume":"16","author":[{"given":"Yuexing","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhifeng","family":"Gu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6833-4803","authenticated-orcid":false,"given":"Jianlin","family":"Gao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,11]]},"reference":[{"key":"1139_CR1","doi-asserted-by":"publisher","first-page":"255","DOI":"10.3389\/fendo.2019.00255","volume":"10","author":"EA Greco","year":"2019","unstructured":"Greco EA, Pietschmann P, Migliaccio S (2019) Osteoporosis and sarcopenia increase frailty syndrome in the elderly. Front Endocrinol 10:255","journal-title":"Front Endocrinol"},{"key":"1139_CR2","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1093\/ageing\/afy106","volume":"48","author":"AJ Mayhew","year":"2019","unstructured":"Mayhew AJ, Amog K, Phillips S et al (2019) The prevalence of sarcopenia in community-dwelling older adults, an exploration of differences between studies and within definitions: a systematic review and meta-analyses. Age Ageing 48:48\u201356","journal-title":"Age Ageing"},{"key":"1139_CR3","doi-asserted-by":"publisher","first-page":"1293","DOI":"10.3390\/nu12051293","volume":"12","author":"SA-O Papadopoulou","year":"2020","unstructured":"Papadopoulou SA-O (2020) Sarcopenia: a contemporary health problem among older adult populations. Nutrients 12:1293","journal-title":"Nutrients"},{"key":"1139_CR4","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1016\/j.jamda.2018.06.004","volume":"20","author":"M Locquet","year":"2019","unstructured":"Locquet M, Beaudart C, Hajaoui M et al (2019) Three-year adverse health consequences of sarcopenia in community-dwelling older adults according to 5 diagnosis definitions. J Am Med Dir Assoc 20:43-46.e42","journal-title":"J Am Med Dir Assoc"},{"key":"1139_CR5","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1002\/jcsm.12411","volume":"10","author":"SSY Yeung","year":"2019","unstructured":"Yeung SSY, Reijnierse EM, Pham VK et al (2019) Sarcopenia and its association with falls and fractures in older adults: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle 10:485\u2013500","journal-title":"J Cachexia Sarcopenia Muscle"},{"issue":"1","key":"1139_CR6","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1002\/jcsm.12908","volume":"13","author":"Z Li","year":"2022","unstructured":"Li Z, Tong X, Ma Y et al (2022) Prevalence of depression in patients with sarcopenia and correlation between the two diseases: systematic review and meta-analysis. J Cachexia Sarcopenia Muscle 13(1):128\u2013144","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"1139_CR7","doi-asserted-by":"publisher","first-page":"1228","DOI":"10.1002\/jcsm.13243","volume":"14","author":"CA-O Beaudart","year":"2023","unstructured":"Beaudart CA-O, Demonceau C, Reginster JY et al (2023) Sarcopenia and health-related quality of life: a systematic review and meta-analysis. J Cachexia Sarcopenia Muscle 14:1228\u20131243","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"1139_CR8","doi-asserted-by":"publisher","first-page":"1185221","DOI":"10.3389\/fendo.2023.1185221","volume":"14","author":"S Wei","year":"2023","unstructured":"Wei S, Nguyen TT, Zhang Y et al (2023) Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management. Front Endocrinol 14:1185221","journal-title":"Front Endocrinol"},{"key":"1139_CR9","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1093\/ageing\/afw214","volume":"46","author":"V Hirani","year":"2016","unstructured":"Hirani V, Naganathan V, Blyth F et al (2016) Longitudinal associations between body composition, sarcopenic obesity and outcomes of frailty, disability, institutionalisation and mortality in community-dwelling older men: The Concord Health and Ageing in Men Project. Age Ageing 46:413\u2013420","journal-title":"Age Ageing"},{"key":"1139_CR10","doi-asserted-by":"publisher","first-page":"1356878","DOI":"10.3389\/fpubh.2024.1356878","volume":"12","author":"F Hu","year":"2024","unstructured":"Hu F, Zhang G, Xu Z et al (2024) The diagnostic agreement of sarcopenic obesity with different definitions in Chinese community-dwelling middle-aged and older adults. Front Public Health 12:1356878","journal-title":"Front Public Health"},{"key":"1139_CR11","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.122.009340","volume":"16","author":"G Kong","year":"2023","unstructured":"Kong G, Zhang A, Chong B et al (2023) Long-term prognosis of patients with coexisting obesity and malnutrition after acute myocardial infarction: a cohort study. Circ Cardiovasc Qual Outcomes 16:e009340","journal-title":"Circ Cardiovasc Qual Outcomes"},{"key":"1139_CR12","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1007\/s00455-018-09973-6","volume":"34","author":"S Cha","year":"2019","unstructured":"Cha S, Kim WS, Kim KW et al (2019) Sarcopenia is an independent risk factor for dysphagia in community-dwelling older adults. Dysphagia 34:692\u2013697","journal-title":"Dysphagia"},{"key":"1139_CR13","first-page":"1290","volume":"72","author":"K Maeda","year":"2017","unstructured":"Maeda K, Takaki M, Akagi J (2017) Decreased skeletal muscle mass and risk factors of sarcopenic dysphagia: a prospective observational cohort study. J Gerontol A Biol Sci Med Sci 72:1290\u20131294","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"1139_CR14","doi-asserted-by":"publisher","first-page":"4032","DOI":"10.1172\/JCI129192","volume":"129","author":"G Marcelin","year":"2019","unstructured":"Marcelin G, Silveira ALM, Martins LB et al (2019) Deciphering the cellular interplays underlying obesity-induced adipose tissue fibrosis. J Clin Investig 129:4032\u20134040","journal-title":"J Clin Investig"},{"key":"1139_CR15","doi-asserted-by":"publisher","first-page":"672","DOI":"10.1016\/j.endinu.2020.03.004","volume":"67","author":"A Ciudin","year":"2020","unstructured":"Ciudin A, Sim\u00f3-Servat A, Palmas F et al (2020) Sarcopenic obesity: a new challenge in the clinical practice. Endocrinol Diabetes Nutr 67:672\u2013681","journal-title":"Endocrinol Diabetes Nutr"},{"key":"1139_CR16","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1161\/STROKEAHA.119.027900","volume":"52","author":"Z Liu","year":"2021","unstructured":"Liu Z, Sanossian N, Starkman S et al (2021) Adiposity and outcome after ischemic stroke: obesity paradox for mortality and obesity parabola for favorable functional outcomes. Stroke 52:144\u2013151","journal-title":"Stroke"},{"key":"1139_CR17","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.jamda.2019.12.012","volume":"21","author":"LK Chen","year":"2020","unstructured":"Chen LK, Woo J, Assantachai P et al (2020) Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc 21:300\u2013307","journal-title":"J Am Med Dir Assoc"},{"key":"1139_CR18","doi-asserted-by":"publisher","first-page":"2163","DOI":"10.1002\/jcsm.12825","volume":"12","author":"KY Cheng","year":"2021","unstructured":"Cheng KY, Chow SK, Hung VW et al (2021) Diagnosis of sarcopenia by evaluating skeletal muscle mass by adjusted bioimpedance analysis validated with dual-energy X-ray absorptiometry. J Cachexia Sarcopenia Muscle 12:2163\u20132173","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"1139_CR19","doi-asserted-by":"publisher","first-page":"2458","DOI":"10.1093\/gerona\/glad198","volume":"78","author":"C Villain","year":"2023","unstructured":"Villain C, Lebaube S, Kremer C et al (2023) Gripwise versus jamar: the challenge of a new dynamometer assessing handgrip strength. J Gerontol A Biol Sci Med Sci 78:2458\u20132465","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"1139_CR20","first-page":"83","volume":"15","author":"BF Zhou","year":"2002","unstructured":"Zhou BF (2002) Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults\u2013study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomed Environ Sci 15:83\u201396","journal-title":"Biomed Environ Sci"},{"key":"1139_CR21","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1016\/j.atherosclerosis.2008.03.001","volume":"201","author":"Y Bao","year":"2008","unstructured":"Bao Y, Junxi L, Wang C et al (2008) Optimal waist circumference cutoffs for abdominal obesity in Chinese. Atherosclerosis 201:378\u2013384","journal-title":"Atherosclerosis"},{"key":"1139_CR22","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1159\/000521241","volume":"15","author":"LM Donini","year":"2022","unstructured":"Donini LM, Busetto L, Bischoff SC et al (2022) Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement. Obes Facts 15:321\u2013335","journal-title":"Obes Facts"},{"key":"1139_CR23","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1186\/s12877-016-0208-3","volume":"16","author":"E Rodr\u00edguez-S\u00e1nchez","year":"2016","unstructured":"Rodr\u00edguez-S\u00e1nchez E, Mora-Sim\u00f3n S, Patino-Alonso MC et al (2016) Cognitive impairment and dependence of patients with diabetes older than 65 years old in an urban area (DERIVA study). BMC Geriatr 16:33","journal-title":"BMC Geriatr"},{"key":"1139_CR24","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1007\/s12603-009-0214-7","volume":"13","author":"MJ Kaiser","year":"2009","unstructured":"Kaiser MJ, Bauer JM, Ramsch C et al (2009) Validation of the Mini Nutritional Assessment short-form (MNA-SF): a practical tool for identification of nutritional status. J Nutr Health Aging 13:782\u2013789","journal-title":"J Nutr Health Aging"},{"key":"1139_CR25","doi-asserted-by":"publisher","first-page":"871","DOI":"10.1007\/s12603-009-0244-1","volume":"13","author":"Z Lei","year":"2009","unstructured":"Lei Z, Qingyi D, Feng G et al (2009) Clinical study of mini-nutritional assessment for older Chinese inpatients. J Nutr Health Aging 13:871\u2013875","journal-title":"J Nutr Health Aging"},{"key":"1139_CR26","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13534","author":"C Liu","year":"2023","unstructured":"Liu C, Wong PY, Chung YL et al (2023) Deciphering the \u201cobesity paradox\u201d in the elderly: a systematic review and meta-analysis of sarcopenic obesity. Obes Rev. https:\/\/doi.org\/10.1111\/obr.13534","journal-title":"Obes Rev"},{"key":"1139_CR27","doi-asserted-by":"publisher","first-page":"4069","DOI":"10.1111\/dom.15762","volume":"26","author":"J Sun","year":"2024","unstructured":"Sun J, Lin J, Shen W et al (2024) Associations of body mass index, waist circumference and the weight-adjusted waist index with daily living ability impairment in older Chinese people: a cross-sectional study of the Chinese Longitudinal Healthy Longevity Survey. Diabetes Obes Metab 26:4069\u20134077","journal-title":"Diabetes Obes Metab"},{"key":"1139_CR28","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2021.635205","volume":"12","author":"S Yang","year":"2021","unstructured":"Yang S, Wang S, Tai P et al (2021) Central and peripheral adiposity had different effect on disability in centenarians. Front Endocrinol 12:635205","journal-title":"Front Endocrinol"},{"key":"1139_CR29","doi-asserted-by":"publisher","DOI":"10.3390\/nu14214621","author":"M Puzianowska-Kuznicka","year":"2022","unstructured":"Puzianowska-Kuznicka M, Kurylowicz A, Wierucki L et al (2022) Obesity in caucasian seniors on the rise: is it truly harmful? results of the PolSenior2 study. Nutrients. https:\/\/doi.org\/10.3390\/nu14214621","journal-title":"Nutrients"},{"key":"1139_CR30","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1016\/j.nut.2017.09.003","volume":"46","author":"K Sanada","year":"2018","unstructured":"Sanada K, Chen R, Willcox B et al (2018) Association of sarcopenic obesity predicted by anthropometric measurements and 24-y all-cause mortality in elderly men: The Kuakini Honolulu Heart Program. Nutrition 46:97\u2013102","journal-title":"Nutrition"},{"key":"1139_CR31","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13534","volume":"24","author":"C Liu","year":"2023","unstructured":"Liu C, Wong PY, Chung YL et al (2023) Deciphering the \u201cobesity paradox\u201d in the elderly: a systematic review and meta-analysis of sarcopenic obesity. Obes Rev 24:e13534","journal-title":"Obes Rev"},{"key":"1139_CR32","doi-asserted-by":"publisher","DOI":"10.3390\/nu14142889","author":"M Murawiak","year":"2022","unstructured":"Murawiak M, Krzymi\u0144ska-Siemaszko R, Kalu\u017aniak-Szymanowska A et al (2022) Sarcopenia, obesity, sarcopenic obesity and risk of poor nutritional status in polish community-dwelling older people aged 60 years and over. Nutrients. https:\/\/doi.org\/10.3390\/nu14142889","journal-title":"Nutrients"},{"key":"1139_CR33","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1016\/j.clnu.2018.01.022","volume":"38","author":"C Van Aller","year":"2019","unstructured":"Van Aller C, Lara J, Stephan BCM et al (2019) Sarcopenic obesity and overall mortality: results from the application of novel models of body composition phenotypes to the National Health and Nutrition Examination Survey 1999\u20132004. Clin Nutr 38:264\u2013270","journal-title":"Clin Nutr"},{"key":"1139_CR34","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/MCO.0b013e32834d7647","volume":"15","author":"E Cereda","year":"2012","unstructured":"Cereda E (2012) Mini nutritional assessment. Curr Opin Clin Nutr Metab Care 15:29\u201341","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"1139_CR35","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae052","author":"B Kirk","year":"2024","unstructured":"Kirk B, Cawthon PM, Arai H et al (2024) The conceptual definition of sarcopenia: Delphi consensus from the global leadership initiative in sarcopenia (GLIS). Age Ageing. https:\/\/doi.org\/10.1093\/ageing\/afae052","journal-title":"Age Ageing"},{"key":"1139_CR36","doi-asserted-by":"publisher","DOI":"10.3390\/nu15234932","author":"A Diago-Galm\u00e9s","year":"2023","unstructured":"Diago-Galm\u00e9s A, Guillamon-Escudero C, Ten\u00edas-Burillo JM et al (2023) Sarcopenic obesity in community-dwelling spanish adults older than 65 years. Nutrients. https:\/\/doi.org\/10.3390\/nu15234932","journal-title":"Nutrients"},{"key":"1139_CR37","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.3390\/nu16081141","volume":"16","author":"M Kupisz-Urbanska","year":"2024","unstructured":"Kupisz-Urbanska M, Marcinowska-Suchowierska E, Jankowski P (2024) Association between blood parameters of nutritional status and functional status in extreme longevity. Nutrients 16:1141","journal-title":"Nutrients"},{"key":"1139_CR38","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1037\/hea0000883","volume":"39","author":"J Bookwala","year":"2020","unstructured":"Bookwala J, Gaugler T (2020) Relationship quality and 5-year mortality risk. Health psychology Health Psychol 39:633\u2013641","journal-title":"Health psychology Health Psychol"}],"container-title":["European Geriatric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s41999-024-01139-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s41999-024-01139-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s41999-024-01139-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T11:20:24Z","timestamp":1740396024000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s41999-024-01139-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,11]]},"references-count":38,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["1139"],"URL":"https:\/\/doi.org\/10.1007\/s41999-024-01139-y","relation":{},"ISSN":["1878-7657"],"issn-type":[{"value":"1878-7657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,11]]},"assertion":[{"value":"31 August 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"All procedures performed in studies involving human participants were conducted in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This research has received authorization from the Ethics Committee of the Affiliated Hospital of Nantong University in China(Protocol Number: 2019-K045).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Digital informed consent was obtained from all participants before participation to the survey.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}