{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T15:59:57Z","timestamp":1785772797638,"version":"3.56.0"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","clinicalnutritionespen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Nutrition ESPEN"],"published-print":{"date-parts":[[2026,4]]},"DOI":"10.1016\/j.clnesp.2025.11.158","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T16:11:14Z","timestamp":1764346274000},"page":"102838","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Association between phase angle and the risk of sarcopenic obesity in individuals with type 2 diabetes mellitus: A cross-sectional study"],"prefix":"10.1016","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2649-6587","authenticated-orcid":false,"given":"Tomoyuki","family":"Matsuyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinta","family":"Yamamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8794-0550","authenticated-orcid":false,"given":"Yoshitaka","family":"Hashimoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moe","family":"Murai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Kitagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahide","family":"Hamaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiaki","family":"Fukui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clnesp.2025.11.158_bib1","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s00223-016-0123-9","article-title":"Associations of sarcopenic obesity and dynapenic obesity with bone mineral density and incident fractures over 5\u201310 years in community-dwelling older adults","volume":"99","author":"Scott","year":"2016","journal-title":"Calcif Tissue Int"},{"key":"10.1016\/j.clnesp.2025.11.158_bib2","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s42000-018-0049-x","article-title":"Sarcopenic obesity","volume":"17","author":"Polyzos","year":"2018","journal-title":"Hormones (Basel)"},{"key":"10.1016\/j.clnesp.2025.11.158_bib3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1186\/s12902-019-0432-x","article-title":"Sex differences in the prevalence and adverse outcomes of sarcopenia and sarcopenic obesity in community dwelling elderly in East China using the AWGS criteria","volume":"19","author":"Du","year":"2019","journal-title":"BMC Endocr Disord"},{"key":"10.1016\/j.clnesp.2025.11.158_bib4","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1017\/S002966511500169X","article-title":"Muscle loss and obesity: the health implications of sarcopenia and sarcopenic obesity","volume":"74","author":"Wannamethee","year":"2015","journal-title":"Proc Nutr Soc"},{"key":"10.1016\/j.clnesp.2025.11.158_bib5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1038\/s41574-018-0062-9","article-title":"Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies","volume":"14","author":"Batsis","year":"2018","journal-title":"Nat Rev Endocrinol"},{"key":"10.1016\/j.clnesp.2025.11.158_bib6","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/s13679-019-00359-9","article-title":"Sarcopenic obesity: epidemiologic evidence, pathophysiology, and therapeutic perspectives","volume":"8","author":"Koliaki","year":"2019","journal-title":"Curr Obes Rep"},{"key":"10.1016\/j.clnesp.2025.11.158_bib7","doi-asserted-by":"crossref","first-page":"1995","DOI":"10.1038\/oby.2004.250","article-title":"Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly","volume":"12","author":"Baumgartner","year":"2004","journal-title":"Obes Res"},{"key":"10.1016\/j.clnesp.2025.11.158_bib8","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2020.00314","article-title":"Worsening disability and hospitalization risk in sarcopenic Obese and dynapenic abdominal Obese: a 5.5 years Follow-Up study in elderly men and women","volume":"11","author":"Rossi","year":"2020","journal-title":"Front Endocrinol"},{"key":"10.1016\/j.clnesp.2025.11.158_bib9","doi-asserted-by":"crossref","first-page":"EJ20","DOI":"10.1507\/endocrj.EJ20-0655","article-title":"Sarcopenic obesity is associated with macroalbuminuria in patients with type 2 diabetes: a cross-sectional study","volume":"68","author":"Takahashi","year":"2021","journal-title":"Endocr J"},{"key":"10.1016\/j.clnesp.2025.11.158_bib10","doi-asserted-by":"crossref","first-page":"EJ22","DOI":"10.1507\/endocrj.EJ22-0548","article-title":"Incidence of sarcopenic obesity in older patients with diabetes and association between sarcopenic obesity and higher-level functional capacity: evaluation based on a consensus statement","volume":"70","author":"Ida","year":"2023","journal-title":"Endocr J"},{"key":"10.1016\/j.clnesp.2025.11.158_bib11","doi-asserted-by":"crossref","first-page":"2368","DOI":"10.1016\/j.clnu.2019.11.024","article-title":"Critical appraisal of definitions and diagnostic criteria for sarcopenic obesity based on a systematic review","volume":"39","author":"Donini","year":"2020","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib12","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/j.clnu.2021.11.014","article-title":"Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement","volume":"41","author":"Donini","year":"2022","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib13","doi-asserted-by":"crossref","DOI":"10.1111\/ggi.14978","article-title":"Diagnosis of sarcopenic obesity in Japan: consensus statement of the Japanese working group on sarcopenic obesity","author":"Ishii","year":"2024","journal-title":"Geriatr Gerontol Int"},{"key":"10.1016\/j.clnesp.2025.11.158_bib14","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1016\/j.clnu.2019.07.004","article-title":"Reference values for the phase angle of the electrical bioimpedance: systematic review and meta-analysis involving more than 250,000 subjects","volume":"39","author":"Mattiello","year":"2020","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib15","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1007\/s11154-022-09764-3","article-title":"Phase angle as an index of physiological status: validating bioelectrical assessments of hydration and cell mass in health and disease","volume":"24","author":"Lukaski","year":"2023","journal-title":"Rev Endocr Metab Disord"},{"key":"10.1016\/j.clnesp.2025.11.158_bib16","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1093\/ajcn\/82.1.49","article-title":"Bioelectrical impedance analysis: population reference values for phase angle by age and sex","volume":"82","author":"Barbosa-Silva","year":"2005","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib17","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s12603-018-1151-0","article-title":"Phase angle is a useful indicator for muscle function in older adults","volume":"23","author":"Yamada","year":"2019","journal-title":"J Nutr Health Aging"},{"key":"10.1016\/j.clnesp.2025.11.158_bib18","doi-asserted-by":"crossref","DOI":"10.1016\/j.jamda.2024.105283","article-title":"The diagnostic accuracy and cutoff value of phase angle for screening sarcopenia: a systematic review and meta-analysis","volume":"25","author":"Zhang","year":"2024","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.clnesp.2025.11.158_bib19","doi-asserted-by":"crossref","first-page":"173.e17","DOI":"10.1016\/j.jamda.2014.10.024","article-title":"The bioimpedance phase angle predicts low muscle strength, impaired quality of life, and increased mortality in old patients with cancer","volume":"16","author":"Norman","year":"2015","journal-title":"J Am Med Dir Assoc"},{"key":"10.1016\/j.clnesp.2025.11.158_bib20","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.archger.2009.12.002","article-title":"Bioelectric impedance phase angle is associated with hospital mortality of geriatric patients","volume":"51","author":"Wirth","year":"2010","journal-title":"Arch Gerontol Geriatr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib21","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s11606-013-2585-z","article-title":"Phase angle, frailty and mortality in older adults","volume":"29","author":"Wilhelm-Leen","year":"2014","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.clnesp.2025.11.158_bib22","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s40200-025-01590-z","article-title":"Phase angle as an independent predictor of sarcopenia and glycemic control in older adults with type 2 diabetes: a cross-sectional observational study","volume":"24","author":"Owari","year":"2025","journal-title":"J Diabetes Metab Disord"},{"key":"10.1016\/j.clnesp.2025.11.158_bib23","doi-asserted-by":"crossref","DOI":"10.1016\/j.nut.2024.112412","article-title":"Assessment of phase angle as a novel indicator for sarcopenic obesity according to the ESPEN\/EASO criteria in older adults with diabetes mellitus","volume":"123","author":"Haf\u0131zo\u011flu","year":"2024","journal-title":"Nutrition"},{"key":"10.1016\/j.clnesp.2025.11.158_bib24","doi-asserted-by":"crossref","first-page":"2051","DOI":"10.1016\/j.clnu.2023.08.018","article-title":"Phase angle is associated with sarcopenic obesity in post-stroke patients","volume":"42","author":"Yoshimura","year":"2023","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib25","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/S2213-8587(21)00088-7","article-title":"Ethnicity-specific BMI cutoffs for obesity based on type 2 diabetes risk in England: a population-based cohort study","volume":"9","author":"Caleyachetty","year":"2021","journal-title":"Lancet Diabetes Endocrinol"},{"key":"10.1016\/j.clnesp.2025.11.158_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.diabres.2023.110794","article-title":"Effects of dapagliflozin on renal function in type 1 diabetes patients in the real world: a retrospective multicenter study of the KAMOGAWA-A cohort","volume":"202","author":"Hironaka","year":"2023","journal-title":"Diabetes Res Clin Pract"},{"key":"10.1016\/j.clnesp.2025.11.158_bib27","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1053\/j.ajkd.2008.12.034","article-title":"Revised equations for estimated GFR from serum creatinine in Japan","volume":"53","author":"Matsuo","year":"2009","journal-title":"Am J Kidney Dis"},{"key":"10.1016\/j.clnesp.2025.11.158_bib28","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1016\/j.clnu.2012.05.008","article-title":"Bioelectrical phase angle and impedance vector analysis \u2013 clinical relevance and applicability of impedance parameters","volume":"31","author":"Norman","year":"2012","journal-title":"Clin Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib29","doi-asserted-by":"crossref","first-page":"4795","DOI":"10.1007\/s00018-015-2038-4","article-title":"Is membrane homeostasis the missing link between inflammation and neurodegenerative diseases?","volume":"72","author":"de Groot","year":"2015","journal-title":"Cell Mol Life Sci"},{"key":"10.1016\/j.clnesp.2025.11.158_bib30","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1042\/BST20221066","article-title":"Insulin signalling and GLUT4 trafficking in insulin resistance","volume":"51","author":"van Gerwen","year":"2023","journal-title":"Biochem Soc Trans"},{"key":"10.1016\/j.clnesp.2025.11.158_bib31","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s13340-023-00633-1","article-title":"Determinants of phase angle in Japanese patients with diabetes","volume":"14","author":"Muramae","year":"2023","journal-title":"Diabetol Int"},{"key":"10.1016\/j.clnesp.2025.11.158_bib32","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1016\/j.clnesp.2023.09.920","article-title":"Prevalence of sarcopenic obesity in patients with diabetes and adverse outcomes: a systematic review and meta-analysis","volume":"58","author":"Zhou","year":"2023","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnesp.2025.11.158_bib33","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/1475-2891-7-26","article-title":"Is bioelectrical impedance accurate for use in large epidemiological studies?","volume":"7","author":"Dehghan","year":"2008","journal-title":"Nutr J"},{"key":"10.1016\/j.clnesp.2025.11.158_bib34","series-title":"Sex differences in body composition","first-page":"9","author":"Bredella","year":"2017"},{"key":"10.1016\/j.clnesp.2025.11.158_bib35","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/0148607106030004309","article-title":"Phase angle from bioelectrical impedance analysis: population reference values by age, sex, and body mass index","volume":"30","author":"Bosy-Westphal","year":"2006","journal-title":"J Parenter Enteral Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib36","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1002\/jcsm.12959","article-title":"Phenotypic differences between people varying in muscularity","volume":"13","author":"Heymsfield","year":"2022","journal-title":"J Cachexia Sarcopenia Muscle"},{"key":"10.1016\/j.clnesp.2025.11.158_bib37","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s11154-022-09772-3","article-title":"Role of phase angle in older adults with focus on the geriatric syndromes sarcopenia and frailty","volume":"24","author":"Norman","year":"2023","journal-title":"Rev Endocr Metab Disord"},{"key":"10.1016\/j.clnesp.2025.11.158_bib38","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/j.clnesp.2024.07.021","article-title":"Longitudinal association of objectively measured physical activity and bioimpedance phase angle in older adults","volume":"63","author":"Uemura","year":"2024","journal-title":"Clin Nutr ESPEN"},{"key":"10.1016\/j.clnesp.2025.11.158_bib39","doi-asserted-by":"crossref","first-page":"2834","DOI":"10.1017\/S1368980013002413","article-title":"Malnutrition in older adults on financial assistance in an urban Asian country: a mixed methods study","volume":"17","author":"Koo","year":"2014","journal-title":"Public Health Nutr"},{"key":"10.1016\/j.clnesp.2025.11.158_bib40","doi-asserted-by":"crossref","first-page":"1707","DOI":"10.2147\/CIA.S388319","article-title":"Prevalence and factors influencing sarcopenia among community-dwelling older adults using the Asian working group for sarcopenia definition","volume":"17","author":"He","year":"2022","journal-title":"Clin Interv Aging"},{"key":"10.1016\/j.clnesp.2025.11.158_bib41","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s13584-024-00614-y","article-title":"Frailty and its association with long-term mortality among community-dwelling older adults aged 75 years and over","volume":"13","author":"Lewis","year":"2024","journal-title":"Isr J Health Pol Res"},{"key":"10.1016\/j.clnesp.2025.11.158_bib42","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.ypmed.2016.05.009","article-title":"Prevalence and trends in physical activity among older adults in the United States: a comparison across three national surveys","volume":"89","author":"Keadle","year":"2016","journal-title":"Prev Med"},{"key":"10.1016\/j.clnesp.2025.11.158_bib43","doi-asserted-by":"crossref","first-page":"2022","DOI":"10.1589\/jpts.34.642","article-title":"Association between age and phase angle in \u201cold\u201d and \u201csuper-old\u201d nursing home residents","volume":"34","author":"Kubo","year":"2022","journal-title":"J Phys Ther Sci"}],"container-title":["Clinical Nutrition ESPEN"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457725031523?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457725031523?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T01:53:47Z","timestamp":1774058027000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405457725031523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":43,"alternative-id":["S2405457725031523"],"URL":"https:\/\/doi.org\/10.1016\/j.clnesp.2025.11.158","relation":{},"ISSN":["2405-4577"],"issn-type":[{"value":"2405-4577","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association between phase angle and the risk of sarcopenic obesity in individuals with type 2 diabetes mellitus: A cross-sectional study","name":"articletitle","label":"Article Title"},{"value":"Clinical Nutrition ESPEN","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clnesp.2025.11.158","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"102838"}}