{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:07:58Z","timestamp":1790021278114,"version":"4.0.1"},"reference-count":20,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"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":[[2026,10]]},"DOI":"10.1016\/j.clnesp.2026.103385","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:11:15Z","timestamp":1781050275000},"page":"103385","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["DXA-derived regional adiposity identifies hidden liver-metabolic risk beyond BMI in non-obese older adults: A cross-sectional study"],"prefix":"10.1016","volume":"75","author":[{"given":"Simone","family":"Perna","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Mazzola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Patta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Rondanelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.clnesp.2026.103385_bib1","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.jhep.2024.04.031","article-title":"Clinical Practice Guidelines on the management of metabolic dysfunction-associated steatotic liver disease (MASLD)","volume":"81","year":"2024","journal-title":"J Hepatol"},{"issue":"17","key":"10.1016\/j.clnesp.2026.103385_bib2","first-page":"1438","article-title":"Cardiovascular disease and metabolic dysfunction-associated steatotic liver disease: pathophysiology and diagnostic aspects","volume":"45","author":"Moller","year":"2024","journal-title":"Eur Heart J"},{"key":"10.1016\/j.clnesp.2026.103385_bib3","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.jhepr.2019.08.002","article-title":"Non-alcoholic fatty liver disease in lean individuals","volume":"1","author":"Albhaisi","year":"2019","journal-title":"JHEP Rep"},{"key":"10.1016\/j.clnesp.2026.103385_bib4","doi-asserted-by":"crossref","first-page":"827","DOI":"10.7326\/M14-2525","article-title":"Normal-weight central obesity: implications for total and cardiovascular mortality","volume":"163","author":"Sahakyan","year":"2015","journal-title":"Ann Intern Med"},{"issue":"4","key":"10.1016\/j.clnesp.2026.103385_bib5","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"},{"issue":"1","key":"10.1016\/j.clnesp.2026.103385_bib6","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.jocd.2013.03.007","article-title":"Relationship between dual-energy X-ray absorptiometry volumetric assessment and X-ray computed tomography-derived single-slice measurement of visceral fat","volume":"17","author":"Xia","year":"2014","journal-title":"J Clin Densitom"},{"issue":"9","key":"10.1016\/j.clnesp.2026.103385_bib7","doi-asserted-by":"crossref","first-page":"163","DOI":"10.3390\/life10090163","article-title":"DXA-derived visceral adipose tissue (VAT) in elderly: percentiles of reference for gender and association with metabolic outcomes","volume":"10","author":"Spadaccini","year":"2020","journal-title":"Life"},{"key":"10.1016\/j.clnesp.2026.103385_bib8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1186\/1471-230X-6-33","article-title":"The Fatty Liver Index: a simple and accurate predictor of hepatic steatosis in the general population","volume":"6","author":"Bedogni","year":"2006","journal-title":"BMC Gastroenterol"},{"issue":"7","key":"10.1016\/j.clnesp.2026.103385_bib9","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.dld.2009.08.002","article-title":"Hepatic steatosis index: a simple screening tool reflecting nonalcoholic fatty liver disease","volume":"42","author":"Lee","year":"2010","journal-title":"Dig Liver Dis"},{"issue":"4","key":"10.1016\/j.clnesp.2026.103385_bib10","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The strengthening the reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"issue":"4","key":"10.1016\/j.clnesp.2026.103385_bib11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0094059","article-title":"Comparison of liver fat indices for the diagnosis of hepatic steatosis and insulin resistance","volume":"9","author":"Kahl","year":"2014","journal-title":"PLoS One"},{"issue":"2","key":"10.1016\/j.clnesp.2026.103385_bib12","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.jocd.2017.01.004","article-title":"Comparison of associations of DXA and CT visceral adipose tissue measures with insulin resistance, lipid levels, and inflammatory markers","volume":"20","author":"Schousboe","year":"2017","journal-title":"J Clin Densitom"},{"key":"10.1016\/j.clnesp.2026.103385_bib13","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1038\/s41430-020-0596-5","article-title":"Reference values of body composition parameters and visceral adipose tissue (VAT) by DXA in adults aged 18-81 years-results from the LEAD cohort","volume":"74","author":"Ofenheimer","year":"2020","journal-title":"Eur J Clin Nutr"},{"key":"10.1016\/j.clnesp.2026.103385_bib14","article-title":"Obesity and MASLD: is weight loss the (only) key to treat metabolic dysfunction-associated steatotic liver disease?","volume":"157","author":"Roden","year":"2024","journal-title":"Metabolism"},{"issue":"4","key":"10.1016\/j.clnesp.2026.103385_bib15","doi-asserted-by":"crossref","first-page":"e147","DOI":"10.1016\/j.jhep.2023.11.015","article-title":"Beyond body weight: diversified presentation of MASLD in lean, overweight, and obese participants","volume":"80","author":"Fan","year":"2024","journal-title":"J Hepatol"},{"key":"10.1016\/j.clnesp.2026.103385_bib16","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.nutos.2024.04.006","article-title":"Clinical practice guidelines for older adults living with overweight and obesity: a scoping review","volume":"56","author":"Porter","year":"2024","journal-title":"Clin Nutr Open Sci"},{"key":"10.1016\/j.clnesp.2026.103385_bib17","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1038\/s41366-023-01314-4","article-title":"Body composition and mortality from middle to old age: a prospective cohort study from the UK Biobank","volume":"47","author":"Sanchez-Lastra","year":"2023","journal-title":"Int J Obes"},{"key":"10.1016\/j.clnesp.2026.103385_bib18","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1038\/s43587-026-01076-4","article-title":"Visceral adiposity, metabolic health and aging","volume":"6","author":"Maeyens","year":"2026","journal-title":"Nat Aging"},{"issue":"1","key":"10.1016\/j.clnesp.2026.103385_bib19","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/S0095-4543(21)00452-8","article-title":"Screening for nutritional status in the elderly","volume":"21","author":"Lipschitz","year":"1994","journal-title":"Prim Care"},{"issue":"1","key":"10.1016\/j.clnesp.2026.103385_bib20","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: revised European consensus on definition and diagnosis","volume":"48","author":"Cruz-Jentoft","year":"2019","journal-title":"Age Ageing"}],"container-title":["Clinical Nutrition ESPEN"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726004821?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405457726004821?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T19:27:44Z","timestamp":1790018864000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405457726004821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":20,"alternative-id":["S2405457726004821"],"URL":"https:\/\/doi.org\/10.1016\/j.clnesp.2026.103385","relation":{},"ISSN":["2405-4577"],"issn-type":[{"value":"2405-4577","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"DXA-derived regional adiposity identifies hidden liver-metabolic risk beyond BMI in non-obese older adults: 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.2026.103385","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd on behalf of European Society for Clinical Nutrition and Metabolism.","name":"copyright","label":"Copyright"}],"article-number":"103385"}}