{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T05:24:51Z","timestamp":1782365091905,"version":"3.54.5"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nutr Metab Insights"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sarcopenia now constitutes a serious issue that can affect the obese adult population. The aims of our study were to estimate the prevalence of sarcopenia in a group of obese patients, investigate the impact of sarcopenic obesity (SO) on patient health and quality of life, and identify its risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a cross-sectional descriptive observational study of a group of obese adult patients. Physical activity was assessed with the Ricci and Gagnon questionnaire and quality of life was evaluated using the SF-12 and ORWELL-97 questionnaires. SO was defined in accordance with the EASO-ESPEN consensus statement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 100 patients with a mean age of 44.42\u2009\u00b1\u200913.25\u2009years. SO was diagnosed in 19% of the study population. The assessment of the impact of SO revealed that it was associated with osteoarthritis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001), functional disability (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.001) and obesity-specific quality of life impairment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.0001). SO was associated with lower education levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.011), a low score in the daily physical activities\u2019 dimension of the Ricci and Gagnon score (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.028), class 2 obesity (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.032), elevated blood triglyceride levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.019), potassium and manganese intake deficiency (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.042 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.004, respectively). Non-sarcopenic obese patients had a higher frequency of a history of weight loss interventions (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.038), excess protein intake (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.042), and excess lipid intake (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.011). Multivariate analysis identified class 2 obesity (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.048), osteoarthritis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.038), elevated triglyceride levels (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.049), manganese deficiency intake (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.026), increased score in the daily physical activities\u2019 dimension (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.048), increased gait speed (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.025) and excess fat intake (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.047) as factors independently associated with SO.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>It is essential to incorporate the screening for sarcopenia into the therapeutic approach for obese adult patients due to its clinical consequences and impact on individuals\u2019 quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11786388251348955","type":"journal-article","created":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T07:33:07Z","timestamp":1751095987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Sarcopenic Obesity in Adult Patients: Prevalence and Risk Factors"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-3835-2560","authenticated-orcid":false,"given":"Sana","family":"Khamassi","sequence":"first","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatma","family":"Boukhayatia","sequence":"additional","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haifa","family":"Abdesselem","sequence":"additional","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emna","family":"Bornaz","sequence":"additional","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamilia","family":"Ounaissa","sequence":"additional","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Houda","family":"Bouhajja","sequence":"additional","affiliation":[{"name":"UR17SP01-Clinical Biology Laboratory, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awatef","family":"Kacem","sequence":"additional","affiliation":[{"name":"Obesity Research Unit, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amel","family":"Gammoudi","sequence":"additional","affiliation":[{"name":"Obesity Research Unit, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahma","family":"Mahjoub","sequence":"additional","affiliation":[{"name":"UR17SP01-Clinical Biology Laboratory, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emna","family":"Talbi","sequence":"additional","affiliation":[{"name":"UR17SP01-Clinical Biology Laboratory, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henda","family":"Jamoussi","sequence":"additional","affiliation":[{"name":"Obesity Research Unit, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiraz","family":"Amrouche","sequence":"additional","affiliation":[{"name":"Department of Nutritional Diseases D, National Institute of Nutrition and Food Technology, Tunis, Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,28]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Obesity Atlas. 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