The Asia–Oceania consensus: Definitions and diagnostic criteria for sarcopenic obesity
Issued Date
2025-01-01
Resource Type
ISSN
1871403X
eISSN
18780318
Scopus ID
2-s2.0-105004343850
Journal Title
Obesity Research and Clinical Practice
Rights Holder(s)
SCOPUS
Bibliographic Citation
Obesity Research and Clinical Practice (2025)
Suggested Citation
Chen T.P., Kao H.H., Ogawa W., Arai H., Tahapary D.L., Assantachai P., Tham K.W., Chan D.C., Yuen M.M.A., Appannah G., Fojas M., Gill T., Lee M.C., Saboo B., Lin C.C., Kim K.K., Lin W.Y. The Asia–Oceania consensus: Definitions and diagnostic criteria for sarcopenic obesity. Obesity Research and Clinical Practice (2025). doi:10.1016/j.orcp.2025.05.001 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/110080
Title
The Asia–Oceania consensus: Definitions and diagnostic criteria for sarcopenic obesity
Author's Affiliation
Woodlands Health
Faculty of Medicine and Health Sciences
School of Medicine
Gachon University
Siriraj Hospital
Graduate School of Medicine
National Taiwan University Hospital
University of the Philippines College of Medicine
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
China Medical University Hospital
Chung Shan Medical University
National Center for Geriatrics and Gerontology
Faculty of Medicine and Health
The University of Hong Kong
Metabolic
Diacare-Diabetes Care and Hormone Clinic
Faculty of Medicine and Health Sciences
School of Medicine
Gachon University
Siriraj Hospital
Graduate School of Medicine
National Taiwan University Hospital
University of the Philippines College of Medicine
Universitas Indonesia, RSUPN Dr. Cipto Mangunkusumo
China Medical University Hospital
Chung Shan Medical University
National Center for Geriatrics and Gerontology
Faculty of Medicine and Health
The University of Hong Kong
Metabolic
Diacare-Diabetes Care and Hormone Clinic
Corresponding Author(s)
Other Contributor(s)
Abstract
Objective: The aim of this study was to develop consensus definitions and diagnostic criteria for sarcopenic obesity tailored to Asia-Oceania populations, a condition characterized by reduced skeletal muscle mass and function with excess adipose tissue. Methods: Experts from various fields formed a working group under the Asia–Oceania Association for the Study of Obesity (AOASO) and the International Association of Gerontology and Geriatrics Asia/Oceania Region (IAGG-AOR). The group convened four meetings, employing the Delphi technique to achieve consensus on diagnostic criteria and management strategies for sarcopenic obesity. Results: The consensus defines sarcopenic obesity with a 3-step algorithm, including screening, diagnosis, and intervention. The screening criteria included BMI and waist circumference for obesity and calf circumference, the SARC-F, and the Finger Ring test for sarcopenia. The diagnostic criteria for sarcopenia include assessments of muscle mass (using dual-energy X-ray absorptiometry or bioelectrical impedance analysis), muscle strength (handgrip strength), and physical performance (gait speed, Short Physical Performance Battery, or the 5-Times Sit-to-Stand Test). Central obesity is the main concern for the diagnosis of obesity. The working group recommends a combination of dietary consultations, increased physical activity, resistance training, and the potential use of oral nutritional supplements and medications for managing sarcopenic obesity. The primary objective is to increase skeletal muscle mass and reduce adipose tissue mass. Conclusions: The established criteria facilitate early recognition and management of sarcopenic obesity, highlighting the need for tailored interventions. Future research should focus on the long-term outcomes of these interventions and the development of pharmacological treatments.