{"id":9109,"date":"2021-10-01T21:59:45","date_gmt":"2021-10-01T21:59:45","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=9109"},"modified":"2025-12-30T20:34:07","modified_gmt":"2025-12-30T20:34:07","slug":"osteosarcopenic-obesity","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/osteosarcopenic-obesity\/","title":{"rendered":"Revised Physical Diagnostic Criteria for Osteosarcopenic Obesity (OSO)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Osteosarcopenic obesity (OSO) syndrome describes the simultaneous deterioration of bone, muscle and excess fat, resulting in reduced functionality and systemic metabolic dysregulation. The key component contributing to this may be ectopic fat in the viscera, bone and muscle.<!--more--><\/p>\n<p><strong>The revised physical diagnostic criteria for osteosarcopenic obesity in males and females.<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 457px;\" border=\"1\">\n<tbody>\n<tr style=\"height: 24px;\">\n<td style=\"width: 12.9182%; height: 24px;\"><strong>Component of OSO<\/strong><\/td>\n<td style=\"width: 44.7619%; text-align: center; height: 24px;\" colspan=\"2\"><strong>Males<\/strong><\/td>\n<td style=\"width: 42.3199%; text-align: center; height: 24px;\" colspan=\"2\"><strong>Females<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 72px;\">\n<td style=\"width: 12.9182%; height: 120px;\" rowspan=\"2\">Bone Mass<\/td>\n<td style=\"width: 3.02809%; text-align: center; height: 72px;\">1<\/td>\n<td style=\"width: 41.7338%; height: 72px;\">T-score for bone mineral density at the femoral neck, proximal femur or lumbar spine (DXA) \u2264 \u22121.0 SD<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 72px;\">1<\/td>\n<td style=\"width: 39.4139%; height: 72px;\">T-score for bone mineral density at the femoral neck, proximal femur or lumbar spine (DXA) \u2264 \u22121.0 SD<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 48px;\">2<\/td>\n<td style=\"width: 41.7338%; height: 48px;\">Total Bone Mass T-score (BIA-ACC\u00ae) \u2264 \u22121.0 SD<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 48px;\">2<\/td>\n<td style=\"width: 39.4139%; height: 48px;\">Total Bone Mass T-score (BIA-ACC\u00ae) \u2264 \u22121.0 SD<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 12.9182%; height: 120px;\" rowspan=\"3\">Muscle Mass<\/td>\n<td style=\"width: 3.02809%; text-align: center; height: 48px;\">1<\/td>\n<td style=\"width: 41.7338%; height: 48px;\">Skeletal Mass Index (DXA, BIA) \u2264 5.45 kg\/m2<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 48px;\">1<\/td>\n<td style=\"width: 39.4139%; height: 48px;\">Skeletal Mass Index (DXA, BIA) \u2264 7.26 kg\/m2<\/td>\n<\/tr>\n<tr style=\"height: 48px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 48px;\">2<\/td>\n<td style=\"width: 41.7338%; height: 48px;\">\u226420th percentile of Appendicular Lean Mass (DXA, BIA)<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 48px;\">2<\/td>\n<td style=\"width: 39.4139%; height: 48px;\">\u226420th percentile of Appendicular Lean Mass (DXA, BIA)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">3<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">S-Score (BIA-ACC\u00ae) \u2264 \u22121.0 SD<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">3<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">S-Score (BIA-ACC\u00ae) \u2264 \u22121.0 SD<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 12.9182%; height: 49px;\" rowspan=\"2\">Fat Mass<\/td>\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">1<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Total body fat (DXA, BIA) \u2265 25%<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">1<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Total body fat (DXA, BIA) \u2265 32%<\/td>\n<\/tr>\n<tr style=\"height: 25px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 25px;\">2<\/td>\n<td style=\"width: 41.7338%; height: 25px;\">Fat Mass Index \u2265 9 kg\/m2<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 25px;\">2<\/td>\n<td style=\"width: 39.4139%; height: 25px;\">Fat Mass Index \u2265 13 kg\/m2<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 12.9182%; height: 144px;\" rowspan=\"6\">Central or Visceral Fat<\/td>\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">1<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Visceral fat (CT, MRI) \u2265 130 cm2<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">1<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Visceral fat (CT, MRI) \u2265 110 cm2<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">2<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Visceral\/Subcutaneous fat ratio (DXA) &gt; 1<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">2<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Visceral\/Subcutaneous fat ratio (DXA) &gt; 1<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">3<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Android\/Gynoid fat ratio (DXA) \u2264 1.0<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">3<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Android\/Gynoid fat ratio (DXA) \u2264 1.0<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">4<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Intramuscular adipose tissue (IMAT) (BIA-ACC\u00ae) &gt; 2.0%<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">4<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Intramuscular adipose tissue (IMAT) (BIA-ACC\u00ae) &gt; 2.0%<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">5<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Waist circumference \u2265 102 cm (40 inches)<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">5<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Waist circumference \u2265 88 cm (35 inches)<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 3.02809%; text-align: center; height: 24px;\">6<\/td>\n<td style=\"width: 41.7338%; height: 24px;\">Waist\u2013hip ratio &gt; 0.90<\/td>\n<td style=\"width: 2.90598%; text-align: center; height: 24px;\">6<\/td>\n<td style=\"width: 39.4139%; height: 24px;\">Waist\u2013hip ratio &gt; 0.85<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>OSO, Osteosarcopenic obesity; DXA, dual-energy x-ray absorptiometry; BIA, Bioelectrical Impedance Analysis; CT,<br \/>\nComputerized Tomography; MRI, Magnetic Resonance Imaging<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Kelly OJ, Gilman JC, Boschiero D, Ilich JZ. Osteosarcopenic Obesity: Current Knowledge, Revised Identification Criteria and Treatment Principles. Nutrients. 2019 Mar 30;11(4):747. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30935031\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Bauer JM, Cruz-Jentoft AJ, Fielding RA, Kanis JA, Reginster JY, Bruy\u00e8re O, Cesari M, Chapurlat R, Al-Daghri N, Dennison E, Kaufman JM, Landi F, Laslop A, Locquet M, Maggi S, McCloskey E, Perna S, Rizzoli R, Rolland Y, Rondanelli M, Szulc P, Vellas B, Vlaskovska M, Cooper C. Is There Enough Evidence for Osteosarcopenic Obesity as a Distinct Entity? A Critical Literature Review. Calcif Tissue Int. 2019 Aug;105(2):109-124. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31098729\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<li>Mocini E, Cardinali L, Di Vincenzo O, Moretti A, Baldari C, Iolascon G, Migliaccio S. An Integrated Nutritional and Physical Activity Approach for Osteosarcopenia. Nutrients. 2025 Aug 31;17(17):2842. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40944229\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created Sep 24, 2021.<br \/>\nUp-date Dec 30, 2025.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[98],"tags":[16,15,14,13,363,769,768,2430,2431,2429,362,8,7],"class_list":["post-9109","post","type-post","status-publish","format-standard","hentry","category-nutrition","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-fisico","tag-obesidad","tag-obesity","tag-oso","tag-osteosarcopenic","tag-osteosarcopenica","tag-physical","tag-revisados","tag-revised"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/9109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=9109"}],"version-history":[{"count":8,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/9109\/revisions"}],"predecessor-version":[{"id":10561,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/9109\/revisions\/10561"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=9109"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=9109"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=9109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}