Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review

Sabine Goisser,1 Wolfgang Kemmler,2 Simone Porzel,3 Dorothee Volkert,1 Cornel Christian Sieber,1,4 Leo Cornelius Bollheimer,1,4 Ellen Freiberger1 1Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Nuremberg, 2Institute of Medical Ph...

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Autores principales: Goisser S, Kemmler W, Porzel S, Volkert D, Sieber CC, Bollheimer LC, Freiberger E
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:dd0cbc9d803548b6853fd2d31ab3570a2021-12-02T01:19:47ZSarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review1178-1998https://doaj.org/article/dd0cbc9d803548b6853fd2d31ab3570a2015-08-01T00:00:00Zhttps://www.dovepress.com/sarcopenic-obesity-and-complex-interventions-with-nutrition-and-exerci-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sabine Goisser,1 Wolfgang Kemmler,2 Simone Porzel,3 Dorothee Volkert,1 Cornel Christian Sieber,1,4 Leo Cornelius Bollheimer,1,4 Ellen Freiberger1 1Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Nuremberg, 2Institute of Medical Physics (IMP), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, 3Nutricia GmbH, Danone Medical Nutrition, Erlangen, 4Department of Internal Medicine and Geriatrics, St John of God Hospital (Barmherzige Brüder), Regensburg, Germany Abstract: One of the many threats to independent life is the age-related loss of muscle mass and muscle function commonly referred to as sarcopenia. Another important health risk in old age leading to functional decline is obesity. Obesity prevalence in older persons is increasing, and like sarcopenia, severe obesity has been consistently associated with several negative health outcomes, disabilities, falls, and mobility limitations. Both sarcopenia and obesity pose a health risk for older persons per se, but in combination, they synergistically increase the risk for negative health outcomes and an earlier onset of disability. This combination of sarcopenia and obesity is commonly referred to as sarcopenic obesity. The present narrative review reports the current knowledge on the effects of complex interventions containing nutrition and exercise interventions in community-dwelling older persons with sarcopenic obesity. To date, several complex interventions with different outcomes have been conducted and have shown promise in counteracting either sarcopenia or obesity, but only a few studies have addressed the complex syndrome of sarcopenic obesity. Strong evidence exists on exercise interventions in sarcopenia, especially on strength training, and for obese older persons, strength exercise in combination with a dietary weight loss intervention demonstrated positive effects on muscle function and body fat. The differences in study protocols and target populations make it impossible at the moment to extract data for a meta-analysis or give state-of-the-art recommendations based on reliable evidence. A conclusion that can be drawn from this narrative review is that more exercise programs containing strength and aerobic exercise in combination with dietary interventions including a supervised weight loss program and/or protein supplements should be conducted in order to investigate possible positive effects on sarcopenic obesity. Keywords: sarcopenia, obesity, mobility, nutrition, weight loss diets, exercise, review, function Goisser SKemmler WPorzel SVolkert DSieber CCBollheimer LCFreiberger EDove Medical PressarticleSarcopenic obesitynarrativ reviewagingnutritionphyiscal activityGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1267-1282 (2015)
institution DOAJ
collection DOAJ
language EN
topic Sarcopenic obesity
narrativ review
aging
nutrition
phyiscal activity
Geriatrics
RC952-954.6
spellingShingle Sarcopenic obesity
narrativ review
aging
nutrition
phyiscal activity
Geriatrics
RC952-954.6
Goisser S
Kemmler W
Porzel S
Volkert D
Sieber CC
Bollheimer LC
Freiberger E
Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
description Sabine Goisser,1 Wolfgang Kemmler,2 Simone Porzel,3 Dorothee Volkert,1 Cornel Christian Sieber,1,4 Leo Cornelius Bollheimer,1,4 Ellen Freiberger1 1Institute for Biomedicine of Aging (IBA), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, Nuremberg, 2Institute of Medical Physics (IMP), Friedrich-Alexander-Universität (FAU) Erlangen-Nürnberg, 3Nutricia GmbH, Danone Medical Nutrition, Erlangen, 4Department of Internal Medicine and Geriatrics, St John of God Hospital (Barmherzige Brüder), Regensburg, Germany Abstract: One of the many threats to independent life is the age-related loss of muscle mass and muscle function commonly referred to as sarcopenia. Another important health risk in old age leading to functional decline is obesity. Obesity prevalence in older persons is increasing, and like sarcopenia, severe obesity has been consistently associated with several negative health outcomes, disabilities, falls, and mobility limitations. Both sarcopenia and obesity pose a health risk for older persons per se, but in combination, they synergistically increase the risk for negative health outcomes and an earlier onset of disability. This combination of sarcopenia and obesity is commonly referred to as sarcopenic obesity. The present narrative review reports the current knowledge on the effects of complex interventions containing nutrition and exercise interventions in community-dwelling older persons with sarcopenic obesity. To date, several complex interventions with different outcomes have been conducted and have shown promise in counteracting either sarcopenia or obesity, but only a few studies have addressed the complex syndrome of sarcopenic obesity. Strong evidence exists on exercise interventions in sarcopenia, especially on strength training, and for obese older persons, strength exercise in combination with a dietary weight loss intervention demonstrated positive effects on muscle function and body fat. The differences in study protocols and target populations make it impossible at the moment to extract data for a meta-analysis or give state-of-the-art recommendations based on reliable evidence. A conclusion that can be drawn from this narrative review is that more exercise programs containing strength and aerobic exercise in combination with dietary interventions including a supervised weight loss program and/or protein supplements should be conducted in order to investigate possible positive effects on sarcopenic obesity. Keywords: sarcopenia, obesity, mobility, nutrition, weight loss diets, exercise, review, function 
format article
author Goisser S
Kemmler W
Porzel S
Volkert D
Sieber CC
Bollheimer LC
Freiberger E
author_facet Goisser S
Kemmler W
Porzel S
Volkert D
Sieber CC
Bollheimer LC
Freiberger E
author_sort Goisser S
title Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
title_short Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
title_full Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
title_fullStr Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
title_full_unstemmed Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
title_sort sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons – a narrative review
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/dd0cbc9d803548b6853fd2d31ab3570a
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