Evidence map›Paper›PMID 30065268›Full record

ReviewNature reviews. Endocrinology2018

Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies.

John A Batsis, Dennis T Villareal

Open access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 752 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
752citing papers in PubMed, 8 pooled it
66.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

752 citing papers in PubMed, 8 syntheses or guidelines pooled it, 1,427 citations in OpenAlex.

  1. EffectS of Lifestyle Interventions in Older PEople With Obesity (Effective SLOPE): a Systematic Review With Network Meta-Analyses.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  3. "It Is a Vicious Circle": Experiences of People Living With Obesity and Chronic Pain: A Qualitative Evidence Synthesis (QES).Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  17. PVMQ score: a novel imaging parameter for indicating lumbar degeneration and prognosis in patients with L4/5 degenerative lumbar spondylolisthesis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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692 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

John A BatsisSections of General Internal Medicine and Weight and Wellness, and the Dartmouth Centers for Health and Aging, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. john.batsis@gmail.com.
Dennis T VillarealDivision of Endocrinology, Diabetes and Metabolism, Baylor College of Medicine, Houston, TX, USA.
Dartmouth–Hitchcock Medical Center · USMichael E. DeBakey VA Medical Center · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Health Promotion and Disease Prevention Research CenterU48DP005018 · DP · DARTMOUTH COLLEGE · PI ADACHI-MEJIA, ANNA MARIA · 2014 to 2018
$5.6M
DOES LIFESTYLE INTERVENTION IN OBESE OLDER ADULTS IMPROVE BONE QUALITY?R01DK109950 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI VILLAREAL, DENNIS T. · 2017 to 2022
$3.4M
EXERCISE INTERVENTIONS DURING VOLUNTARY WEIGHT LOSS IN OBESE OLDER ADULTSR01AG031176 · NIA · WASHINGTON UNIVERSITY · PI VILLAREAL, DENNIS T. · 2009 to 2016
$2.3M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
Testosterone Replacement to Augment Lifestyle Therapy in Obese Older VeteransI01CX000906 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI VILLAREAL, DENNIS T. · 2014 to 2019
–
ACL HHS U48DP005018CSRD VA I01 CX000906NCATS NIH HHS UL1 TR001086NCCDPHP CDC HHS U48 DP005018NIA NIH HHS K23 AG051681NIA NIH HHS R01 AG031176NIDDK NIH HHS R01 DK109950
6 · The paper itself

Abstract

The prevalence of obesity in combination with sarcopenia (the age-related loss of muscle mass and strength or physical function) is increasing in adults aged 65 years and older. A major subset of adults over the age of 65 is now classified as having sarcopenic obesity, a high-risk geriatric syndrome predominantly observed in an ageing population that is at risk of synergistic complications from both sarcopenia and obesity. This Review discusses pathways and mechanisms leading to muscle impairment in older adults with obesity. We explore sex-specific hormonal changes, inflammatory pathways and myocellular mechanisms leading to the development of sarcopenic obesity. We discuss the evolution, controversies and challenges in defining sarcopenic obesity and present current body composition modalities used to assess this condition. Epidemiological surveys form the basis of defining its prevalence and consequences beyond comorbidity and mortality. Current treatment strategies, and the evidence supporting them, are outlined, with a focus on calorie restriction, protein supplementation and aerobic and resistance exercises. We also describe weight loss-induced complications in patients with sarcopenic obesity that are relevant to clinical management. Finally, we review novel and potential future therapies including testosterone, selective androgen receptor modulators, myostatin inhibitors, ghrelin analogues, vitamin K and mesenchymal stem cell therapy.

Indexed as

Body CompositionAgedAged, 80 and overAgingComorbidityExerciseFemaleFollow-Up StudiesHumansMaleObesityPrevalenceQuality of LifeRisk AssessmentSarcopenia

Identifiers

PMID30065268
PMCPMC6241236
OpenAlexW2885711716

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.