Evidence map›Paper›PMID 42909333›Full record

SynthesisFrontiers in nutrition2026

Optimizing health outcomes for older adults with sarcopenic obesity: a scoping review of nutrition, exercise and combined interventions.

Zihan Li, Jiayu Wang, Xinyan Han, Yu Tian, Xinyu Zhu, Yijia Li, Lei Liu, Yikang Xu

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Zihan LiSchool of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
Jiayu WangSchool of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
Xinyan HanSchool of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
Yu TianNursing Department, Cancer Hospital of Dalian University of Technology, Shenyang, Liaoning, China.
Xinyu ZhuSchool of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
Yijia LiTechnical Faculty, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nuremberg, Bayern, Germany.
Lei LiuSchool of Nursing, Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning, China.
Yikang XuDepartment of Cardiology, The Second Affiliated Hospital of Shenyang Medical College, Shenyang, Liaoning, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Against the backdrop of an aging population, sarcopenic obesity-a high-risk geriatric syndrome-significantly increases the risk of disability and mortality among older adults. However, current nutrition, exercise, and combined intervention programs for this population are diverse, with scattered outcome measures and a lack of systematic integration, severely limiting the identification and translation of optimal clinical practice strategies. Methods: This study was conducted from February to March 2026. Under the leadership of one researcher and with the assistance of two professional librarians, a search strategy was developed to conduct a systematic search of four Chinese databases: CNKI, Wanfang, VIP, and SinoMed, as well as four English-language databases: PubMed, Web of Science, CINAHL, and Embase. The search period spanned from the inception of each database to February 24, 2026. Results: This review included a total of 30 studies involving 8,587 obese older adults with sarcopenia. Interventions can be categorized into three major types: exercise training, nutritional intervention, and combined exercise-nutrition interventions. The included studies reported findings across five major domains: body composition, muscle strength and physical function, metabolic and cardiovascular risk, overall health and quality of life, and muscle mass and biomarkers. The existing literature is characterized by diverse intervention protocols and a wide range of outcome measures; some studies reported concurrent changes in body composition and muscle function indicators. Conclusion: This review systematically organized the classification of intervention measures and the distribution of outcome measures in studies on nutrition, exercise, and combined interventions for SO older adults, revealing the fragmented state of this field characterized by diverse intervention protocols and scattered outcome measures. Based on these findings, future research should focus on establishing a core set of outcome measures, conducting quantitative studies on the dose-response relationship of interventions, exploring the mechanisms of interaction between different exercise modalities and nutritional supplementation, and developing optimization strategies for personalized intervention plans, thereby providing an evidence-based foundation for the development of precise, localized intervention and care plans.

Indexed as

exercise interventionnutritional interventionobesityolder adultsreviewsarcopeniasarcopenic obesity (SO)

Identifiers

PMID42909333
PMCPMC13684071

What OpenQuestion holds

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Registered trials

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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.