Evidence map›Paper›PMID 41963841›Full record

ArticleBMC geriatrics2026

Sarcopenic obesity definitions and their association with cardiovascular disease and mortality.

Qian Xu, Rong-Fang Shi, Xiu-Juan Yu, Fan Bu, Kuan Li, Zi-Tong Song, Chen Fang, Hui Li, Yu-Fang Pei

Abstract read
In one paragraph

Article in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Qian Xu *Department of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Rong-Fang Shi *Department of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Xiu-Juan YuDepartment of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Fan BuDepartment of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Kuan LiDepartment of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Zi-Tong SongDepartment of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China.
Chen FangDepartment of Clinical Nutrition and Department of Endocrinology, Second Affiliated Hospital of Soochow University, Suzhou City, JiangSu Province, PR China.
Hui LiDepartment of Cardiology, Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, SuZhou City, JiangSu Province, PR China. 9911263@163.com.
Yu-Fang PeiDepartment of Epidemiology and Biostatistics, School of Public Health, Physical Examination Centre of Second Affiliated Hospital, Suzhou Medical College of Soochow University, SuZhou City, JiangSu Province, 215123, PR China. ypei@suda.edu.cn.

Funding

National Natural Science Foundation of China 32170670
6 · The paper itself

Abstract

backgroundSarcopenic obesity (SO) is a prevalent geriatric syndrome with significant implications for cardiovascular health and survival. However, the absence of a standardised diagnostic consensus hinders risk stratification and targeted management in older adults. We evaluated SO prevalence using the ESPEN-EASO, FNIH, and EWGSOP2 criteria and assessed associations with cardiovascular disease (CVD) and all-cause mortality.

methodsWe analysed data from 121,111 UK Biobank participants aged ≥ 60 years. SO was operationally defined by ESPEN-EASO, FNIH, and EWGSOP2 criteria. We compared the prevalence and agreement among the three definitions. Cox-proportional hazard models were used to investigate the association between the combined categories of sarcopenia and obesity and the incidence of CVD and all-cause mortality.

resultsSO prevalence varied significantly: 2.28% (ESPEN-EASO), 0.28% (FNIH), and 0.01% (EWGSOP2), with poor inter-criteria agreement (kappa < 0.20). Among men, ESPEN-EASO-defined SO showed the strongest associations with incident CVD and all-cause mortality (HR 1.61, 95% CI 1.43–1.81; and HR 1.66, 95% CI 1.45–1.91, respectively). Among women, ESPEN-EASO-defined SO showed the strongest association with all-cause mortality (HR 1.59, 95% CI 1.37–1.83), whereas FNIH-defined SO showed the highest point estimate for incident CVD (HR 1.99, 95% CI 1.40–2.82). The EWGSOP2 criteria identified too few SO cases for robust prognostic assessment.

conclusionSO prevalence and prognostic performance differed substantially across consensus definitions. ESPEN-EASO identified more SO cases and showed more consistent associations with incident CVD and all-cause mortality in older adults. Regardless of definition, SO was associated with increased risks of incident CVD and all-cause mortality.

Indexed as

Cardiovascular DiseasesObesitySarcopeniaAgedAged, 80 and overFemaleHumansMaleMortalityPrevalenceUnited KingdomCardiovascular diseaseDiagnostic criteriaMortalitySarcopenic obesity

Identifiers

PMID41963841
PMCPMC13192120

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.