Sarcobesity and osteoporosis

Abstract

s / Maturitas 81 (2015) 105–121 113 Finally, additional factors related to older individuals, specifically cognitionand emotion-based features that can impact falls risk are discussed as related to their importance for consideration in routine falls assessments. This speech summarizes information to help guide the clinician in choosing themost appropriate currently available tool. Asmany of thesemeasures are similar in their sensitivity and specificity, decisions on which approach to take in many casesmayhave to be informedalso by the clinic setting andexisting resources available to the clinician. http://dx.doi.org/10.1016/j.maturitas.2015.02.037 INV26 Sarcobesity and osteoporosis Fidel Hita Contreras1,∗, Antonio Martinez Amat1, David Cruz Diaz1, Faustino R. Perez-Lopez2 1 University of Jaen, Health Sciences, Jaen, Spain 2 University of Zaragoza, Faculty of Medicine and Lozano Blesa University Hospital, Zaragoza, Spain In the last decades, overall survival has drastically increased. Contrary to the decrease in muscle and bone tissue, fat tissue accumulation increaseswith agingup to a certain age.Whereas sarcopenia, an age-related loss of muscle mass and physical function, and sarcopenic obesity have been widely spread and recognized, the addition of decreased bonemass to these entities is a relatively recent concept. These are threemultifactorial conditions which are interrelated and share common pathophysiological factors. Whether considered as separate entities or as a single one, which is termed osteosarcopenic obesity, these involve an increased risk of diminished health-related quality of life, of medical complications and of reduced survival. It has been shown that these patients present poorer clinical outcomes, due to the cascade of metabolic abnormalities associated with these changes in body composition, as well as an elevated risk of disability, falls and fractures, which are some of the major causes of mortality and morbidity in older adults. There are still no well-defined criteria for its diagnosis, but we must consider the main cut-off points of the three pathologies involved. Since this is a complex condition, multifactorial management is likely to be the best approach. A combined strategy including an appropriate diet and nutrition, physical exercise, and pharmacological treatment may help not only treat the potential negative consequences of osteosarcopenic obesity, but also prevent its onset. http://dx.doi.org/10.1016/j.maturitas.2015.02.038 Psychosomatic and sexual medicine in routine practice