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Vol. 1 No. 2 (2024)

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January 29, 2026
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December 31, 2024

Copyright (c) 2024 Halimah Ali Abeeri, Saad Naem Alshehri2, Fahad Salem Alharbi, Abdulaziz Jumah A Alanazi, Zahara Salman Hamid Almaqadi, Sabah Sanad Aljohani, Noha Abdullah Alanazi,  Najah Mohammed Alasiri, Linah Matar Alhalil Alslobi, Nouf Salam A Alsmari, Amal Jubran Sofy, ISSA Yahya Jebril Al Gobby, Ibrahim Mohammed Mousa Hamzi, Abdulaziz Jassim Alshehabi

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Sarcopenic Obesity in Aging Males: Imaging, Metrics, and Multimodal Intervention

https://doi.org/10.64483/202412616
Halimah Ali Abeeri
Eradah Hospital For Mental Health, Ministry of Health, Saudi Arabia
Saad Naem Alshehri2
2King Salman Hospital (Riyadh), Ministry Of Health, Saudi Arabia
Fahad Salem Alharbi
Al-Faisaliah Health Center In Al-Kharj,Ministry of Health , Saudi Arabia
Abdulaziz Jumah A Alanazi
King Khalid Hospital In Al-Kharj,Ministry of Health , Saudi Arabia
Zahara Salman Hamid Almaqadi
Al-Seih Primary Health Care C Enter,Ministry of Health , Saudi Arabia
Sabah Sanad Aljohani
King Salman Bin Abdulaziz Medical City,Ministry of Health , Saudi Arabia
Noha Abdullah Alanazi
Al-Nasifah Health Center In Al-Kharj,Ministry of Health , Saudi Arabia
 Najah Mohammed Alasiri
Al Azizia Children's Hospital & City: Jeddah,Ministry of Health , Saudi Arabia
Linah Matar Alhalil Alslobi
Al-Manar Health Center, Arar City, Northern Borders Region, Ministry of Health,, Saudi Arabia
Nouf Salam A Alsmari
Maternity and Children's Hospital in Sakaka, Sakaka City, Al-Jawf Region, Ministry of Health, Saudi Arabia
Amal Jubran Sofy
First Health Cluster, Okaz Health Center, Ministry of Health, Saudi Arabia
ISSA Yahya Jebril Al Gobby
Baish General Hospital, Ministry of Health, Saudi Arabia
Ibrahim Mohammed Mousa Hamzi
Erada Hospital and Mental Health,Ministry of Health , Saudi Arabia
Abdulaziz Jassim Alshehabi
Abdulaziz Jassim Alshehabi,Ministry of Health , Saudi Arabia

Corresponding Author(s) : Halimah Ali Abeeri

Habeeri@Moh.Gov.Sa

Saudi Journal of Medicine and Public Health, Vol. 1 No. 2 (2024)

Abstract

Background: Sarcopenic obesity, the confluence of age-related skeletal muscle atrophy (sarcopenia) and increased adiposity, represents a critical and underdiagnosed geriatric syndrome in men. Driven by hormonal changes, inflammation, and lifestyle factors, this condition synergistically amplifies risks beyond either condition alone, leading to severe disability, metabolic dysfunction, and early mortality. Traditional body mass index (BMI) is particularly misleading in this population, failing to discriminate between muscle and fat mass. Aim: This narrative review synthesizes contemporary literature (2010-2024) to analyze the epidemiology, pathophysiology, diagnostic imaging, and evidence-based multimodal management of sarcopenic obesity in aging males. Methods: A systematic search of PubMed, Scopus, CINAHL, and SPORTDiscus databases identified peer-reviewed articles on epidemiology, radiological body composition analysis, nutritional, exercise, and nursing interventions. Results: Sarcopenic obesity in men is characterized by distinct epidemiology, including accelerated decline in anabolic hormones and visceral fat accumulation. Advanced imaging (CT, MRI, DXA) provides precise metrics of muscle radiodensity and visceral adipose tissue, offering superior prognostic value over BMI. Multimodal intervention combining high-protein, calorie-modified nutrition with progressive resistance training is the cornerstone of management, demonstrating efficacy in improving body composition and function. Nursing plays a pivotal role in early screening for functional decline and coordinating interdisciplinary care. Conclusion: Sarcopenic obesity in aging males demands a paradigm shift from weight-centric to body composition-focused care. A unified diagnostic approach utilizing imaging biomarkers, coupled with integrated, multimodal therapy coordinated across specialties, is essential to mitigate its profound personal and public health burden. 

Keywords

Sarcopenic Obesity; Body Composition; Aging; Male; Resistance Training.
Abeeri, H. A., Saad Naem Alshehri2, Fahad Salem Alharbi, Abdulaziz Jumah A Alanazi, Zahara Salman Hamid Almaqadi, Sabah Sanad Aljohani, … Abdulaziz Jassim Alshehabi. (2024). Sarcopenic Obesity in Aging Males: Imaging, Metrics, and Multimodal Intervention. Saudi Journal of Medicine and Public Health, 1(2), 2207–2214. https://doi.org/10.64483/202412616
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