Table 1– Metabolic phenotypes
Metabolic phenotypeDefinitionClinical risk
ObesityBMI 30–35 kg·m−2Increased cardiovascular risk
Morbid obesityBMI >35 kg·m−2Increased cardiovascular risk
Impaired physical performance
Sarcopenic obesityBMI 30–35 kg·m−2 and SMI <2 sd below mean of young M and F reference groups [5]Increased cardiovascular risk
Impaired physical performance
SarcopeniaSMI <2 sd below mean of young M and F reference groupsIncreased mortality risk
Impaired physical performance
CachexiaUnintentional weight loss >5% in 6 months and FFMI <17 kg·m−2 (M) or <15 kg·m−2 (F)Increased mortality risk
Impaired physical performance
PrecachexiaUnintentional weight loss >5% in 6 monthsIncreased mortality risk
  • BMI: body mass index (weight/height2); SMI: appendicular skeletal muscle index (appendicular lean mass/height2); M: male; F: female; FFMI: fat-free mass index (fat-free mass/height2).