Sarcopenic obesity in breast cancer patients: An underrecognized health issue and nursing challenges
Keywords:
sarcopenia, sarcopenic obesity, breast cancerAbstract
Editorial remarks
As this issue marks the first volume of the year 2026, which the United Nations has declared as the “International Year of Women Farmers” it reminds us of the vital role that women play in food production and service systems around the world-as givers. At the same time, society should also strive to make women receivers-of opportunities, kindness, support, time, and resources-all of which are essential for promoting the well-being and equality of women and girls. The editorial team has therefore included this article as an invited academic article, which is an example of a women’s health issue that is often overlooked and remains a challenging concern within the health service profession.
Abstract
Sarcopenic obesity is a complex condition increasingly observed among breast cancer patients, particularly in middle-aged and older women. This condition arises from an imbalance between fat mass and muscle mass, resulting from metabolic and hormonal alterations, chronic inflammation, and side effects of treatments such as chemotherapy or hormonal therapy. Consequently, patients experience decreased physical performance, increased complications, and a diminished quality of life. Nurses therefore play a crucial role in the systematic prevention, screening, and management of this condition ranging from nutritional assessment, body composition measurement, and muscle strength evaluation to nutritional counseling, promotion of physical activity, and psychosocial support.
Moreover, caring for breast cancer patients with sarcopenic obesity presents nursing challenges in gender and social dimensions. Many female patients face social pressure to appear healthy and attractive, leading to stigmatization and neglect of self-care. This article reviews the pathophysiology, consequences, nursing roles, and sociocultural challenges of sarcopenic obesity within the Thai context. It also proposes integrative nursing approaches that link clinical knowledge with psychosocial perspectives, aiming to ensure holistic care for breast cancer patients. Such approaches align with global health trends that emphasize potential-based, capability-centered, and quality-of-life–oriented health, rather than disease control alone.
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