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Body composition imbalance is
when fat mass, lean mass (muscle, bone, organs) and body water are not properly
distributed for health and function. This imbalance may be characterised by excess
adiposity (particularly visceral fat), low muscle mass (sarcopenia),
or incorrect fluid distribution; each of these patterns increases the
risk of cardiometabolic disease, poorer mobility, poor wound healing,
hormonal abnormalities, and decreased exercise tolerance. Causes include
prolonged caloric surplus or deficit, sedentary lifestyle, ageing,
hormonal changes, chronic disease, certain medications, and poor protein intake
or resistance exercise. Genetics and sleep/stress influence composition.
Clinical assessment
techniques to discriminate between weight and unhealthy fat or muscle loss
include bioelectrical impedance, DEXA, anthropometry and waist
measurements. Management targets specific lifestyle changes: progressive
resistance training and sufficient protein to regain or maintain lean mass,
energy-adjusted diets with quality macronutrients to reduce excess fat, sleep
optimisation, and correction of underlying medical conditions or medications
that cause imbalance. Periodic measures of body composition, rather than
scale weight alone, increase treatment individualisation and long-term results
by tracking improvement. Early detection and an integrated exercise-nutrition-medical
strategy provide improved functional and metabolic recovery.