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To determine whether obesity concurrent with sarcopenia (low muscle mass) or dynapenia (low muscle strength) is associated with increased falls risk in middle‐aged and older adults.

5‐year prospective cohort study including 674 community‐dwelling volunteers (mean ± SD age 61.4 ± 7.0 years; 48% female). Sarcopenia and dynapenia were defined as lowest sex‐specific tertiles for dual‐energy X‐ray (DXA)‐assessed appendicular lean mass (adjusted for height and fat mass) or lower‐limb strength, respectively. Obesity was defined as the highest tertiles of DXA‐assessed total or trunk fat mass. Change in falls risk was calculated using the Physiological Profile Assessment (z‐scores: 0‐1 = mild increased risk; 1‐2 = moderate increased risk; >2 = marked increased risk).

Multivariable linear regression analyses revealed mild but significantly increased falls risk scores for …