Osteosarcopenic obesity is characterized as an interconnection between muscular, bone and adipose changes, and it is often associated with aging, sedentary lifestyle and poor nutrition. Although most health professionals and scientific studies available have analyzed these three systems in isolation, the integrated relationship between muscle/bone/fat has begun to gain recognition. There is not yet a standardization for the diagnosis, and the mechanisms need to be further explored. Likewise, little is known about nutritional treatment in this condition. Nutrients such as protein, vitamin D and omega 3 act in all three aspects and therefore may be interesting in the treatment and the prevention of osteosarcopenic obesity. This is a recent and complex topic and, therefore, more studies are necessary to elucidate and standardize the diagnostic criteria, etiology, mechanisms and nutritional treatment.