Which body composition change is commonly observed in clients with Cushing syndrome?

In clients with Cushing syndrome, increased visceral fat is a commonly observed body composition change due to the excess levels of cortisol present in the body. Cortisol is a hormone produced by the adrenal glands that plays a critical role in metabolism, including the regulation of glucose, fat, and protein stores.

In Cushing syndrome, elevated cortisol levels lead to a redistribution of fat, causing an increase in visceral fat, which is the fat that surrounds internal organs. This type of fat accumulation is particularly harmful as it is associated with a higher risk of metabolic diseases, cardiovascular issues, and insulin resistance.

In contrast, decreased abdominal fat would not be characteristic of Cushing syndrome, as this condition typically results in the opposite effect. Decreased muscle mass can occur in Cushing syndrome due to muscle wasting, but the primary and most recognized change would be the increase in visceral fat. Increased overall muscle strength would also be inconsistent with the effects of higher cortisol levels, which can lead to muscle weakness rather than strength.