Participants for this study will be recruited from the Endocrinology Department at Sri Ramachandra Institute of Higher Education and Research (SRIHER). Each participant will be informed about the nature, procedures, and expected outcomes of the study, and written informed consent will be obtained prior to their inclusion.

Participant recruitment begins with identifying eligible individuals from the department and conducting preliminary screenings based on set criteria. Baseline data, such as demographics and clinical history, will be collected, followed by anthropometric measurements using standardized equipment. Body composition analysis will be performed using a bio-electrical impedance analyzer, ensuring participants adhere to per-assessment guidelines. Muscle strength will be measured using a hand dynamo-meter, with two trials for each hand, recording the highest value. Subcutaneous fat will be assessed with skin-fold calipers, averaging three measurements at specific anatomical sites, overall physical function will be evaluated using 6min walk test and  balance will be assessed using single leg balance test , with participants supported as needed for accuracy and completeness.