Osteosarcopenic obesity is the result of processes that lead to muscle and bone breakdown and increased fat tissue. The purpose of this study was to investigate the effect of 12 weeks elastic band resistance training on functional indicators and Osteosarcopenic obesity index in women with Osteosarcopenic obesity. In this single blind randomized clinical trial, 49 elderly women with age 64.13 ± 3.6yrs, fat percentage 45.4 ± 6.56 %, T score of the minerals of the were -1.86 ± 1.42 were divided into two groups: control (n=22) and training (n = 27). The training group performed elastic band resistance training for 12 weeks. significant increases in short-term physical function (SBBP) (P = 0.024) and Z score of Osteosarcopenic obesity (P = 0.041), in the training group compared to the control group, and non-significant difference in muscle quality (MQ) (P = 0.200), fracture risk (FRAX) (P = 0.259), between exercise and control group. 12 weeks of elastic band resistance training seems to improve in short physical performance battery and Z score of Osteosarcopenic obesity ­ in elderly women with Osteosarcopenic obesity, but, probably a longer period of training is needed to further influence the other osteosarcopenic obesity index.