Sarcopenia in daily practice: assessment and management
By C. Beaudart, Eugene V. McCloskey, O. Bruyère, M. Cesari, Y. Rolland, R. Rizzoli, I. Araujo de Carvalho, Jotheeswaran Amuthavalli Thiyagarajan, I. Bautmans, M. Bertiere and 14 more. BMC Geriatrics, 2016
743 citations recorded by the source corpus.
BackgroundSarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.MethodsThis paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.ResultsThis paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.ConclusionsAssessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.
Subfields: Complementary and alternative medicine, Physiology
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Citations in the corpus
- Pitfalls in the measurement of muscle mass: a need for a reference standard (2018, background): “The multidimensional nature of sarcopenia implies that its domains should be objectively assessed.(11,12) Therefore, valid, standardized, reliable, accurate, and cost-effective tools are necessary for the identification of sarcopenia.”
- Sarcopenia: revised European consensus on definition and diagnosis (2018, background): “The chair stand test measures the amount of time needed for a patient to rise five times from a seated position without using his or her arms; the timed chair stand test is a variation that counts how many times a patient can rise and sit in the chair over a 30-second interval [64, 67, 68].”