Anthropometric indicators as a screening tool for sarcopenia in older adults from Florianópolis, Santa Catarina: EpiFloripa Ageing study

Confortin, Susana Cararo; Meneghini, Vandrize; Ono, Lariane Mortean; Schneider, Ione Jayce Ceola; Barbosa, Aline Rodrigues; d’Orsi, Eleonora

doi:10.1590/1678-98652017000300002

Cited by 17 publications

(12 citation statements)

References 24 publications

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“…Another indicator that showed correlation with sarcopenia in the present study was WC, with cut-off points of ≤97 cm for men (sensitivity = 80% specificity = 57.03%) and ≤ 86 cm for women (sensitivity: 60%, specificity: 82,56%). These results agree with previous study [ 7 ] with cut-off points of 92 cm for men (sensitivity: 79.5%, specificity: 66.7%) and 88 cm for women (sensitivity: 65.1%, specificity 85.7%). Also WC, in addition to being a good indicator of sarcopenia, can also be used for the assessment of body composition and central obesity [ 7 ].…”

Section: Discussionsupporting

confidence: 93%

“…These results agree with previous study [ 7 ] with cut-off points of 92 cm for men (sensitivity: 79.5%, specificity: 66.7%) and 88 cm for women (sensitivity: 65.1%, specificity 85.7%). Also WC, in addition to being a good indicator of sarcopenia, can also be used for the assessment of body composition and central obesity [ 7 ].…”

Section: Discussionsupporting

confidence: 93%

“…According to data from the present study, the BMI proved to be an acceptable anthropometric instrument for screening sarcopenia for both sexes, with good sensitivity and specificity. This agrees with another study [7] who reported similar cut-off points for BMI with our data [≤24.6 for men (sensitivity: 84.9%, specificity: 63.3%) and ≤ 26.2 for women (sensitivity: 74.6%, specificity: 85.7%)]. Besides, the BMI and advanced age are strongly associated with low musculoskeletal index (appendicular skeletal muscle mass/height) [12].…”

Section: Discussionsupporting

confidence: 93%

“…However, these are expensive methods involving the risk of exposure to radiation and are little available to the public [ 6 ]. Thus, simpler low-cost, noninvasive and easily applicable methods such as anthropometry may represent viable alternative screening tools helping the diagnosis of sarcopenia [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Studies conducted in Brazil are recent and have determined the viability of CC as a discriminator of muscle mass in older adults [ 13 , 14 ], as well as BMI [ 15 ], waist-height ratio and waist circumference identified with DXA [ 7 ]. Besides, the majority of this studies have been mostly performed and developed in specifics regions or states in Brazil [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

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Anthropometric indicators as a discriminator of sarcopenia in community-dwelling older adults of the Amazon region: a cross-sectional study

Esteves¹,

Ohara²,

Matos³

et al. 2020

BMC Geriatr

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Background Sarcopenia is a geriatric syndrome associated with negative health outcomes and the use of viable alternative screening tools may help in the diagnosis of this condition. This study aimed to analyze the association of sarcopenia with anthropometric indicators among community-dwelling older adults and to identify cut-off points for such indicators as a discriminant criterion for predicting sarcopenia. Methods This was a cross-sectional study conducted on community-dwelling older adults ≥60 years old (n = 411) of both sexes from Macapá, Amapá, Brazil. Socioeconomic, clinical and anthropometric data (arm circumference - AC, waist circumference - WC, calf circumference - CC and body mass index – BMI) were collected using a structured form. Sarcopenia was identified according to the EWGSOP 2 consensus. The association between anthropometric indicators and sarcopenia was performed using logistic regression and cut-off points established from the ROC Curve. Statistical significance was defined as p ≤ 0.05. Results Adjusted analysis indicated an independent and inverse association between sarcopenia and the anthropometric indicators: AC (odds ratio, OR: 0.63; 95% confidence interval, 95%CI: 0.53–0.76), CC (OR: 0.73; 95%CI: 0.62–0.85), WC (OR: 0.93; 95%CI: 0.90–0.97) and BMI (OR: 0.64; 95%CI: 0.53–0.76). The following cut-off points for older men and women represented the discriminant criterion for the presence of sarcopenia: WC (≤97 and ≤ 86 cm), CC (≤33 and ≤ 31 cm), AC (≤27 cm) and BMI (≤24.8 kg/m2 and ≤ 24.5 kg/m2) (area under the ROC curve superior to 0.70). BMI and AC were the indicators with the highest ability to discriminate older adults of both sexes with sarcopenia. Conclusions An increase of one unit of the indicators can reduce the probability of occurrence of sarcopenia. All indicators were considered to discriminate the occurrence of sarcopenia, with emphasis on BMI and AC, and could be used to screen for this condition among community-dwelling older adults.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Anthropometric indicators as a discriminator of sarcopenia in community-dwelling older adults of the Amazon region: a cross-sectional study

Esteves¹,

Ohara²,

Matos³

et al. 2020

BMC Geriatr

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Static one-leg standing balance test as a screening tool for low muscle mass in healthy elderly women

Khanal

Stebbings

et al. 2021

Aging Clin Exp Res

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Background Identification of simple screening tools for detecting lower skeletal muscle mass may be beneficial for planning effective interventions in the elderly. Aims We aimed to (1) establish a threshold for one-leg standing balance test (OLST) time for low muscle mass, and (2) test the ability of that threshold to assess muscular impairments in a poor balance group. Methods Eyes-open OLST (maximum duration 30 s) was performed with right and left legs in 291 women (age 71 ± 6 years). OLST time was calculated as the sum of the OLST time of right and left legs. Fat-free mass (FFM), skeletal muscle mass (SMM), fat mass, biceps brachii and vastus lateralis sizes; handgrip strength (HGS), elbow flexion maximum torque (MVCEF) and knee extension maximum torque (MVCKE) were measured. Muscle quality was calculated as MVCKE/FFM and physical activity was assessed by questionnaire. Low muscle mass was defined as SMMrelative of 22.1%, a previously established threshold for pre-sarcopenia. Results The OLST threshold time to detect low muscle mass was 55 s (sensitivity: 0.63; specificity: 0.60). The poor balance group (OLST < 55 s) had higher fat mass (3.0%, p < 0.001), larger VL thickness (5.1%, p = 0.016), and lower HGS (− 10.2%, p < 0.001), MVCEF (− 8.2%, p = 0.003), MVCKE (− 9.5%, p = 0.012), MVCKE/FFM (− 11.0%, p = 0.004) and physical activity (− 8.0%, p = 0.024) compared to the normal balance group. While after adjusting age, the differences exist for HGS, fat mass and VL thickness only. Discussion An OLST threshold of 55 s calculated as the summed score from both legs discriminated pre-sarcopenic characteristics among active, community-dwelling older women with limited potential (sensitivity 0.63, specificity 0.60). Conclusion OLST, which can be performed easily in community settings without the need for more complex muscle mass measurement, may help identify women at risk of developing sarcopenia.

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Physical functional performance, body composition, strength, and cognitive function in aged 60 years and older from North of Brazil

Bezerra,

Silva,

Souza

et al. 2024

Archives of Gerontology and Geriatrics Plus

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Anthropometric indicators as a screening tool for sarcopenia in older adults from Florianópolis, Santa Catarina: EpiFloripa Ageing study

Cited by 17 publications

References 24 publications

Anthropometric indicators as a discriminator of sarcopenia in community-dwelling older adults of the Amazon region: a cross-sectional study

Anthropometric indicators as a discriminator of sarcopenia in community-dwelling older adults of the Amazon region: a cross-sectional study

Static one-leg standing balance test as a screening tool for low muscle mass in healthy elderly women

Physical functional performance, body composition, strength, and cognitive function in aged 60 years and older from North of Brazil

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