Calf Circumference as a Useful Predictor of Sarcopenia in Patients With Liver Diseases

Nishikawa, Hiroki; Enomoto, Hirayuki; Iwata, Yoshinori; Sakai, Yoshiyuki; Kishino, Kyohei; Shimono, Yoshihiro; Ikeda, Naoto; Takashima, Tomoyuki; Aizawa, Nobuhiro; Takata, Ryo; Hasegawa, Kunihiro; Koriyama, Takashi; Yuri, Yukihisa; Nishimura, Takashi; Nishiguchi, Shuhei; Iijima, Hiroko

doi:10.21873/invivo.12073

Cited by 16 publications

(22 citation statements)

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“…In particular, CC is considered a strong and reliable marker for skeletal muscle mass in the general population, which exhibited a high correlation with appendicular lean mass in a large-scale NHANES 1999–2006 cohort [ 36 ]. The good diagnostic performance of CC for detecting sarcopenia was affirmed in middle-aged and older adults [ 9 , 10 , 11 , 37 ] and in patients with chronic liver disease [ 38 ] and stroke [ 39 ]. In our patients undergoing PD, CC yielded the best correlation not only with ASMI but also with HGS among the three screening tools.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of SARC-F, Calf Circumference, and Their Combination for Sarcopenia Screening among Patients Undergoing Peritoneal Dialysis

et al. 2022

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Sarcopenia is frequently encountered in patients undergoing peritoneal dialysis (PD). We evaluated and compared the diagnostic performance of a strength, assistance walking, rise from a chair, climb stairs, and falls (SARC-F) questionnaire, SARC-F combined with calf circumference (SARC-CalF), and calf circumference (CC) for screening sarcopenia among patients undergoing PD. We measured the appendicular skeletal muscle mass, evaluated using a multifrequency bioimpedance spectroscopy device, handgrip strength, and 6-m gait speed. SARC-F, SARC-CalF, and CC were obtained in all participants. Sarcopenia was defined using four different diagnostic criteria, including the Asian Working Group for Sarcopenia (AWGS) 2019, revised European Working Group on Sarcopenia in Older People (EWGSOP2), Foundation for the National Institutes of Health (FNIH), and International Working Group on Sarcopenia (IWGS). Among 186 enrolled patients undergoing PD (mean age 57.5 ± 14.1 years), the sarcopenia prevalence was 25.8–38.2% using the four definitions. The discriminative powers of SARC-CalF (range 0.648–0.748) and CC (range 0.652–0.813) against the four definitions were better than those exhibited by SARC-F (range 0.587–0.625), which achieved significant difference, except when adopting the criteria of the FNIH. After stratification by gender, the superiority of SARC-CalF and CC over SARC-F was maintained when AWGS 2019, EWGSOP2, and IWGS were applied. In conclusion, CC and SARC-CalF outperformed SARC-F in the diagnostic accuracy of sarcopenia among patients undergoing PD.

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Section: Discussionmentioning

confidence: 99%

A Comparison of SARC-F, Calf Circumference, and Their Combination for Sarcopenia Screening among Patients Undergoing Peritoneal Dialysis

et al. 2022

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“…If CC value is less than the cutoff value, 10 points are added to the SARC-F score to evaluate. CC has been reported to have the highest detection of sarcopenia among arm circumference, arm muscle circumference, CC, arm muscle area, triceps skinfold thickness, waist circumference, and BMI (29). The SARC-calf has the role of compensating for the low sensitivity, which is a problem pointed out when the SARC-F is used alone.…”

Section: Sarcopenia Detection Power Of the Sarc-f The Sarc-calf And The Sarc-ebmmentioning

confidence: 99%

Screening Tools for Sarcopenia

Nishikawa

Asai

Fukunishi

et al. 2021

In Vivo

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The elderly people are characterized by multiple comorbidities, dementia, and are at risk of developing sarcopenia and frailty. Sarcopenia is defined by loss of muscle mass and muscle strength or physical decline. Sarcopenia is a main component of physical frailty. Screening tools for sarcopenia that can be easily determined in daily practice are useful and include the SARC-F screening tool. SARC-F is a questionnaire consisting of five questions: Strength (S), Assistance walking (A), Rising from a chair (R), Climbing stairs (C), and Falls (F) on a scale of 0 to 2. The recommended cutoff value is ≥4 points. The SARC-F has been shown to correlate well with clinical outcomes in the elderly and various underlying diseases, while it is also true that the SARC-F has its shortcomings such as low sensitivity for sarcopenia. In this review, we mainly outline the SARC-F and mention other screening tools for sarcopenia.The aging of Japan's population continues to accelerate (1). According to the Japanese government report, the aging rate (65 years old or older) was 15.1% of the total population in 1996, but it increased significantly to 28.4% in 2019 (2). In addition, the estimated aging rate as of January 1997 is projected to be 27.4% in 2025, but as of 2019, it has already exceeded the projection. The number of people aged 65 or older will continue to increase, and is estimated to reach 33.3% in 2036 and 38.4% in 2065. In order to improve the quality of life (QOL) of the increasing number of elderly people, efforts have been made in the fields of health, medical care, and welfare to extend healthy life expectancy (the period of time during which there are no limitations in daily life), but there are still many issues to be addressed. The elderly people are characterized by multiple comorbidities, dementia, and risk of sarcopenia and frailty (3). In 2019, the Ministry of Health, Labour and Welfare (MHLW) in Japan published the "Guidelines for Health Services Based on the Characteristics of the Elderly, Version 2", and announced the strengthening of measures against frailty, especially for elderly people aged 75 or older. The guidelines newly added the implementation of "health checkups for frailty" with the aim of integrating health guidance and care prevention. Specifically, the report has recommended the use of a "questionnaire for the elderly aged 75 or older" focusing on frailty in health checkups and other examinations conducted by municipalities since fiscal 2020. This questionnaire is expected to help prevent and raise awareness of frailty among many elderly people. Early intervention through such efforts will lead to a prolongation in healthy life expectancy. In addition, sarcopenia is a condition that forms the basis of physical frailty (4). Sarcopenia leads to decreased physical activity, and decreased physical activity leads to sarcopenia. Both are involved in frailty, forming the so-called "frailty cycle" (4). On the other hand, the number of people aged 60 or older in the world was estimated to be 600 million ...

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“…Estas diferencias halladas pueden deberse a que las características de las poblaciones analizadas son diferentes, ya que Cuervo realizó su estudio en españoles (entorno hospitalario, edad notablemente distinta), resaltando que es evidente que en nuestro país tenemos una cantidad elevada de adultos mayores con riesgo nutricional. Además, un estudio realizado por Nishikawa et al, demostró que la CP podría predecir la presencia de sarcopenia, agregándole mucho más valor a este método de evaluación (27) .…”

Section: Discussionunclassified

Utilidad de la circunferencia de pantorrilla como marcador de desnutrición comparado con el mini nutritional assessment, nutritional risk screening 2002 y albúmina sérica en adultos mayores

Ocariz¹,

Meza-Miranda

2022

Rev. cient. cienc. salud.

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Calf Circumference as a Useful Predictor of Sarcopenia in Patients With Liver Diseases

Cited by 16 publications

References 44 publications

A Comparison of SARC-F, Calf Circumference, and Their Combination for Sarcopenia Screening among Patients Undergoing Peritoneal Dialysis

A Comparison of SARC-F, Calf Circumference, and Their Combination for Sarcopenia Screening among Patients Undergoing Peritoneal Dialysis

Screening Tools for Sarcopenia

Utilidad de la circunferencia de pantorrilla como marcador de desnutrición comparado con el mini nutritional assessment, nutritional risk screening 2002 y albúmina sérica en adultos mayores

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