2019 EUROPEAN RECOMMENDATIONS ON SARCOPENIA DIAGNOSTICS (EWGSOP, 2019)
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019 Jan 1;48(1):16-31. doi: 10.1093/ageing/afy169.
According to the revised European Working Group on Sarcopenia in Older People (EWGSOP) consensus of 2019, sarcopenia is a progressive and generalised skeletal muscle disorder that is associated with increased likelihood of adverse outcomes including falls, fractures, physical disability and mortality.
In September 2016, the diagnosis of sarcopenia was officially included in the supplemented 10th international classification of diseases under the code M 62.84
Diagnostic criteria (EWGSOP, 2019):
- Low muscle strength
- Low muscle quantity or quality
- Low physical performance
Sarcopenia stages (EWGSOP, 2019)
|
Stages |
Skeletal muscle strength |
Skeletal muscle mass/quality |
|
Skeletal muscle performance |
|
Probable sarcopenia |
↓ |
|
|
|
|
Sarcopenia |
↓ |
↓ |
or |
↓ |
|
Severe sarcopenia |
↓ |
↓ |
|
↓ |
Sarcopenia “cut-off” points (EWGSOP, 2019)
|
Diagnostic test |
Men |
Women |
|
Skeletal muscle strength “cut-off” points |
||
|
Grip strength, kg (hand dynamometrics) |
< 27 |
< 16 |
|
Chair stand |
> 15 sec / 5 times |
not available |
|
Skeletal muscle mass “cut-off” points |
||
|
Appendicular Lean Mass (ALM), kg |
< 20 |
< 15 |
|
Appendicular Lean Mass index , kg/m2 |
< 7.0 |
< 6.0 |
|
Skeletal muscle performance “cut-off” points |
||
|
Gait speed, m/sec |
≤ 8 |
not available |
|
SPPB test |
≤ 8 |
|
|
“3-m walk” test, sec |
≥20 |
|
|
“400-m walk” test, sec |
Failure or performance ≥ 6 minutes |
|
2019 EWGSOP’s updated diagnostic («Find-Asess-Confirm-Severity» (F-A-C-S)) algorithm targeted at sarcopenia
SARC-F: sarcopenia diagnostic questionnaire
Interpretation of findings: total value of over 4 points indicates a high probability of sarcopenia and its adverse consequences in an examined patient.
N.I. Dzerovych
2019 European recommendations on sarcopenia diagnosis
http://osteoporos.com.ua/uk/ukrainska-asociacija-osteoporozu/publikatsii/zhurnal2