Impact of using the updated EWGSOP2 definition in diagnosing sarcopenia: A clinical perspective.

Arch Gerontol Geriatr

Department of Human Movement Sciences, @AgeAmsterdam, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, Australia. Electronic address:

Published: December 2020

AI Article Synopsis

  • The revised definition of sarcopenia by EWGSOP2 (2019) changes the criteria and cut-off values for diagnosing the condition compared to the earlier EWGSOP (2010) version.
  • Eight cohorts were studied, including older adults living in the community and those in medical facilities, totaling 2,256 participants with a median age of 71.7-83.3 years.
  • Findings revealed that sarcopenia prevalence was significantly lower in males (31.9% vs. 12.0%) with EWGSOP2, while it was slightly higher in females (4.9% vs. 6.1%), largely due to lower cut-off points for handgrip strength.

Article Abstract

Background And Purpose: The revised European Working Group on Sarcopenia in Older People (EWGSOP2, version 2019) definition of sarcopenia differs with respect to the EWGSOP (version 2010) definition in applied criteria and their cut-off values. We aimed to investigate the impact of the new definition on sarcopenia prevalence in various populations of older adults.

Methods: Eight cohorts, including community-dwelling older adults, geriatric outpatients and patients admitted to acute and subacute inpatient wards were assessed on sarcopenia prevalence.

Results: A total of 2256 participants (56.4 % female) were included with a median age of the cohorts of 71.7-83.3 years. In males, sarcopenia prevalence was 31.9 % according to EWGSOP compared to 12.0 % according to EWGSOP2. In females, sarcopenia prevalence was 4.9 % and 6.1 % according to EWGSOP and EWGSOP2 respectively. Lower cut-off points for handgrip strength (27 kg versus 30 kg (males) and 16 kg versus 20 kg (females) for EWGSOP and EWGSOP2 respectively) resulted in the lower sarcopenia prevalence in males.

Conclusions: According to the EWGSOP2 definition, the prevalence of sarcopenia in males is significantly lower compared to the EWGSOP definition, whereas the prevalence among women is slightly higher. The lower cut-off points for handgrip strength result in fewer adults being diagnosed with sarcopenia.

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Source
http://dx.doi.org/10.1016/j.archger.2020.104125DOI Listing

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