Context: Sarcopenia is a prevalent syndrome that has seen increased awareness in the last twenty years.
Objective: To systematically assess and evaluate the utility of bioelectrical impedance analysis (BIA) in the diagnosis of sarcopenia in adults over the age of 60.
Methods: An electronic search strategy of databases was conducted, including Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, and SportDiscus. Included articles were evaluated using The Quality Appraisal for Reliability Studies (QAREL) checklist.
Results: Seven articles (1336 participants) met the inclusion criteria of evaluating the diagnostic ability of BIA. Results indicate that that there is a high degree of heterogeneity in how BIA is used to diagnose sarcopenia. While BIA is an affordable and easy to use measurement tool, it does not consistently demonstrate high levels of diagnostic sensitivity.
Conclusion: The current evidence does not consistently support the utility of BIA as an accurate diagnostic tool for sarcopenia in adults over 60. If utilizing BIA, clinicians should select a validated BIA equation for their patient's demographics. Clinicians should also consider the use of functional tests and validated screening questionnaires. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=211586.
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Medicine (Baltimore)
January 2025
Department of Clinical Nutrition, Tongde Hospital of Zhejiang Province, Hangzhou, China.
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