Objective: We aimed to compare European Working Group on Sarcopenia in Older People (EWGSOP2)-suggested and population-specific handgrip strength (HGS) thresholds to detect probable sarcopenia and their associations with physical-performance measures and frailty. Methods: A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed. Frailty was screened by FRAIL-scale. Results: A total of 1825 older adults were included (mean age, 74.5 þ 7.0 years; 68.8% female). Prevalence of low-HGS were 12.2% by the EWGSOP2-recommended (27/16 kg) cut-offs and 37.5% by population-specific cut-offs (35/20 kg) (p<.001). When low-HGS was defined by EWGSOP2 suggested cut-offs, low-HGS was associated with impaired UGS, (odds ratio [OR] ¼ 3.8, 95% confidence interval [CI]: 2.0-6.9, p<.001); impaired TUG, (OR ¼ 4.6, 95% CI: 2.4-8.8, p<.001); and frailty (OR ¼ 20.9, 95% CI: 8.3-53.0, p<.001). Similarly, low HGS determined by population-specific cut-off points was associated with impaired UGS (OR ¼ 3.1, 95% CI: 2.1-6.9, p<.001); impaired TUG (OR ¼ 6.0, 95% CI: 3.0-11.8, p<.001); and frailty (OR ¼ 7.3, 95% CI: 4.1-13.0, p<.001). Conclusions: Application of EWGSOP2-recommended standard HGS-cut-offs showed successful application in-practice. However, use of standard HGS cut-offs may result in underdiagnosis of probable sarcopenia. Therefore, we suggest that, whenever available, use of population-specific cut-offs for HGS may be better for correctly identifying older adults at risk.
A-I Clinical Science of Nutrition (Clin Sci Nutr) is an international, scientific, open Access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Society of Clinical Enteral Parenteral Nutrition-Turkey, and it is published tri-annually in April, August, and December. The publication language of the journal is English. The journal aims to contribute to the literature by publishing high impact content and become one of the leading publications of the field while functioning as an open discussion forum on significant issues of current interest. Clinical Science of Nutrition also aims to have significant input in emphasizing the increasing importance of clinical nutrition in Turkey and the region, identifying the effects of differences between societies on study results in a clearer way and converting clinical applications into scientific publications as well as forming a bridge between West and East. The scope of Clinical Science of Nutrition includes original research articles, review articles, case reports, conference reports, and letters to the editor as well as editorials, abstracts from international and national congresses, panel meetings, conferences and symposia. As an online-only publication, in addition to traditional manuscript submissions, Clinical Science of Nutrition is also able to process video, audio and interactive software submissions. Authors are encouraged to submit their content in the most appropriate medium to best convey their findings to the audience of Clinical Science of Nutrition. The journal covers all aspects of nutrition and dietetics including prevalence of malnutrition and its effects on clinical results; nutritional support and delivery methods and their advantages and disadvantages; nutritional support products and their side effects; immune system and nutritional support; ERAS protocol and nutritional support; home parenteral and enteral nutrition; nutrition support teams and their necessity, challenges and potential solutions of nutritional support. The journal's target audience includes academicians, practitioners, specialists and students interested in nutrition and dietetics.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.