Comparison of EWGSOP-1and EWGSOP-2 diagnostic criteria on prevalence of and risk factors for sarcopenia among Iranian older people: the Bushehr Elderly Health (BEH) program

Shafiee, Gita; Heshmat, Ramin; Ostovar, Afshin; Khatami, Fatemeh; Fahimfar, Noushin; Arzaghi, Seyed Masoud; Gharibzadeh, Safoora; Hanaei, Sara; Nabipour, Iraj; Larijani, Bagher

doi:10.1007/s40200-020-00553-w

Cited by 36 publications

(39 citation statements)

References 31 publications

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“…Observing the values according to gender, it is noted that for men, the cut-off point was slightly lower when compared to that established by EWGSOP2 and FNIH, similar to the findings by Shafiee et al (2020) who found values lower than that established in the EWGSOP2. This fact can be explained because both consensuses developed their reference values based on a young and healthy population ( Cruz-Jentoft et al, 2019 ; Studenski et al, 2014 ).…”

Section: Discussionsupporting

confidence: 83%

“…When using the cut-off points developed specifically for the studied population, the prevalence of sarcopenia decreased significantly in two consensuses (IWGS = 4.6% and FNIH = 4.3%). Among the genders, a higher prevalence of sarcopenia in men can be observed when using the diagnostic criteria of the EWGSOP2 (5.2%), similar to the findings of Shafiee et al (2020) who observed a higher prevalence of sarcopenia in this population group when compared to women, using the criteria of EWGSOP 1 and EWGSOP2.…”

Section: Discussionsupporting

confidence: 83%

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Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Fernandes

Andrade

Gonçalves

et al. 2021

PeerJ

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Background At a time when the world’s population is aging, one of the most important challenges for the healthcare field is to control the decline of the musculoskeletal system. This decline consists of a reduction in muscle mass and function, which is called sarcopenia and is associated with adverse health outcomes. Although there has been an increase in the number of publications on sarcopenia and its consequences, the reported prevalence varies widely, since these depend on the characteristics of the population studied, the definitions found in the literature and the cut-off points adopted. In this perspective, the heterogeneity in the classification and the different reference values has a critical impact on the epidemiology of sarcopenia, since neither the procedures, the components and the cut-off points are consistent. Objectives To develop cut-off points for the screening of sarcopenia in community-dwelling older people residents in the northeast of Brazil and compare the prevalences between the values defined by the consensus and the values of the population studied. Methods Community-dwelling older men and women living in three cities in the countryside of Rio Grande do Norte were evaluated. Cutoff points were defined for the variables used to screen for sarcopenia (handgrip strength, SMI, gait speed and SPPB) using the 20th percentile of their population distributions. Results The sample was composed of 1,290 older people (62.5% female and 37.5% male), with an average of 69.5 (± 6.05) years of age. Regarding the cutoff points, the handgrip values were defined as 25.3 kg and 16 kg for men and women, respectively. Considering the SMM adjusted according to their height, the values of 7.88 kg/m2 were adopted for men and 5.52 kg/m2 for women. When adjusting by BMI we obtained 0.73 kg/BMI for men and 0.41 kg/BMI for women. For gait speed it was defined 0.71 m/s for men and 0.63 m/s for women. In the case of SPPB, the result was the same for both genders (≤8). When applying the values found in the studied population, a variation in prevalence was observed for both men and women, depending on the cut-off points and consensus used. Conclusion The cutoff values found in our population were lower than those adopted by international consensus (EWGSOP2, IWGS and FNIH), except for HGS in woman and SMI/m2 for men. Therefore, using specific cutoff points for different populations can provide an accurate assessment of the presence of sarcopenia and better target health prevention strategies for the older people living in the community.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 83%

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Fernandes

Andrade

Gonçalves

et al. 2021

PeerJ

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“…Based on our knowledge, this is the first study to assess the relationship between HEI and PS. In the present study, we used EWGSOP2 cutoff-values, which have been reported to be good indicators in Iranian populations ( 26 ) .…”

Section: Discussionmentioning

confidence: 99%

Association between Healthy Eating Index-2015 scores and probable sarcopenia in community-dwelling Iranian older adults: a cross-sectional study

et al. 2021

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Sarcopenia is associated with frailty and disability in older adults. Adherence to current dietary guidelines in addition to physical activity could prevent muscle wasting and weakness. The Healthy Eating Index-2015 (HEI) is a tool to assess diet quality. We aimed to investigate the association between HEI scores and probable sarcopenia (PS) among older adults in Tehran. 201 randomly selected older adults were included in this cross-sectional study between May and October 2019 in Tehran, Iran. A previously validated semi-quantitative food frequency questionnaire was used to estimate HEI scores and dietary intake. Handgrip strength (HGS) was measured to evaluate the PS. Statistical evaluation included descriptive analysis, logistic and linear regression. Those probably suffering from sarcopenia had significantly lower HEI scores (P=0⋅02). After adjusting for confounders, HEI scores and HGS were still significantly associated (adjusted R2=0⋅56, slope β=0⋅03, P=0⋅09). Older adults with a low PS had a higher ratio of monounsaturated and polyunsaturated to saturated fatty acids (P= 0⋅06) and ingested less added sugars and saturated fats (P=0⋅01 and P=0⋅02, respectively). Furthermore, consuming more total protein foods correlated positively with muscle strength (P=0⋅01, R=0⋅18). To sum up, HEI scores were associated with PS, measured by HGS, indicating that adhering to the HEI might improve muscle strength in aging individuals.

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“…The low muscle strength was handgrip strength <26 kg for men and <18 kg for women; while the cut-off value for low physical performance was a usual walking speed < 0.8 m/s for both genders (25). According to these cut-off points, we identified sarcopenic persons (27). Current smoking was defined as smoking cigarettes or water pipes, at the time of study.…”

Section: Definition Of Variablesmentioning

confidence: 99%

Relationship Between Sarcopenia and Electrocardiographic Abnormalities in Older People: The Bushehr Elderly Health Program

et al. 2021

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Background: Sarcopenia is characterized by low skeletal muscle mass and function, which is associated with cardiovascular risk factors and may even be related to adverse cardiovascular events and mortality. This study aimed to evaluate whether sarcopenia is related to electrocardiographic (ECG) abnormalities in a large sample of older adults.Methods: We performed a cross-sectional study based on the data collected during the Bushehr Elderly Health (BEH) cohort study. Body composition was measured by dual X-ray absorptiometry (DXA) and muscle strength was measured using a digital dynamometer for each hand of every participant. A person who had low muscle strength, as well as low muscle mass was identified as having sarcopenia. The subjects were classified into three groups according to the Minnesota Code (MC) as major, minor ECG abnormalities and participants with no abnormalities ECG.Results: Of the 2,426 participants, 354 (14.6%) had major ECG abnormalities and 193 (8%) had minor ECG abnormalities. Sarcopenia was associated with an increased risk of major ECG abnormality in all models. After adjustment for confounders of CHD in full model, the OR for major ECG abnormality was 1.47 (95% CI 1.11–1.95) in those with sarcopenia. Low muscle strength and low muscle performance were both with an increased risk of major ECG abnormality in all models. Sarcopenia and low muscle strength increased 28% and 62% risk of any ECG abnormality in the full models [sarcopenia: 1.28(1.01–1.63), low muscle strength: 1.62(1.30–2.03)], respectively.Conclusions: This study showed that sarcopenia and its components are associated with ECG abnormalities in Iranian older people. Although some older adults have higher cardiovascular risk factors, these data showed that further factors such as sarcopenia may be identified as a particular risk factor for future cardiovascular events. Therefore, sarcopenia could be added to the screening of the older population to reduce the risk of cardiovascular events.

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Comparison of EWGSOP-1and EWGSOP-2 diagnostic criteria on prevalence of and risk factors for sarcopenia among Iranian older people: the Bushehr Elderly Health (BEH) program

Cited by 36 publications

References 31 publications

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Cut-off points to screening for sarcopenia in community-dwelling older people residents in Brazil

Association between Healthy Eating Index-2015 scores and probable sarcopenia in community-dwelling Iranian older adults: a cross-sectional study

Relationship Between Sarcopenia and Electrocardiographic Abnormalities in Older People: The Bushehr Elderly Health Program

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