Comparison of four screening methods for sarcopenia among community-dwelling older adults: A diagnostic accuracy study

Geriatr Nurs. 2023 Jan-Feb:49:157-163. doi: 10.1016/j.gerinurse.2022.12.007. Epub 2022 Dec 19.

Abstract

This study aimed to compare the diagnostic values of SARC-F (strength, assistance with walking, rising from a chair, climbing stairs, and falls), SARC-Calf (SARC-F combined with calf circumference), CC (calf circumference), and the Yubi-wakka (finger-ring) test for screening for sarcopenia in community-dwelling older adults. The Asian Working Group for Sarcopenia (AWGS) 2019 criteria were used as a standard reference. A total of 209 participants were enrolled, and 40.7% were identified as sarcopenia. The sensitivity, specificity, and AUC were respectively 54.1%, 70.2%, and 0.687 for SARC-F; 76.5%, 73.4% and 0.832 for SARC-calf, 86.7%, 82.4%, and 0.906 for CC in men, and 85.5%, 63.3%, and 0.877 for CC in women. Relative to the "bigger," a significant association between sarcopenia and the Yubi-wakka test ("just fits" OR: 4.1, 95% CI: 1.57-10.98; "small" OR: 27.5, 95% CI: 10.14-74.55) was observed. The overall accuracy of CC was better than SARC-Calf for sarcopenia screening.

Keywords: Calf circumference; SARC-Calf; SARC-F; Sarcopenia; Yubi-wakka (finger-ring) test.

MeSH terms

  • Aged
  • Female
  • Geriatric Assessment / methods
  • Humans
  • Independent Living
  • Leg
  • Male
  • Sarcopenia* / diagnosis
  • Surveys and Questionnaires
  • Walking