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Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS)

Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS)
Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS)
Introduction: sarcopenia is associated with adverse health outcomes. The aim of this study was to describe the prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) consensus definition.

Methods:we applied the EWGSOP definition to 103 community-dwelling men participating in the Hertfordshire Sarcopenia Study (HSS) using both the lowest third of dual-energy X-ray absorptiometry (DXA) lean mass (LM) and the lowest third of skin-fold-based fat-free mass (FFM) as markers of low muscle mass. We also used the FFM approach among 765 male and 1,022 female participants in the Hertfordshire Cohort Study (HCS). Body size, physical performance and self-reported health were compared in participants with and without sarcopenia.

Results: the prevalence of sarcopenia in HSS men (mean age 73 years) was 6.8% and 7.8% when using the lowest third of DXA LM and FFM, respectively. DXA LM and FFM were highly correlated (0.91, P < 0.001). The prevalence of sarcopenia among the HCS men and women (mean age 67 years) was 4.6% and 7.9%, respectively. HSS and HCS participants with sarcopenia were shorter, weighed less and had worse physical performance. HCS men and women with sarcopenia had poorer self-reported general health and physical functioning scores.

Conclusions: this is one of the first studies to describe the prevalence of sarcopenia in UK community-dwelling older people. The EWGSOP consensus definition was of practical use for sarcopenia case finding. The next step is to use this consensus definition in other ageing cohorts and among older people in a range of health-care settings.
sarcopenia, prevalence, EWGSOP consensus definition, muscle mass, fat-free mass, grip strength, gait speed, older people
0002-0729
378-384
Patel, Harnish P.
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Syddall, Holly Emma
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Jameson, Karen
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Robinson, Sian
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Denison, Hayley
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Roberts, Helen C.
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Edwards, Mark
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Dennison, Elaine
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Cooper, Cyrus
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Aihie Sayer, Avan Aihie
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Patel, Harnish P.
df99f0d2-02d4-4cfe-89bb-6c9443f4aa9b
Syddall, Holly Emma
a0181a93-8fc3-4998-a996-7963f0128328
Jameson, Karen
d5fb142d-06af-456e-9016-17497f94e9f2
Robinson, Sian
ba591c98-4380-456a-be8a-c452f992b69b
Denison, Hayley
ef999cd1-4d3b-4e91-a301-0c2d4e5ba64d
Roberts, Helen C.
5ea688b1-ef7a-4173-9da0-26290e18f253
Edwards, Mark
b81ff294-1d16-4a1b-af14-9374c5989d4c
Dennison, Elaine
ee647287-edb4-4392-8361-e59fd505b1d1
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Aihie Sayer, Avan Aihie
fb4c2053-6d51-4fc1-9489-c3cb431b0ffb

Patel, Harnish P., Syddall, Holly Emma, Jameson, Karen, Robinson, Sian, Denison, Hayley, Roberts, Helen C., Edwards, Mark, Dennison, Elaine, Cooper, Cyrus and Aihie Sayer, Avan Aihie (2013) Prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) definition: findings from the Hertfordshire Cohort Study (HCS). Age and Ageing, 42 (3), 378-384. (doi:10.1093/ageing/afs197). (PMID:23384705)

Record type: Article

Abstract

Introduction: sarcopenia is associated with adverse health outcomes. The aim of this study was to describe the prevalence of sarcopenia in community-dwelling older people in the UK using the European Working Group on Sarcopenia in Older People (EWGSOP) consensus definition.

Methods:we applied the EWGSOP definition to 103 community-dwelling men participating in the Hertfordshire Sarcopenia Study (HSS) using both the lowest third of dual-energy X-ray absorptiometry (DXA) lean mass (LM) and the lowest third of skin-fold-based fat-free mass (FFM) as markers of low muscle mass. We also used the FFM approach among 765 male and 1,022 female participants in the Hertfordshire Cohort Study (HCS). Body size, physical performance and self-reported health were compared in participants with and without sarcopenia.

Results: the prevalence of sarcopenia in HSS men (mean age 73 years) was 6.8% and 7.8% when using the lowest third of DXA LM and FFM, respectively. DXA LM and FFM were highly correlated (0.91, P < 0.001). The prevalence of sarcopenia among the HCS men and women (mean age 67 years) was 4.6% and 7.9%, respectively. HSS and HCS participants with sarcopenia were shorter, weighed less and had worse physical performance. HCS men and women with sarcopenia had poorer self-reported general health and physical functioning scores.

Conclusions: this is one of the first studies to describe the prevalence of sarcopenia in UK community-dwelling older people. The EWGSOP consensus definition was of practical use for sarcopenia case finding. The next step is to use this consensus definition in other ageing cohorts and among older people in a range of health-care settings.

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e-pub ahead of print date: 5 February 2013
Published date: May 2013
Keywords: sarcopenia, prevalence, EWGSOP consensus definition, muscle mass, fat-free mass, grip strength, gait speed, older people
Organisations: Faculty of Medicine

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Local EPrints ID: 354021
URI: http://eprints.soton.ac.uk/id/eprint/354021
ISSN: 0002-0729
PURE UUID: f9d40ff8-c258-4904-b643-ef4783323de5
ORCID for Holly Emma Syddall: ORCID iD orcid.org/0000-0003-0171-0306
ORCID for Sian Robinson: ORCID iD orcid.org/0000-0003-1766-7269
ORCID for Helen C. Roberts: ORCID iD orcid.org/0000-0002-5291-1880
ORCID for Elaine Dennison: ORCID iD orcid.org/0000-0002-3048-4961
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 28 Jun 2013 11:33
Last modified: 18 Feb 2021 17:00

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Contributors

Author: Harnish P. Patel
Author: Karen Jameson
Author: Sian Robinson ORCID iD
Author: Hayley Denison
Author: Mark Edwards
Author: Elaine Dennison ORCID iD
Author: Cyrus Cooper ORCID iD
Author: Avan Aihie Aihie Sayer

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