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Sarcopenia in daily practice: assessment and management

Sarcopenia in daily practice: assessment and management
Sarcopenia in daily practice: assessment and management
Background: sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.

Methods: this paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.

Results: this paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.

Conclusions: assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future
1471-2318
170
Beaudart, Charlotte
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McCloskey, E.
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Bruyere, O.
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Cesari, M.
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Rolland, Y.
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Araujo de Carvalho, I.
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Amuthavalli Thiyagaran, J.
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Bautmans, I.
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Bertiere, M.C.
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Brandi, M.L.
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Al-Daghri, N.M.
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Burlet, N.
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Cavalier, E.
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Cerreta, F.
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Cherubini, A.
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Fielding, R.
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Gielen, E.
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Landi, F.
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Petermans, J.
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Reginster, J.Y.
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Visser, M.
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Kanis, J.
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Cooper, Cyrus
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Beaudart, Charlotte
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McCloskey, E.
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Bruyere, O.
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Cesari, M.
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Rolland, Y.
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Araujo de Carvalho, I.
c9681fb4-1e72-42fb-99c9-40bebd48e74b
Amuthavalli Thiyagaran, J.
defd801b-38dc-4163-9910-9f0b1febd549
Bautmans, I.
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Bertiere, M.C.
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Brandi, M.L.
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Al-Daghri, N.M.
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Burlet, N.
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Cavalier, E.
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Cerreta, F.
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Cherubini, A.
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Fielding, R.
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Gielen, E.
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Landi, F.
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Petermans, J.
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Reginster, J.Y.
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Visser, M.
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Kanis, J.
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Cooper, Cyrus
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Beaudart, Charlotte, McCloskey, E., Bruyere, O., Cesari, M., Rolland, Y., Araujo de Carvalho, I., Amuthavalli Thiyagaran, J., Bautmans, I., Bertiere, M.C., Brandi, M.L., Al-Daghri, N.M., Burlet, N., Cavalier, E., Cerreta, F., Cherubini, A., Fielding, R., Gielen, E., Landi, F., Petermans, J., Reginster, J.Y., Visser, M., Kanis, J. and Cooper, Cyrus (2016) Sarcopenia in daily practice: assessment and management. BMC Geriatrics, 16 (1), 170. (doi:10.1186/s12877-016-0349-4). (PMID:27716195)

Record type: Article

Abstract

Background: sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.

Methods: this paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.

Results: this paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.

Conclusions: assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future

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Accepted/In Press date: 29 September 2016
e-pub ahead of print date: 5 October 2016
Published date: 5 October 2016
Organisations: Faculty of Medicine

Identifiers

Local EPrints ID: 401410
URI: https://eprints.soton.ac.uk/id/eprint/401410
ISSN: 1471-2318
PURE UUID: 4241ac2c-c939-442b-9201-b88b61bf267b
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 17 Oct 2016 10:43
Last modified: 06 Jun 2018 13:00

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Contributors

Author: Charlotte Beaudart
Author: E. McCloskey
Author: O. Bruyere
Author: M. Cesari
Author: Y. Rolland
Author: I. Araujo de Carvalho
Author: J. Amuthavalli Thiyagaran
Author: I. Bautmans
Author: M.C. Bertiere
Author: M.L. Brandi
Author: N.M. Al-Daghri
Author: N. Burlet
Author: E. Cavalier
Author: F. Cerreta
Author: A. Cherubini
Author: R. Fielding
Author: E. Gielen
Author: F. Landi
Author: J. Petermans
Author: J.Y. Reginster
Author: M. Visser
Author: J. Kanis
Author: Cyrus Cooper ORCID iD

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