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Sarcopenia: revised European consensus on definition and diagnosis

Sarcopenia: revised European consensus on definition and diagnosis
Sarcopenia: revised European consensus on definition and diagnosis
Background: in 2010, the European Working Group on Sarcopenia in Older People (EWGSOP) published a sarcopenia definition that aimed to foster advances in identifying and caring for people with sarcopenia. In early 2018, the Working Group met again (EWGSOP2) to update the original definition in order to reflect scientific and clinical evidence that has built over the last decade. This paper presents our updated findings.

Objectives: to increase consistency of research design, clinical diagnoses and ultimately, care for people with sarcopenia.

Recommendations: sarcopenia is a muscle disease (muscle failure) rooted in adverse muscle changes that accrue across a lifetime; sarcopenia is common among adults of older age but can also occur earlier in life. In this updated consensus paper on sarcopenia, EWGSOP2: (1) focuses on low muscle strength as a key characteristic of sarcopenia, uses detection of low muscle quantity and quality to confirm the sarcopenia diagnosis, and identifies poor physical performance as indicative of severe sarcopenia; (2) updates the clinical algorithm that can be used for sarcopenia case-finding, diagnosis and confirmation, and severity determination and (3) provides clear cut-off points for measurements of variables that identify and characterise sarcopenia.

Conclusions: EWGSOP2's updated recommendations aim to increase awareness of sarcopenia and its risk. With these new recommendations, EWGSOP2 calls for healthcare professionals who treat patients at risk for sarcopenia to take actions that will promote early detection and treatment. We also encourage more research in the field of sarcopenia in order to prevent or delay adverse health outcomes that incur a heavy burden for patients and healthcare systems.
0002-0729
16-31
Cruz-Jentoft, Alfonso Jose
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Bahat, Gulistan
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Bauer, Jurgen
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Boirie, Yves
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Bruyere, Olivier
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Cederholm, Tommy
032fc245-42b4-4057-ac63-04cde5bf2b2a
Cooper, Cyrus
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Landi, Francesco
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Rolland, Yves
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Sayer, Avan Aihie
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Schneider, Stephane M
f83359ad-e6ab-479e-b172-f3459e82a0de
Sieber, Cornel
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Topinkova, Eva
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Vandewoude, Maurits
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Visser, Marjolein
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Zamboni, Mauro
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Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), & the Extended Group for EWGSOP2
Cruz-Jentoft, Alfonso Jose
bd1054e6-e6b7-4f15-856b-a3de3887064d
Bahat, Gulistan
0aa2e4c3-5097-4d15-b78b-1cdc29dd575f
Bauer, Jurgen
fc0269cc-086f-4175-b374-7f0cd4e4f22f
Boirie, Yves
76d9075d-4abc-4abd-a7c2-0c78b461640d
Bruyere, Olivier
7d127754-d7d6-4328-8f76-212df27727b6
Cederholm, Tommy
032fc245-42b4-4057-ac63-04cde5bf2b2a
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Landi, Francesco
afd5ff7a-39e8-4ec8-84fc-06b837a5e376
Rolland, Yves
9ba9e24c-842f-408f-988b-eef4aabbdb78
Sayer, Avan Aihie
22ab6f4d-9d83-4272-9f56-1c2787598509
Schneider, Stephane M
f83359ad-e6ab-479e-b172-f3459e82a0de
Sieber, Cornel
d622aad9-3827-4e71-9e0c-821559002ce6
Topinkova, Eva
5e0d543d-f071-46df-80dd-a9defc2c961e
Vandewoude, Maurits
36928283-d040-4ee3-a6fc-0e4654eeacbd
Visser, Marjolein
542ae098-8f78-4d56-a0b7-167057ce5c57
Zamboni, Mauro
05cecaea-beac-4f84-8648-0bb3b59b7266

Cruz-Jentoft, Alfonso Jose, Bahat, Gulistan, Bauer, Jurgen, Boirie, Yves, Bruyere, Olivier, Cederholm, Tommy, Cooper, Cyrus, Landi, Francesco, Rolland, Yves, Sayer, Avan Aihie, Schneider, Stephane M, Sieber, Cornel, Topinkova, Eva, Vandewoude, Maurits, Visser, Marjolein and Zamboni, Mauro , Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), & the Extended Group for EWGSOP2 (2019) Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48 (1), 16-31. (doi:10.1093/ageing/afy169).

Record type: Article

Abstract

Background: in 2010, the European Working Group on Sarcopenia in Older People (EWGSOP) published a sarcopenia definition that aimed to foster advances in identifying and caring for people with sarcopenia. In early 2018, the Working Group met again (EWGSOP2) to update the original definition in order to reflect scientific and clinical evidence that has built over the last decade. This paper presents our updated findings.

Objectives: to increase consistency of research design, clinical diagnoses and ultimately, care for people with sarcopenia.

Recommendations: sarcopenia is a muscle disease (muscle failure) rooted in adverse muscle changes that accrue across a lifetime; sarcopenia is common among adults of older age but can also occur earlier in life. In this updated consensus paper on sarcopenia, EWGSOP2: (1) focuses on low muscle strength as a key characteristic of sarcopenia, uses detection of low muscle quantity and quality to confirm the sarcopenia diagnosis, and identifies poor physical performance as indicative of severe sarcopenia; (2) updates the clinical algorithm that can be used for sarcopenia case-finding, diagnosis and confirmation, and severity determination and (3) provides clear cut-off points for measurements of variables that identify and characterise sarcopenia.

Conclusions: EWGSOP2's updated recommendations aim to increase awareness of sarcopenia and its risk. With these new recommendations, EWGSOP2 calls for healthcare professionals who treat patients at risk for sarcopenia to take actions that will promote early detection and treatment. We also encourage more research in the field of sarcopenia in order to prevent or delay adverse health outcomes that incur a heavy burden for patients and healthcare systems.

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More information

Accepted/In Press date: 24 September 2018
e-pub ahead of print date: 24 September 2018
Published date: January 2019

Identifiers

Local EPrints ID: 425689
URI: https://eprints.soton.ac.uk/id/eprint/425689
ISSN: 0002-0729
PURE UUID: 5e4b9e2e-3938-4ced-ab32-93791aecdf53
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

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Date deposited: 31 Oct 2018 17:30
Last modified: 22 May 2019 00:37

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Contributors

Author: Alfonso Jose Cruz-Jentoft
Author: Gulistan Bahat
Author: Jurgen Bauer
Author: Yves Boirie
Author: Olivier Bruyere
Author: Tommy Cederholm
Author: Cyrus Cooper ORCID iD
Author: Francesco Landi
Author: Yves Rolland
Author: Avan Aihie Sayer
Author: Stephane M Schneider
Author: Cornel Sieber
Author: Eva Topinkova
Author: Maurits Vandewoude
Author: Marjolein Visser
Author: Mauro Zamboni

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