Validation of cut points of skeletal muscle mass index for identifying sarcopenia in Chilean older people

Nutrición hospitalaria
Lydia LeraCecilia Albala

Abstract

To estimate and validate cut-off points of skeletal muscle mass index (SMI) in Chilean population, for using in an algorithm for a diagnosis of sarcopenia developed by European Working Group on Sarcopenia in Older People (EWGSOP). Secondary analysis of Cross-sectional data in 440 Chilean older subjects to estimate cut-off points of SMI determined by DEXA and predicted by an anthropometric equation. Afterward a cross-sectional validation in a sample of 164 older people was performed. Anthropometric measures, self-reported health status, physical performance tests and DEXA were carried out. Decreased muscle strength was defined as handgrip strength <15 kg in women and <27 kg in male. Cut-off points of SMI were defined as values under 20th percentile for DEXA measures and estimated through ROC curves for the anthropometric model. Biological validity of the algorithm was tested by contrasting the diagnosis with physical performance tests and functionality. Cut-off points of SMI obtained by DEXA were 7.19 kg/m² in men and 5.77 kg/m² in women and 7.45 kg/ m² and 5.88 kg/m², respectively for the predicted by the model. Sensibility and specificity of estimations vs DEXA measures were 80% and 92% in men and 77% and 89% in women. We obta...Continue Reading

Citations

Apr 23, 2021·Clinical Interventions in Aging·Lydia LeraCecilia Albala
Sep 10, 2021·Metabolomics : Official Journal of the Metabolomic Society·Rafael OpazoCecilia Albala
Sep 17, 2021·PeerJ·Sabrina Gabrielle Gomes FernandesAlvaro Campos Cavalcanti Maciel

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