Cited by 332Nutrition and Health in AgingFrailty in Older AdultsBalance, Gait, and Falls Prevention

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Comparative performance of current definitions of sarcopenia against the prospective incidence of falls among community-dwelling seniors age 65 and older

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Bischoff-Ferrari, H. A., Orav, J. E., Kanis, J. A., Rizzoli, R., Schlögl, M., Staehelin, H. B., Willett, W. C., Dawson-Hughes, B.·2015·Osteoporosis International

DOI 10.1007/s00198-015-3194-y

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Abstract

Unlabelled In this study, we compare the extent to which seven available definitions of sarcopenia and two related definitions predict the rate of falling. Our results suggest that the definitions of Baumgartner and Cruz-Jentoft best predict the rate of falls among sarcopenic versus non-sarcopenic community-dwelling seniors.Introduction The purpose of the study is to compare the extent to which seven available definitions of sarcopenia and two related definitions predict the prospective rate of falling.Methods We studied a cohort of 445 seniors (mean age 71 years, 45 % men) living in the community who were followed with a detailed fall assessment for 3 years. For comparing the rate of falls in sarcopenic versus non-sarcopenic individuals, we used multivariate Poisson regression analyses adjusting for gender and treatment (original intervention tested vitamin D plus calcium against placebo). Of the seven available definitions, three were based on low lean mass alone (Baumgartner, Delmonico 1 and 2) and four required both low muscle mass and decreased performance in a functional test (Fielding, Cruz-Jentoft, Morley, Muscaritoli). The two related definitions were based on low lean mass alone (Studenski 1) and low lean mass contributing to weakness (Studenski 2).Results Among 445 participants, 231 fell, sustaining 514 falls over the 3-year follow-up. The prospective rate of falls in sarcopenic versus non-sarcopenic individuals was best predicted by the Baumgartner definition based on low lean mass alone (RR = 1.54; 95 % CI 1.09-2.18) with 11 % prevalence of sarcopenia and the Cruz-Jentoft definition based on low lean mass plus decreased functional performance (RR = 1.82; 95 % CI 1.24-2.69) with 7.1 % prevalence of sarcopenia. Consistently, fall rate was non-significantly higher in sarcopenic versus non-sarcopenic individuals based on the definitions of Delmonico 1, Fielding, and Morley.Conclusion Among the definitions investigated, the Baumgartner definition and the Cruz-Jentoft definition had the highest validity for predicting the rate of falls.

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Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability
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Authors: Bischoff-Ferrari, H. A., Orav, J. E., Kanis, J. A., Rizzoli, R., Schlögl, M., Staehelin, H. B., Willett, W. C., & Dawson-Hughes, B.
Affiliations: University of Zurich (CH)
University of Geneva (CH)
University of Basel (CH)
Harvard University (US)
Corresponding author: Bischoff-Ferrari, H. A.
ORCID: Bischoff-Ferrari, H. A.
Rizzoli, R.
Schlögl, M.
Willett, W. C.
Venue: Osteoporosis International
Publisher: Springer Science and Business Media LLC
Published: 2015-06-12
Volume: 26
Issue: 12
Pages: 2793-2802
ISSN: 0937-941X (ISSN-L)
1433-2965
DOI: 10.1007/s00198-015-3194-y
OpenAlex: W1917806107
Cited by: 332
References: 48
Citations by year: 2026: 19 · 2025: 39 · 2024: 34 · 2023: 38 · 2022: 46 · 2021: 38 · 2020: 35 · 2019: 17 · 2018: 25 · 2017: 21 · 2016: 16 · 2015: 4
FWCI: 16.18
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.springer.com/tdm (tdm)
Locations: Osteoporosis International (publishedVersion)
PubMed (publishedVersion)
Archive ouverte UNIGE (University of Geneva) (publishedVersion)
Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
reroDoc Digital Library (submittedVersion)
Research Bank (Australian Catholic University) (submittedVersion)
Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
Zurich Open Repository and Archive (University of Zurich)
Funders: Baugarten Stiftung
Topics: Health Sciences › Medicine › Physiology (medical) › Nutrition and Health in Aging
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
Keywords: sarcopenia, sarcopenia definitions, fall incidence, community-dwelling older adults, lean body mass, muscle strength, functional performance, calcium and vitamin D supplementation, fall risk prediction
MeSH terms: Accidental Falls, Aged, Anthropometry, Calcium, Double-Blind Method, Drug Therapy, Combination, Female, Gait, Humans, Male, Prospective Studies, Residence Characteristics, Sex Factors, Vitamin D, Absorptiometry, Photon, Incidence, Prevalence, Hand Strength, Sarcopenia

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Comparative performance of current definitions of sarcopenia against the prospective incidence of falls among community-dwelling seniors age 65 and older

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