Epidemiology of sarcopenia among community‐dwelling older adults in T aiwan: A pooled analysis for a broader adoption of sarcopenia assessments
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Aim: To develop cut‐off points of muscle mass, gait speed and handgrip strength; and to examine the prevalence of sarcopenia, and the relationship between sarcopenia stages and functional limitations and disability by using these cut‐off points. Methods: We pooled individual participant data of 2867 community‐dwelling older adults from five cohort studies. We defined the cut‐off point of a muscle mass index (ASM/ht 2) as the values of two standard deviations below the sex‐specific means of a young population or as the 20th percentile of the sex‐specific distribution in our study population. The gait speed and handgrip strength cut‐off points were defined as the 20th percentile of their population distributions. We also measured functional limitations, using the S hort P hysical P erformance B attery, and the number of activities of daily living and instrumental activities of daily living difficulties. Results: We identified the cut‐off points of ASM/ht 2, gait speed and handgrip strength. By applying these cut‐off points to our study population, the prevalence of sarcopenia varied from 3.9% (2.5% in women and 5.4% in men) to 7.3% (6.5% in women and 8.2% in men). A higher sarcopenia stage was independently associated with a lower summary performance score, as well as more activities of daily living and instrumental activities of daily living difficulties (P < 0.05 for all). Conclusions: The prevalence of sarcopenia in community‐dwelling older adults is comparable with those in other populations. A dose–response relationship exists between sarcopenia stages and functional limitations/disability. The E uropean W orking G roup on S arcopenia in O lder P eople consensus definition using these cut‐off points is suitable for determining sarcopenia cases in the elderly population of T aiwan. Geriatr Gerontol Int 2014; 14 (Suppl. 1): 52–60.
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Researchers have shown significant differences and bias in the prevalence of sarcopenia when different cut points of distinct populations are used instead of the original sex-specific group of subjects.
“Hereof, researchers have shown significant differences and bias in the prevalence of Sarcopenia when different cut points of the distinct populations used instead of the original sex- specific group of subjects [10, 11].”
From Prevalence of sarcopenia in the world: a systematic review and meta- analysis of general population studies (2017) · cites this paper as [11]
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- Authors
- Wu, I., Lin, C., Hsiung, C. A., Wang, C., Wu, C., Chan, D. D., Li, T., Lin, W., Huang, K., Chen, C., Hsu, C., & Sarcopenia and Translational Aging Research in Taiwan (START) Team
- Affiliations
- National Health Research Institutes (TW)
- Program for Aging, College of Medicine China Medical University Taichung Taiwan
- Chung Shan Medical University (TW)
- National Cheng Kung University Hospital (TW)
- National Taiwan University Hospital (TW)
- Graduate Institute of Biostatistics College of Public Health China Medical University Taichung Taiwan
- China Medical University Hospital (TW)
- National Taiwan University (TW)
- Corresponding author
- Hsu, Chih‐Cheng
- ORCID
- Venue
- Geriatrics & Gerontology International
- Publisher
- Wiley
- Published
- 2014-01-23
- Volume
- 14
- Issue
- S1
- Pages
- 52-60
- ISSN
- 1444-1586 (ISSN-L)
- 1447-0594
- OpenAlex
- W1927592777
- Cited by
- 124
- References
- 44
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 5 · 2023: 5 · 2022: 15 · 2021: 18 · 2020: 11 · 2019: 11 · 2018: 13 · 2017: 11 · 2016: 12 · 2015: 5 · 2014: 5
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Geriatrics and gerontology international/Geriatrics & gerontology international (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- sarcopenia, community-dwelling older adults, sarcopenia prevalence, cut-off values, muscle mass index, walking speed, grip strength, functional limitations, disability, activities of daily living, instrumental activities of daily living, Short Physical Performance Battery, Taiwan
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Aging, Body Composition, Female, Follow-Up Studies, Gait, Humans, Male, Retrospective Studies, Taiwan, Geriatric Assessment, Prevalence, Muscle, Skeletal, Muscle Strength, Sarcopenia
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