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Letter to the Editor| Volume 19, ISSUE 2, P182-184, February 2018

Calf Circumference as a Screening Instrument for Appendicular Muscle Mass Measurement

Published:January 03, 2018DOI:https://doi.org/10.1016/j.jamda.2017.11.016
      Currently, sarcopenia has been recognized as a specific disease rather than normal aging process because of its close relationship with multiple adverse outcomes in older people.
      • Janssen I.
      • Heymsfield S.B.
      • Ross R.
      Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability.
      • Alexandre Tda S.
      • Duarte Y.A.
      • Santos J.L.
      • et al.
      Sarcopenia according to the European Working Group on Sarcopenia in Older People (EWGSOP) versus dynapenia as a risk factor for mortality in the elderly.
      The diagnosis of sarcopenia requires measurements of appendicular skeletal muscle mass (ASM) plus muscle strength and physical performance.
      • Cruz-Jentoft A.J.
      • Baeyens J.P.
      • Bauer J.M.
      • et al.
      Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People.
      • Nishiguchi S.
      • Yamada M.
      • Kajiwara Y.
      • et al.
      Effects of physical activity at midlife on skeletal muscle mass in old age in community-dwelling older women: A cross-sectional study.
      Nevertheless, it is never convenient to conduct a community-based screening program for sarcopenia based on the dual-energy X-ray absorptiometry or body impedance analysis. Although SARC-F questionnaire has been developed and validated in screening sarcopenia in community or clinical settings,
      • Malmstrom T.K.
      • Morley J.E.
      SARC-F: A simple questionnaire to rapidly diagnose sarcopenia.
      • Wu T.Y.
      • Liaw C.K.
      • Chen F.C.
      • et al.
      Sarcopenia screened with SARC-F questionnaire is associated with quality of life and 4-year mortality.
      an accurate estimation of ASM may help promoting awareness for sarcopenia in the general public. Calf circumference has been reported as a screening tool for low skeletal muscle mass in older Turkish population.
      • Bahat G.
      • Tufan A.
      • Tufan F.
      • et al.
      Cut-off points to identify sarcopenia according to European Working Group on Sarcopenia in Older People (EWGSOP) definition.
      Therefore, we conducted a cross-sectional analysis of data from the I-Lan Longitudinal Aging Study, comprising of 1839 community-dwelling participants aged 50 years and over,
      • Hwang A.C.
      • Liu L.K.
      • Lee W.J.
      • et al.
      Association of frailty and cardiometabolic risk among community-dwelling middle-aged and elderly Taiwanese: Results from I-Lan Longitudinal Aging Study.
      to explore the potential to identify an accurate estimation of low ASM by calf circumference.
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