Comparison of standard versus population-specific handgrip strength cut-off points in the detection of probable sarcopenia after launch of EWGSOP2

We aimed to compare European Working Group on Sarcopenia in Older People (EWGSOP2)-suggested and population-specific handgrip strength (HGS) thresholds to detect probable sarcopenia and their associations with physical-performance measures and frailty. A retrospective cross-sectional observational-s...

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Published in:The aging male 2020-12, Vol.23 (5), p.1564-1569
Main Authors: Bahat, Gulistan, Kilic, Cihan, Altinkaynak, Mustafa, Akif Karan, Mehmet
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aging
Cross-Sectional Studies
cut-offs
EWGSOP
Female
Frailty
Hand Strength
Handgrip strength
Humans
Male
Older people
Population
population-specific
Postural Balance
Prevalence
Retrospective Studies
Sarcopenia
Sarcopenia - diagnosis
Sarcopenia - epidemiology
Time and Motion Studies
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creator Bahat, Gulistan
Kilic, Cihan
Altinkaynak, Mustafa
Akif Karan, Mehmet
description We aimed to compare European Working Group on Sarcopenia in Older People (EWGSOP2)-suggested and population-specific handgrip strength (HGS) thresholds to detect probable sarcopenia and their associations with physical-performance measures and frailty. A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed. Frailty was screened by FRAIL-scale. A total of 1825 older adults were included (mean age, 74.5 + 7.0 years; 68.8% female). Prevalence of low-HGS were 12.2% by the EWGSOP2-recommended (27/16 kg) cut-offs and 37.5% by population-specific cut-offs (35/20 kg) (p
doi_str_mv 10.1080/13685538.2020.1870038
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A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed. Frailty was screened by FRAIL-scale. A total of 1825 older adults were included (mean age, 74.5 + 7.0 years; 68.8% female). Prevalence of low-HGS were 12.2% by the EWGSOP2-recommended (27/16 kg) cut-offs and 37.5% by population-specific cut-offs (35/20 kg) (p<.001). When low-HGS was defined by EWGSOP2 suggested cut-offs, low-HGS was associated with impaired UGS, (odds ratio [OR] = 3.8, 95% confidence interval [CI]: 2.0-6.9, p<.001); impaired TUG, (OR = 4.6, 95% CI: 2.4-8.8, p<.001); and frailty (OR = 20.9, 95% CI: 8.3-53.0, p<.001). Similarly, low HGS determined by population-specific cut-off points was associated with impaired UGS (OR = 3.1, 95% CI: 2.1-6.9, p<.001); impaired TUG (OR = 6.0, 95% CI: 3.0-11.8, p<.001); and frailty (OR = 7.3, 95% CI: 4.1-13.0, p<.001). Application of EWGSOP2-recommended standard HGS-cut-offs showed successful application in-practice. However, use of standard HGS cut-offs may result in underdiagnosis of probable sarcopenia. Therefore, we suggest that, whenever available, use of population-specific cut-offs for HGS may be better for correctly identifying older adults at risk.]]></description><identifier>ISSN: 1368-5538</identifier><identifier>EISSN: 1473-0790</identifier><identifier>DOI: 10.1080/13685538.2020.1870038</identifier><identifier>PMID: 33432867</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Cross-Sectional Studies ; cut-offs ; EWGSOP ; Female ; Frailty ; Hand Strength ; Handgrip strength ; Humans ; Male ; Older people ; Population ; population-specific ; Postural Balance ; Prevalence ; Retrospective Studies ; Sarcopenia ; Sarcopenia - diagnosis ; Sarcopenia - epidemiology ; Time and Motion Studies</subject><ispartof>The aging male, 2020-12, Vol.23 (5), p.1564-1569</ispartof><rights>2020 Informa UK Limited, trading as Taylor &amp; Francis Group 2020</rights><rights>2020 Informa UK Limited, trading as Taylor &amp; Francis Group</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-dd5be9aebdfe61a1f6ed365d4fddaa43a61bcdb196493b3dc9b0c76899b7cfaf3</citedby><cites>FETCH-LOGICAL-c394t-dd5be9aebdfe61a1f6ed365d4fddaa43a61bcdb196493b3dc9b0c76899b7cfaf3</cites><orcidid>0000-0002-7768-2746 ; 0000-0002-1246-3622 ; 0000-0001-5343-9795 ; 0000-0002-9080-404X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33432867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bahat, Gulistan</creatorcontrib><creatorcontrib>Kilic, Cihan</creatorcontrib><creatorcontrib>Altinkaynak, Mustafa</creatorcontrib><creatorcontrib>Akif Karan, Mehmet</creatorcontrib><title>Comparison of standard versus population-specific handgrip strength cut-off points in the detection of probable sarcopenia after launch of EWGSOP2</title><title>The aging male</title><addtitle>Aging Male</addtitle><description><![CDATA[We aimed to compare European Working Group on Sarcopenia in Older People (EWGSOP2)-suggested and population-specific handgrip strength (HGS) thresholds to detect probable sarcopenia and their associations with physical-performance measures and frailty. A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed. Frailty was screened by FRAIL-scale. A total of 1825 older adults were included (mean age, 74.5 + 7.0 years; 68.8% female). Prevalence of low-HGS were 12.2% by the EWGSOP2-recommended (27/16 kg) cut-offs and 37.5% by population-specific cut-offs (35/20 kg) (p<.001). When low-HGS was defined by EWGSOP2 suggested cut-offs, low-HGS was associated with impaired UGS, (odds ratio [OR] = 3.8, 95% confidence interval [CI]: 2.0-6.9, p<.001); impaired TUG, (OR = 4.6, 95% CI: 2.4-8.8, p<.001); and frailty (OR = 20.9, 95% CI: 8.3-53.0, p<.001). Similarly, low HGS determined by population-specific cut-off points was associated with impaired UGS (OR = 3.1, 95% CI: 2.1-6.9, p<.001); impaired TUG (OR = 6.0, 95% CI: 3.0-11.8, p<.001); and frailty (OR = 7.3, 95% CI: 4.1-13.0, p<.001). Application of EWGSOP2-recommended standard HGS-cut-offs showed successful application in-practice. However, use of standard HGS cut-offs may result in underdiagnosis of probable sarcopenia. 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A retrospective cross-sectional observational-study included geriatrics outpatients applied to a university-hospital. HGS, timed up and go test (TUG), and usual gait speed (UGS) were assessed. Frailty was screened by FRAIL-scale. A total of 1825 older adults were included (mean age, 74.5 + 7.0 years; 68.8% female). Prevalence of low-HGS were 12.2% by the EWGSOP2-recommended (27/16 kg) cut-offs and 37.5% by population-specific cut-offs (35/20 kg) (p<.001). When low-HGS was defined by EWGSOP2 suggested cut-offs, low-HGS was associated with impaired UGS, (odds ratio [OR] = 3.8, 95% confidence interval [CI]: 2.0-6.9, p<.001); impaired TUG, (OR = 4.6, 95% CI: 2.4-8.8, p<.001); and frailty (OR = 20.9, 95% CI: 8.3-53.0, p<.001). Similarly, low HGS determined by population-specific cut-off points was associated with impaired UGS (OR = 3.1, 95% CI: 2.1-6.9, p<.001); impaired TUG (OR = 6.0, 95% CI: 3.0-11.8, p<.001); and frailty (OR = 7.3, 95% CI: 4.1-13.0, p<.001). Application of EWGSOP2-recommended standard HGS-cut-offs showed successful application in-practice. However, use of standard HGS cut-offs may result in underdiagnosis of probable sarcopenia. Therefore, we suggest that, whenever available, use of population-specific cut-offs for HGS may be better for correctly identifying older adults at risk.]]></abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>33432867</pmid><doi>10.1080/13685538.2020.1870038</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7768-2746</orcidid><orcidid>https://orcid.org/0000-0002-1246-3622</orcidid><orcidid>https://orcid.org/0000-0001-5343-9795</orcidid><orcidid>https://orcid.org/0000-0002-9080-404X</orcidid></addata></record>
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subjects Aged
Aged, 80 and over
Aging
Cross-Sectional Studies
cut-offs
EWGSOP
Female
Frailty
Hand Strength
Handgrip strength
Humans
Male
Older people
Population
population-specific
Postural Balance
Prevalence
Retrospective Studies
Sarcopenia
Sarcopenia - diagnosis
Sarcopenia - epidemiology
Time and Motion Studies
title Comparison of standard versus population-specific handgrip strength cut-off points in the detection of probable sarcopenia after launch of EWGSOP2
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