Selecting Appropriate Sarcopenia Screening Methods for Asian Populations
We aimed to determine the most appropriate sarcopenia screening method for Asian populations. We retrospectively studied the physiological differences between the sexes in healthy individuals and prospectively compared using skeletal muscle mass versus handgrip strength (HS) to screen for sarcopenia...
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doaj-7b74467e307a4855be9878e4eccee05e2020-11-25T02:48:06ZengMDPI AGJournal of Clinical Medicine2077-03832020-07-0192333233310.3390/jcm9082333Selecting Appropriate Sarcopenia Screening Methods for Asian PopulationsYu-Ching Lin0Yi-Chien Lu1Fang-Ping Chen2Ying Chin Lin3Yun-Chung Cheung4Wing P. Chan5Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Keelung and Chang Gung University, Taoyuan 33001, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, TaiwanKeelung Osteoporosis Prevention and Treatment Center, Keelung 200131, TaiwanDepartment of Family Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 116, TaiwanDepartment of Medical Imaging and Intervention, Chang Gung Memorial Hospital at Linkou, Institute for Radiological Research, Chang Gung University, Taoyuan 33001, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116, TaiwanWe aimed to determine the most appropriate sarcopenia screening method for Asian populations. We retrospectively studied the physiological differences between the sexes in healthy individuals and prospectively compared using skeletal muscle mass versus handgrip strength (HS) to screen for sarcopenia in a community-based population. Skeletal muscle mass was determined using dual-energy X-ray absorptiometry. Of 5881 healthy individuals recruited, 101 were from urban populations and 349 from a community-based population. The sexes were comparable in total lean muscle mass declines after peaking around 20 years of age. An age-dependent decline in total fat mass was found only among men;a persistent increase in total fat mass was observed only among women. The prevalence of low skeletal muscle mass significantly increased with age in both sexes only when applying the weight-adjusted skeletal muscle index (wSMI); it was significant only among men when applying the height-adjusted skeletal muscle index (hSMI). Using HS resulted in a much higher prevalence of sarcopenia in both sexes. A significant age-dependent increase in fat mass in women showed that the most appropriate adjustment method is wSMI for women and hSMI for men. Nevertheless, a primary HS survey is recommended for both sexes in Asian populations.https://www.mdpi.com/2077-0383/9/8/2333Asianbody compositiondual-energy X-ray absorptiometry (DXA)handgrip strengthsarcopeniaadjusted skeletal muscle index |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Ching Lin Yi-Chien Lu Fang-Ping Chen Ying Chin Lin Yun-Chung Cheung Wing P. Chan |
spellingShingle |
Yu-Ching Lin Yi-Chien Lu Fang-Ping Chen Ying Chin Lin Yun-Chung Cheung Wing P. Chan Selecting Appropriate Sarcopenia Screening Methods for Asian Populations Journal of Clinical Medicine Asian body composition dual-energy X-ray absorptiometry (DXA) handgrip strength sarcopenia adjusted skeletal muscle index |
author_facet |
Yu-Ching Lin Yi-Chien Lu Fang-Ping Chen Ying Chin Lin Yun-Chung Cheung Wing P. Chan |
author_sort |
Yu-Ching Lin |
title |
Selecting Appropriate Sarcopenia Screening Methods for Asian Populations |
title_short |
Selecting Appropriate Sarcopenia Screening Methods for Asian Populations |
title_full |
Selecting Appropriate Sarcopenia Screening Methods for Asian Populations |
title_fullStr |
Selecting Appropriate Sarcopenia Screening Methods for Asian Populations |
title_full_unstemmed |
Selecting Appropriate Sarcopenia Screening Methods for Asian Populations |
title_sort |
selecting appropriate sarcopenia screening methods for asian populations |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-07-01 |
description |
We aimed to determine the most appropriate sarcopenia screening method for Asian populations. We retrospectively studied the physiological differences between the sexes in healthy individuals and prospectively compared using skeletal muscle mass versus handgrip strength (HS) to screen for sarcopenia in a community-based population. Skeletal muscle mass was determined using dual-energy X-ray absorptiometry. Of 5881 healthy individuals recruited, 101 were from urban populations and 349 from a community-based population. The sexes were comparable in total lean muscle mass declines after peaking around 20 years of age. An age-dependent decline in total fat mass was found only among men;a persistent increase in total fat mass was observed only among women. The prevalence of low skeletal muscle mass significantly increased with age in both sexes only when applying the weight-adjusted skeletal muscle index (wSMI); it was significant only among men when applying the height-adjusted skeletal muscle index (hSMI). Using HS resulted in a much higher prevalence of sarcopenia in both sexes. A significant age-dependent increase in fat mass in women showed that the most appropriate adjustment method is wSMI for women and hSMI for men. Nevertheless, a primary HS survey is recommended for both sexes in Asian populations. |
topic |
Asian body composition dual-energy X-ray absorptiometry (DXA) handgrip strength sarcopenia adjusted skeletal muscle index |
url |
https://www.mdpi.com/2077-0383/9/8/2333 |
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