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Article

Sarcopenia Risk Evaluation in a Sample of Hospitalized Elderly Men and Women: Combined Use of the Mini Sarcopenia Risk Assessment (MSRA) and the SARC-F

Department of Medicine, Division of Geriatric, University of Verona, 37126 Verona, Italy
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Academic Editor: Aldo J. Montano-Loza
Nutrients 2021, 13(2), 635; https://doi.org/10.3390/nu13020635
Received: 20 January 2021 / Revised: 5 February 2021 / Accepted: 12 February 2021 / Published: 16 February 2021
Background: SARC-F and Mini Sarcopenia Risk Assessment (MSRA) questionnaires have been proposed as screening tools to identify patients at risk of sarcopenia. The aim of this study is to test the use of SARC-F and MSRA, alone and combined, as a pre-screening tool for sarcopenia in geriatric inpatients. Methods: 152 subjects, 94 men and 58 women, aged 70 to 94, underwent muscle mass evaluation by dual energy X-ray absorptiometry (DXA), muscle strength evaluation by handgrip, and completed the MSRA, SARC-F and Activity of daily living (ADL) questionnaires. Results: 66 subjects (43.4%) were classified as sarcopenic according to the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criteria. The 7-item SARC-F and MRSA and 5-item MSRA showed an area under the curve (AUC) of 0.666 (95% confidence interval (CI): 0.542–0.789), 0.730 (95% CI: 0.617–0.842) and 0.710 (95% CI: 0.593–0.827), respectively. The optimal cut-off points for sarcopenia detection were determined for each questionnaire using the Youden index method. The newly calculated cut-off points were ≤25 and ≤40 for MSRA 7- and 5-items, respectively. The ideal cut-off for the SARC-F was a score ≥3. Applying this new cut-off in our study population, sensitivity and specificity of the 7-item MSRA were 0.757 and 0.651, and 0.688 and 0.679 for the 5-item MSRA, respectively. Sensitivity and specificity of SARC-F were 0.524 and 0.765, respectively. The combined use of the 7-item SARC-F and MSRA improved the accuracy in sarcopenia diagnosis, with a specificity and sensitivity of 1.00 and 0.636. Conclusion: 7-item SARC-F and MSRA may be co-administered in hospital wards as an easy, feasible, first-line tool to identify sarcopenic subjects. View Full-Text
Keywords: sarcopenia; muscle strength; screening; physical limitations sarcopenia; muscle strength; screening; physical limitations
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MDPI and ACS Style

Rossi, A.P.; Caliari, C.; Urbani, S.; Fantin, F.; Brandimarte, P.; Martini, A.; Zoico, E.; Zoso, G.; Babbanini, A.; Zanotelli, A.; Zamboni, M. Sarcopenia Risk Evaluation in a Sample of Hospitalized Elderly Men and Women: Combined Use of the Mini Sarcopenia Risk Assessment (MSRA) and the SARC-F. Nutrients 2021, 13, 635. https://doi.org/10.3390/nu13020635

AMA Style

Rossi AP, Caliari C, Urbani S, Fantin F, Brandimarte P, Martini A, Zoico E, Zoso G, Babbanini A, Zanotelli A, Zamboni M. Sarcopenia Risk Evaluation in a Sample of Hospitalized Elderly Men and Women: Combined Use of the Mini Sarcopenia Risk Assessment (MSRA) and the SARC-F. Nutrients. 2021; 13(2):635. https://doi.org/10.3390/nu13020635

Chicago/Turabian Style

Rossi, Andrea P., Cesare Caliari, Silvia Urbani, Francesco Fantin, Piero Brandimarte, Angela Martini, Elena Zoico, Giulia Zoso, Alessio Babbanini, Alfredo Zanotelli, and Mauro Zamboni. 2021. "Sarcopenia Risk Evaluation in a Sample of Hospitalized Elderly Men and Women: Combined Use of the Mini Sarcopenia Risk Assessment (MSRA) and the SARC-F" Nutrients 13, no. 2: 635. https://doi.org/10.3390/nu13020635

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