Akademik Veri Yönetim Sistemi
Akademik Geriatri Derneği e-Kongre 2020 Covid-19 ve Geriatride Güncelleme, Ankara, Türkiye, 17 - 18 Ekim 2020, ss.71
Introduction: In 2018 EWGSOP2 suggested low muscle strength as the primary parameter of sarcopenia. They noted probable sarcopenia when low muscle strength is detected. To find sarcopenia cases, EWGSOP2 recommends to use SARC-F questionnaire as a screening test. Our aim is to study the ability of the SARC-F to screen probable sarcopenia in older adults.
Methods: Community-dwelling older adults aged C 65 years admitted to a geriatric outpatient clinic were enrolled to study. Probable sarcopenia was diagnosed according to the EWGSOP 2 criteria. Muscle strength was assesed by hand grip strength by Jamar hydraulic hand dynamometer.
Results: 456 patients were included (71.1% women, 28.9% men; mean age: 74.6 ± 6.6 years). 58 (12.7%) had probable sarcopenia. SARC-F cut-off C 2 presented the best balance between sensitivity and specificity (sensitivity: 64.9% vs specificity:67.9%) to detect probable sarcopenia (AUC = 0.710; 95% Cl: 0.66–0.752, p\0.001). On the other hand, SARC-F with a cut-off point C 1 had sensitivity 84.2% and specificity 40.5%. SARC-F C 4 had high specificity 88.2% with 40.3% sensitivity.
Conclusions: We suggest SARC-F C 1 cut-off point to be used as the sarcopenia screening tool regarding its high sensitivity. SARC-F C 4 cut-off is better to be used if one prefers to exclude low muscle strength and probable sarcopenia.