Sarcopenia in daily practice: assessment and management
Identifieur interne : 000A67 ( Pmc/Curation ); précédent : 000A66; suivant : 000A68Sarcopenia in daily practice: assessment and management
Auteurs : Charlotte Beaudart [Belgique] ; Eugène Mccloskey [Royaume-Uni] ; Olivier Bruyère [Belgique] ; Matteo Cesari [France] ; Yves Rolland [France] ; René Rizzoli [Suisse] ; Islène Araujo De Carvalho [Suisse] ; Jotheeswaran Amuthavalli Thiyagarajan [Suisse] ; Ivan Bautmans [Belgique] ; Marie-Claude Bertière [France] ; Maria Luisa Brandi [Italie] ; Nasser M. Al-Daghri [Arabie saoudite] ; Nansa Burlet [Belgique] ; Etienne Cavalier [Belgique] ; Francesca Cerreta [Royaume-Uni] ; Antonio Cherubini [Italie] ; Roger Fielding [États-Unis] ; Evelien Gielen [Belgique] ; Francesco Landi [Italie] ; Jean Petermans [Belgique] ; Jean-Yves Reginster [Belgique] ; Marjolein Visser [Pays-Bas] ; John Kanis [Royaume-Uni, Australie] ; Cyrus Cooper [Royaume-Uni]Source :
- BMC Geriatrics [ 1471-2318 ] ; 2016.
Abstract
Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.
This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.
This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.
Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.
Url:
DOI: 10.1186/s12877-016-0349-4
PubMed: 27716195
PubMed Central: 5052976
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Cyrus Cooper<affiliation><nlm:aff id="Aff23">MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, England UK</nlm:aff>
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<affiliation wicri:level="1"><nlm:aff id="Aff24">NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford</wicri:regionArea>
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<author><name sortKey="Bautmans, Ivan" sort="Bautmans, Ivan" uniqKey="Bautmans I" first="Ivan" last="Bautmans">Ivan Bautmans</name>
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<author><name sortKey="Bertiere, Marie Claude" sort="Bertiere, Marie Claude" uniqKey="Bertiere M" first="Marie-Claude" last="Bertière">Marie-Claude Bertière</name>
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<author><name sortKey="Brandi, Maria Luisa" sort="Brandi, Maria Luisa" uniqKey="Brandi M" first="Maria Luisa" last="Brandi">Maria Luisa Brandi</name>
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<country xml:lang="fr">Italie</country>
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<author><name sortKey="Al Daghri, Nasser M" sort="Al Daghri, Nasser M" uniqKey="Al Daghri N" first="Nasser M." last="Al-Daghri">Nasser M. Al-Daghri</name>
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</author>
<author><name sortKey="Burlet, Nansa" sort="Burlet, Nansa" uniqKey="Burlet N" first="Nansa" last="Burlet">Nansa Burlet</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Public Health, Epidemiology and Health Economics, University of Liège, Avenue Hippocrate 13, CHU B23, 4000 Liège, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, Epidemiology and Health Economics, University of Liège, Avenue Hippocrate 13, CHU B23, 4000 Liège</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cavalier, Etienne" sort="Cavalier, Etienne" uniqKey="Cavalier E" first="Etienne" last="Cavalier">Etienne Cavalier</name>
<affiliation wicri:level="1"><nlm:aff id="Aff13">Department of Clinical Chemistry, University of Liège, CHU Sart-Tilman, Bât B35, 4000 Liège, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Clinical Chemistry, University of Liège, CHU Sart-Tilman, Bât B35, 4000 Liège</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cerreta, Francesca" sort="Cerreta, Francesca" uniqKey="Cerreta F" first="Francesca" last="Cerreta">Francesca Cerreta</name>
<affiliation wicri:level="1"><nlm:aff id="Aff14">Human Medicines Research and Development Support Division, Scientific Advice, London, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Human Medicines Research and Development Support Division, Scientific Advice, London</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cherubini, Antonio" sort="Cherubini, Antonio" uniqKey="Cherubini A" first="Antonio" last="Cherubini">Antonio Cherubini</name>
<affiliation wicri:level="1"><nlm:aff id="Aff15">Geriatrics and Geriatric Emergency Care, IRCCS-INRCA, Ancona, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Geriatrics and Geriatric Emergency Care, IRCCS-INRCA, Ancona</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Fielding, Roger" sort="Fielding, Roger" uniqKey="Fielding R" first="Roger" last="Fielding">Roger Fielding</name>
<affiliation wicri:level="1"><nlm:aff id="Aff16">Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Gielen, Evelien" sort="Gielen, Evelien" uniqKey="Gielen E" first="Evelien" last="Gielen">Evelien Gielen</name>
<affiliation wicri:level="1"><nlm:aff id="Aff17">Department of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Landi, Francesco" sort="Landi, Francesco" uniqKey="Landi F" first="Francesco" last="Landi">Francesco Landi</name>
<affiliation wicri:level="1"><nlm:aff id="Aff18">Department of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart Rome, Milano, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart Rome, Milano</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Petermans, Jean" sort="Petermans, Jean" uniqKey="Petermans J" first="Jean" last="Petermans">Jean Petermans</name>
<affiliation wicri:level="1"><nlm:aff id="Aff19">Geriatric Department, CHU Sart-Tilman, Bât B35, 4000 Liège, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Geriatric Department, CHU Sart-Tilman, Bât B35, 4000 Liège</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Reginster, Jean Yves" sort="Reginster, Jean Yves" uniqKey="Reginster J" first="Jean-Yves" last="Reginster">Jean-Yves Reginster</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Public Health, Epidemiology and Health Economics, University of Liège, Avenue Hippocrate 13, CHU B23, 4000 Liège, Belgium</nlm:aff>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, Epidemiology and Health Economics, University of Liège, Avenue Hippocrate 13, CHU B23, 4000 Liège</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Visser, Marjolein" sort="Visser, Marjolein" uniqKey="Visser M" first="Marjolein" last="Visser">Marjolein Visser</name>
<affiliation wicri:level="1"><nlm:aff id="Aff20">Department of Health Sciences, VU University Amsterdam, Amsterdam, Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Health Sciences, VU University Amsterdam, Amsterdam</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff21">Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, Amsterdam, Netherlands</nlm:aff>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, Amsterdam</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Kanis, John" sort="Kanis, John" uniqKey="Kanis J" first="John" last="Kanis">John Kanis</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff22">Institute for Health and Aging, Catholic University of Australia, Melbourne, Australia</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Institute for Health and Aging, Catholic University of Australia, Melbourne</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Cooper, Cyrus" sort="Cooper, Cyrus" uniqKey="Cooper C" first="Cyrus" last="Cooper">Cyrus Cooper</name>
<affiliation><nlm:aff id="Aff23">MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, England UK</nlm:aff>
<wicri:noCountry code="subfield">England UK</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff24">NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford</wicri:regionArea>
</affiliation>
</author>
</analytic>
<series><title level="j">BMC Geriatrics</title>
<idno type="eISSN">1471-2318</idno>
<imprint><date when="2016">2016</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.</p>
</sec>
<sec><title>Methods</title>
<p>This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.</p>
</sec>
<sec><title>Results</title>
<p>This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.</p>
</sec>
<sec><title>Conclusions</title>
<p>Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.</p>
</sec>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Geriatr</journal-id>
<journal-id journal-id-type="iso-abbrev">BMC Geriatr</journal-id>
<journal-title-group><journal-title>BMC Geriatrics</journal-title>
</journal-title-group>
<issn pub-type="epub">1471-2318</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">27716195</article-id>
<article-id pub-id-type="pmc">5052976</article-id>
<article-id pub-id-type="publisher-id">349</article-id>
<article-id pub-id-type="doi">10.1186/s12877-016-0349-4</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Debate</subject>
</subj-group>
</article-categories>
<title-group><article-title>Sarcopenia in daily practice: assessment and management</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-0827-5303</contrib-id>
<name><surname>Beaudart</surname>
<given-names>Charlotte</given-names>
</name>
<address><phone>0032 43664933</phone>
<email>c.beaudart@ulg.ac.be</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McCloskey</surname>
<given-names>Eugène</given-names>
</name>
<address><email>e.v.mccloskey@sheffield.ac.uk</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
<xref ref-type="aff" rid="Aff3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bruyère</surname>
<given-names>Olivier</given-names>
</name>
<address><email>olivier.bruyere@ulg.ac.be</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cesari</surname>
<given-names>Matteo</given-names>
</name>
<address><email>macesari@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff4">4</xref>
<xref ref-type="aff" rid="Aff5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rolland</surname>
<given-names>Yves</given-names>
</name>
<address><email>rolland.y@chu-toulouse.fr</email>
</address>
<xref ref-type="aff" rid="Aff6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Rizzoli</surname>
<given-names>René</given-names>
</name>
<address><email>rene.rizzoli@unige.ch</email>
</address>
<xref ref-type="aff" rid="Aff7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Araujo de Carvalho</surname>
<given-names>Islène</given-names>
</name>
<address><email>araujodecarvalho@who.int</email>
</address>
<xref ref-type="aff" rid="Aff8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Amuthavalli Thiyagarajan</surname>
<given-names>Jotheeswaran</given-names>
</name>
<address><email>amuthavallithiya@who.int</email>
</address>
<xref ref-type="aff" rid="Aff8">8</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bautmans</surname>
<given-names>Ivan</given-names>
</name>
<address><email>ivan.bautmans@vub.ac.be</email>
</address>
<xref ref-type="aff" rid="Aff9">9</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bertière</surname>
<given-names>Marie-Claude</given-names>
</name>
<address><email>mcbertiere@cerin.org</email>
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<xref ref-type="aff" rid="Aff10">10</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Brandi</surname>
<given-names>Maria Luisa</given-names>
</name>
<address><email>marialuisa.brandi@unifi.it</email>
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<xref ref-type="aff" rid="Aff11">11</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Al-Daghri</surname>
<given-names>Nasser M.</given-names>
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<address><email>aldaghri2011@gmail.com</email>
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<xref ref-type="aff" rid="Aff12">12</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Burlet</surname>
<given-names>Nansa</given-names>
</name>
<address><email>nansaburlet@gmail.com</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cavalier</surname>
<given-names>Etienne</given-names>
</name>
<address><email>etienne.cavalier@chu.ulg.ac.be</email>
</address>
<xref ref-type="aff" rid="Aff13">13</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cerreta</surname>
<given-names>Francesca</given-names>
</name>
<address><email>francesca.cerreta@ema.europa.eu</email>
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<xref ref-type="aff" rid="Aff14">14</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cherubini</surname>
<given-names>Antonio</given-names>
</name>
<address><email>a.cherubini@inrca.it</email>
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<xref ref-type="aff" rid="Aff15">15</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fielding</surname>
<given-names>Roger</given-names>
</name>
<address><email>roger.fielding@tufts.edu</email>
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</contrib>
<contrib contrib-type="author"><name><surname>Gielen</surname>
<given-names>Evelien</given-names>
</name>
<address><email>evelien.gielen@uzleuven.be</email>
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<xref ref-type="aff" rid="Aff17">17</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Landi</surname>
<given-names>Francesco</given-names>
</name>
<address><email>francesco.landi@rm.unicatt.it</email>
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</contrib>
<contrib contrib-type="author"><name><surname>Petermans</surname>
<given-names>Jean</given-names>
</name>
<address><email>jean.petermans@chu.ulg.ac.be</email>
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</contrib>
<contrib contrib-type="author"><name><surname>Reginster</surname>
<given-names>Jean-Yves</given-names>
</name>
<address><email>jyr.ch@bluewin.ch</email>
</address>
<xref ref-type="aff" rid="Aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Visser</surname>
<given-names>Marjolein</given-names>
</name>
<address><email>m.visser@vu.nl</email>
</address>
<xref ref-type="aff" rid="Aff20">20</xref>
<xref ref-type="aff" rid="Aff21">21</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kanis</surname>
<given-names>John</given-names>
</name>
<address><email>jakanis@outlook.com</email>
</address>
<xref ref-type="aff" rid="Aff2">2</xref>
<xref ref-type="aff" rid="Aff22">22</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cooper</surname>
<given-names>Cyrus</given-names>
</name>
<address><email>cc@mrc.soton.ac.uk</email>
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<xref ref-type="aff" rid="Aff23">23</xref>
<xref ref-type="aff" rid="Aff24">24</xref>
</contrib>
<aff id="Aff1"><label>1</label>
Department of Public Health, Epidemiology and Health Economics, University of Liège, Avenue Hippocrate 13, CHU B23, 4000 Liège, Belgium</aff>
<aff id="Aff2"><label>2</label>
Centre for Metabolic Bone Diseases, University of Sheffield, Sheffield, UK</aff>
<aff id="Aff3"><label>3</label>
MRC and Arthritis Research UK Centre for Integrated research in Musculoskeletal Ageing (CIMA), London, UK</aff>
<aff id="Aff4"><label>4</label>
Gérontopôle, University Hospital of Toulouse, Toulouse, France</aff>
<aff id="Aff5"><label>5</label>
INSERM UMR1027, University of Toulouse III Paul Sabatier, Toulouse, France</aff>
<aff id="Aff6"><label>6</label>
Gérontopôle of Toulouse, University of Toulouse III, CHU Purpan, Toulouse, France</aff>
<aff id="Aff7"><label>7</label>
Service of Bone Diseases, Faculty of Medicine, Geneva University Hospitals, Geneva, Switzerland</aff>
<aff id="Aff8"><label>8</label>
World Health Organization, Geneva, Switzerland</aff>
<aff id="Aff9"><label>9</label>
Gerontology and Frailty in Ageing Research Department, Vrije Universiteit Brussel (VUB), Brussels, Belgium</aff>
<aff id="Aff10"><label>10</label>
Centre de Recherche et d’information Nutritionnelles, Paris, France</aff>
<aff id="Aff11"><label>11</label>
Department of Surgery and Translational Medicine, University of Florence, viale Pieraccini 6, 59139 Florence, Italy</aff>
<aff id="Aff12"><label>12</label>
Prince Mutaib Chair for Biomarkers of Osteoporosis, Biochemistry Department, College of Science, King Saud University, Riyadh, 11451 Saudi Arabia</aff>
<aff id="Aff13"><label>13</label>
Department of Clinical Chemistry, University of Liège, CHU Sart-Tilman, Bât B35, 4000 Liège, Belgium</aff>
<aff id="Aff14"><label>14</label>
Human Medicines Research and Development Support Division, Scientific Advice, London, UK</aff>
<aff id="Aff15"><label>15</label>
Geriatrics and Geriatric Emergency Care, IRCCS-INRCA, Ancona, Italy</aff>
<aff id="Aff16"><label>16</label>
Nutrition, Exercise Physiology and Sarcopenia Laboratory, Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, USA</aff>
<aff id="Aff17"><label>17</label>
Department of Geriatric Medicine, Katholieke Universiteit Leuven, Leuven, Belgium</aff>
<aff id="Aff18"><label>18</label>
Department of Geriatrics, Neurosciences and Orthopedics, Catholic University of the Sacred Heart Rome, Milano, Italy</aff>
<aff id="Aff19"><label>19</label>
Geriatric Department, CHU Sart-Tilman, Bât B35, 4000 Liège, Belgium</aff>
<aff id="Aff20"><label>20</label>
Department of Health Sciences, VU University Amsterdam, Amsterdam, Netherlands</aff>
<aff id="Aff21"><label>21</label>
Department of Nutrition and Dietetics, Internal Medicine, VU University Medical Center, Amsterdam, Netherlands</aff>
<aff id="Aff22"><label>22</label>
Institute for Health and Aging, Catholic University of Australia, Melbourne, Australia</aff>
<aff id="Aff23"><label>23</label>
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, England UK</aff>
<aff id="Aff24"><label>24</label>
NIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, UK</aff>
</contrib-group>
<pub-date pub-type="epub"><day>5</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>5</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="collection"><year>2016</year>
</pub-date>
<volume>16</volume>
<elocation-id>170</elocation-id>
<history><date date-type="received"><day>24</day>
<month>3</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>29</day>
<month>9</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s). 2016</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><sec><title>Background</title>
<p>Sarcopenia is increasingly recognized as a correlate of ageing and is associated with increased likelihood of adverse outcomes including falls, fractures, frailty and mortality. Several tools have been recommended to assess muscle mass, muscle strength and physical performance in clinical trials. Whilst these tools have proven to be accurate and reliable in investigational settings, many are not easily applied to daily practice.</p>
</sec>
<sec><title>Methods</title>
<p>This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were afterwards organized for the whole group to make amendments and discuss further recommendations.</p>
</sec>
<sec><title>Results</title>
<p>This paper proposes some user-friendly and inexpensive methods that can be used to assess sarcopenia in real-life settings. Healthcare providers, particularly in primary care, should consider an assessment of sarcopenia in individuals at increased risk; suggested tools for assessing risk include the Red Flag Method, the SARC-F questionnaire, the SMI method or different prediction equations. Management of sarcopenia should primarily be patient centered and involve the combination of both resistance and endurance based activity programmes with or without dietary interventions. Development of a number of pharmacological interventions is also in progress.</p>
</sec>
<sec><title>Conclusions</title>
<p>Assessment of sarcopenia in individuals with risk factors, symptoms and/or conditions exposing them to the risk of disability will become particularly important in the near future.</p>
</sec>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Sarcopenia</kwd>
<kwd>Daily practice</kwd>
<kwd>Assessment</kwd>
<kwd>Management</kwd>
<kwd>Tools</kwd>
</kwd-group>
<funding-group><award-group><funding-source><institution>European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis</institution>
</funding-source>
</award-group>
</funding-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2016</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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