Sarcopenia: European consensus on definition and diagnosis
Identifieur interne : 001855 ( Istex/Corpus ); précédent : 001854; suivant : 001856Sarcopenia: European consensus on definition and diagnosis
Auteurs : Alfonso J. Cruz-Jentoft ; Jean Pierre Baeyens ; Jrgen M. Bauer ; Yves Boirie ; Tommy Cederholm ; Francesco Landi ; Finbarr C. Martin ; Jean-Pierre Michel ; Yves Rolland ; Stphane M. Schneider ; Eva Topinkov ; Maurits Vandewoude ; Mauro ZamboniSource :
- Age and Ageing [ 0002-0729 ] ; 2010-07.
Abstract
The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.
Url:
DOI: 10.1093/ageing/afq034
Links to Exploration step
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<front><div type="abstract">The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.</div>
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<abstract>The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.</abstract>
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<subtitle>Report of the European Working Group on Sarcopenia in Older People</subtitle>
<alt-title alt-title-type="right-running">Definition and diagnosis of sarcopenia</alt-title>
<alt-title>A. J. Cruz-Gentoft <italic>et al.</italic>
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<given-names>Alfonso J.</given-names>
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<contrib contrib-type="author"><name><surname>Baeyens</surname>
<given-names>Jean Pierre</given-names>
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<contrib contrib-type="author"><name><surname>Bauer</surname>
<given-names>Jürgen M.</given-names>
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<contrib contrib-type="author"><name><surname>Boirie</surname>
<given-names>Yves</given-names>
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<xref ref-type="aff" rid="af4">4</xref>
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<contrib contrib-type="author"><name><surname>Cederholm</surname>
<given-names>Tommy</given-names>
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<xref ref-type="aff" rid="af5">5</xref>
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<contrib contrib-type="author"><name><surname>Landi</surname>
<given-names>Francesco</given-names>
</name>
<xref ref-type="aff" rid="af6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Martin</surname>
<given-names>Finbarr C.</given-names>
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<given-names>Jean-Pierre</given-names>
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<xref ref-type="aff" rid="af8">8</xref>
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<contrib contrib-type="author"><name><surname>Rolland</surname>
<given-names>Yves</given-names>
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<xref ref-type="aff" rid="af9">9</xref>
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<contrib contrib-type="author"><name><surname>Schneider</surname>
<given-names>Stéphane M.</given-names>
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<given-names>Eva</given-names>
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<contrib contrib-type="author"><name><surname>Vandewoude</surname>
<given-names>Maurits</given-names>
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<aff id="af1"><label>1</label>
<addr-line>Servicio de Geriatría</addr-line>
, <institution>Hospital Universitario Ramón y Cajal</institution>
, <addr-line>Madrid</addr-line>
, <country>Spain</country>
</aff>
<aff id="af2"><label>2</label>
<institution>AZ Damiaan Hospital</institution>
, <addr-line>Oostende</addr-line>
, <country>Belgium</country>
</aff>
<aff id="af3"><label>3</label>
<addr-line>Department of Geriatric Medicine</addr-line>
, <institution>University of Erlangen-Nürnberg</institution>
, <addr-line>Nürnberg</addr-line>
, <country>Germany</country>
</aff>
<aff id="af4"><label>4</label>
<institution>Clermont Université</institution>
, <addr-line>UFR Médecine, UMR 1019, F-63001 Clermont-Ferrand</addr-line>
, <country>France</country>
</aff>
<aff id="af5"><label>5</label>
<addr-line>Institutionen för Folkhälso- och Vårdvetenskap/Klinisk Nutrition och Metabolism</addr-line>
, <institution>Uppsala Universitet</institution>
, <addr-line>Uppsala</addr-line>
, <country>Sweden</country>
</aff>
<aff id="af6"><label>6</label>
<addr-line>Istituto di Medicina Interna e Geriatria</addr-line>
, <institution>Università Cattolica del Sacro Cuore</institution>
, <addr-line>Roma</addr-line>
, <country>Italy</country>
</aff>
<aff id="af7"><label>7</label>
<addr-line>Department of Ageing and Health</addr-line>
, <institution>Guys and St Thomas' NHS Foundation Trust</institution>
, <addr-line>London</addr-line>
, <country>UK</country>
</aff>
<aff id="af8"><label>8</label>
<addr-line>Département de Réhabilitation et Gériatrie</addr-line>
, <institution>Hôpitaux Universitaires de Genève</institution>
, <addr-line>Geneva</addr-line>
, <country>Switzerland</country>
</aff>
<aff id="af9"><label>9</label>
<addr-line>Gérontopôle de Toulouse</addr-line>
, <institution>Hospital La Grave-Casselardit</institution>
, <addr-line>Toulouse</addr-line>
, <country>France</country>
</aff>
<aff id="af10"><label>10</label>
<addr-line>Gastroentérologie et Nutrition Clinique, CHU de Nice</addr-line>
, <institution>Université de Nice Sophia-Antipolis</institution>
, <addr-line>Nice</addr-line>
, <country>France</country>
</aff>
<aff id="af11"><label>11</label>
<addr-line>Geriatrická Klinika 1 Lékařská Fakulta</addr-line>
, <institution>Univerzita Karlova v Praze</institution>
, <addr-line>Prague</addr-line>
, <country>Czech Republic</country>
</aff>
<aff id="af12"><label>12</label>
<addr-line>Department of Geriatrics</addr-line>
, <institution>University of Antwerp</institution>
, <addr-line>Ziekenhuisnetwerk Antwerpen (ZNA), Antwerp</addr-line>
, <country>Belgium</country>
</aff>
<aff id="af13"><label>13</label>
<addr-line>Department of Biomedical and Surgical Sciences, Division of Geriatrics</addr-line>
, <institution>University of Verona</institution>
, <addr-line>Verona</addr-line>
, <country>Italy</country>
</aff>
<author-notes><corresp>Address correspondence to: Alfonso J. Cruz-Jentoft, Servicio de Geriatría, Hospital Universitario Ramón y Cajal, Ctra. Colmenar, km 9,1, 28034 Madrid, Spain. Tel: +34 913368172.
Email: <email>acruz.hrc@salud.madrid.org</email>
</corresp>
<fn id="fn1"><p>Endorsed by the European Geriatric Medicine Society (EUGMS), the European Society for Clinical Nutrition and Metabolism (ESPEN), the International Association of Gerontology and Geriatrics—European Region (IAGG-ER) and the International Association of Nutrition and Aging (IANA).</p>
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<pub-date pub-type="ppub"><month>7</month>
<year>2010</year>
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<pub-date pub-type="epub"><day>13</day>
<month>4</month>
<year>2010</year>
</pub-date>
<volume>39</volume>
<issue>4</issue>
<fpage>412</fpage>
<lpage>423</lpage>
<permissions><copyright-statement>© The Author 2010. Published by Oxford University Press on behalf of the British Geriatrics Society.</copyright-statement>
<copyright-year>2010</copyright-year>
<copyright-holder>Oxford University Press</copyright-holder>
<license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/2.5/"><p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/2.5/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</p>
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<abstract><p>The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and Geriatrics—European Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document.</p>
<p>The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity?</p>
<p>For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as ‘presarcopenia’, ‘sarcopenia’ and ‘severe sarcopenia’<italic>.</italic>
EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research.</p>
<p>Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.</p>
</abstract>
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<abstract>The European Working Group on Sarcopenia in Older People (EWGSOP) developed a practical clinical definition and consensus diagnostic criteria for age-related sarcopenia. EWGSOP included representatives from four participant organisations, i.e. the European Geriatric Medicine Society, the European Society for Clinical Nutrition and Metabolism, the International Association of Gerontology and GeriatricsEuropean Region and the International Association of Nutrition and Aging. These organisations endorsed the findings in the final document. The group met and addressed the following questions, using the medical literature to build evidence-based answers: (i) What is sarcopenia? (ii) What parameters define sarcopenia? (iii) What variables reflect these parameters, and what measurement tools and cut-off points can be used? (iv) How does sarcopenia relate to cachexia, frailty and sarcopenic obesity? For the diagnosis of sarcopenia, EWGSOP recommends using the presence of both low muscle mass + low muscle function (strength or performance). EWGSOP variously applies these characteristics to further define conceptual stages as presarcopenia, sarcopenia and severe sarcopenia. EWGSOP reviewed a wide range of tools that can be used to measure the specific variables of muscle mass, muscle strength and physical performance. Our paper summarises currently available data defining sarcopenia cut-off points by age and gender; suggests an algorithm for sarcopenia case finding in older individuals based on measurements of gait speed, grip strength and muscle mass; and presents a list of suggested primary and secondary outcome domains for research. Once an operational definition of sarcopenia is adopted and included in the mainstream of comprehensive geriatric assessment, the next steps are to define the natural course of sarcopenia and to develop and define effective treatment.</abstract>
<note type="footnotes">Endorsed by the European Geriatric Medicine Society (EUGMS), the European Society for Clinical Nutrition and Metabolism (ESPEN), the International Association of Gerontology and GeriatricsEuropean Region (IAGG-ER) and the International Association of Nutrition and Aging (IANA).</note>
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