Objectives: Sarcopenia is the age-dependent loss of
skeletal muscle mass and strength which causes disability,
falls and hospitalizations in the elderly. A definite
consensus on the diagnosis of sarcopenia has not been
reached yet (2). The aim of this study was to assess the
prevalence of sarcopenia by SARC-F -a simple clinical
symptom index (1) and to investigate the relationship
between SARC-F scores and body composition parameters,
muscle strength. functional status and physical
performance scores in a group of geriatric patients.
Methods: 60 patients from the outpatient clinics of
Physical Medicine and Rehabilitation department were
recruited according to the eligibility criteria. The demographical
and clinical characteristics were recorded.
Body composition comprising BMI, body fat, fat-free
mass; muscle strength assessed by grip strength measurement
and functional status assessed by short physical
performance battery (SPPB) were determined. 4m
gait speed, chair stand and balance tests were performed.
The nutritional status assessed by mini nutritional
assessment (MNA), and physical activity status
assessed by Physical Activity Scale for the Elderly
(PASE) were also recorded.
Results: 9 male and 51 female patients with a mean age
of 66+4.8 y were included to the study. The mean BMI
was 30.2±5.4 kg/m2. 13.3% of patients had falls, 75%
of them were nonsmokers, 92% nonalcoholic and 76%
of them had more than two chronic diseases. 18% of the
patients had sarcopenia. The demographical and clinical
parameters except BMI, number of falls and the scores
of chair stand and balance tests, were similar between
patients with and without sarcopenia (Table 1). There
were negative correlations between the scores of
SARC-F and the grip strength (p:0.002,r:-0.39) chair
stand (p:0.000, r:-0.44, balance test (p:0.033, r:-0.28)
and SBBP total scores (p:0.011,r:-0.33).
Conclusion: Nearly 20% of the elderly had sarcopenia,
in whom obesity and falls were common. Sarcopenia
screened using SARC-F was associated with decreased
muscle strength, balance and increased functional disability.
We suggest the use of SARC-F as an easy,
quick and practical screening tool for the diagnosis of
sarcopenic elderly in the routine clinical practice.
1. Malmstrom TK and Morley JE. J Am Med Dir Assoc
2. McLean RR and Kiel DP. J Bone Mineral Res 2015;30:588.