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Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study

Pedro Pugliesi Abdalla, Ana Cláudia Rossini Venturini, André Pereira dos Santos, Marcio Tasinafo, José Augusto Gonçalves Marini, Thiago Cândido Alves, Alcivandro de Sousa Oliveira, Jorge Mota, Gareth Stratton Orcid Logo, Dalmo Roberto Lopes Machado

Nutrición Hospitalaria, Volume: 38, Issue: 4, Pages: 729 - 735

Swansea University Author: Gareth Stratton Orcid Logo

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DOI (Published version): 10.20960/nh.03572

Abstract

Introduction: functional limitation is a result of sarcopenia and is associated with loss of skeletal muscle mass (SMM). Cost-effective methods are important for the identification of sarcopenia. Objective: to propose cutoff points for normalized calf circumference (CC) in order to identify low SMM...

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Published in: Nutrición Hospitalaria
ISSN: 0212-1611 1699-5198
Published: ARAN Ediciones 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa57095
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spelling 2021-09-10T14:00:59.3576991 v2 57095 2021-06-11 Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study 6d62b2ed126961bed81a94a2beba8a01 0000-0001-5618-0803 Gareth Stratton Gareth Stratton true false 2021-06-11 STSC Introduction: functional limitation is a result of sarcopenia and is associated with loss of skeletal muscle mass (SMM). Cost-effective methods are important for the identification of sarcopenia. Objective: to propose cutoff points for normalized calf circumference (CC) in order to identify low SMM in older women based on their functional limitation. Methods: in this descriptive, cross-sectional study the CC values of a young female sample (n = 78) were used to establish cutoff points (-2 SD) for low SMM in older women (n = 67). Functional limitation was identified by the six-minute walk test (≤ 400 m). CC was normalized by body mass, height, and BMI. The diagnostic accuracy of CC was calculated with a ROC curve, using functional limitation as standard. Results: cutoff points and area under the curve (AUC) were: CC (≤ 28.5; 0.62); CC·body mass-1 (≤ 0.40; 0.63); CC·height-2 (≤ 8.52; 0.55) and CC·BMI-1 (≤ 1.10; 0.73). Only CC·BMI-1 achieved a desirable accuracy (AUC > 0.7) to distinguish functional limitation. Conclusion: the accuracy attained supports the use of CC·BMI-1 to identify low SMM in older women. In the clinical context it is possible to predict the risk of sarcopenia when sophisticated methods for determining SMM are not available. Journal Article Nutrición Hospitalaria 38 4 729 735 ARAN Ediciones 0212-1611 1699-5198 Aged. Anthropometry. Frail elderly. Mobility disability. Muscle mass. 1 7 2021 2021-07-01 10.20960/nh.03572 COLLEGE NANME Sport and Exercise Sciences COLLEGE CODE STSC Swansea University 2021-09-10T14:00:59.3576991 2021-06-11T09:08:54.0133973 Faculty of Science and Engineering School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences Pedro Pugliesi Abdalla 1 Ana Cláudia Rossini Venturini 2 André Pereira dos Santos 3 Marcio Tasinafo 4 José Augusto Gonçalves Marini 5 Thiago Cândido Alves 6 Alcivandro de Sousa Oliveira 7 Jorge Mota 8 Gareth Stratton 0000-0001-5618-0803 9 Dalmo Roberto Lopes Machado 10 57095__20817__5228770a20e34badbe36c2c85696a743.pdf 57095.pdf 2021-09-10T13:59:16.0616141 Output 901159 application/pdf Version of Record true Released under the terms of a Creative Commons 4.4 CC BY-NC-SA license true eng https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode
title Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
spellingShingle Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
Gareth Stratton
title_short Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
title_full Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
title_fullStr Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
title_full_unstemmed Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
title_sort Normalizing calf circumference to identify low skeletal muscle mass in older women: a cross-sectional study
author_id_str_mv 6d62b2ed126961bed81a94a2beba8a01
author_id_fullname_str_mv 6d62b2ed126961bed81a94a2beba8a01_***_Gareth Stratton
author Gareth Stratton
author2 Pedro Pugliesi Abdalla
Ana Cláudia Rossini Venturini
André Pereira dos Santos
Marcio Tasinafo
José Augusto Gonçalves Marini
Thiago Cândido Alves
Alcivandro de Sousa Oliveira
Jorge Mota
Gareth Stratton
Dalmo Roberto Lopes Machado
format Journal article
container_title Nutrición Hospitalaria
container_volume 38
container_issue 4
container_start_page 729
publishDate 2021
institution Swansea University
issn 0212-1611
1699-5198
doi_str_mv 10.20960/nh.03572
publisher ARAN Ediciones
college_str Faculty of Science and Engineering
hierarchytype
hierarchy_top_id facultyofscienceandengineering
hierarchy_top_title Faculty of Science and Engineering
hierarchy_parent_id facultyofscienceandengineering
hierarchy_parent_title Faculty of Science and Engineering
department_str School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Aerospace, Civil, Electrical, General and Mechanical Engineering - Sport and Exercise Sciences
document_store_str 1
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description Introduction: functional limitation is a result of sarcopenia and is associated with loss of skeletal muscle mass (SMM). Cost-effective methods are important for the identification of sarcopenia. Objective: to propose cutoff points for normalized calf circumference (CC) in order to identify low SMM in older women based on their functional limitation. Methods: in this descriptive, cross-sectional study the CC values of a young female sample (n = 78) were used to establish cutoff points (-2 SD) for low SMM in older women (n = 67). Functional limitation was identified by the six-minute walk test (≤ 400 m). CC was normalized by body mass, height, and BMI. The diagnostic accuracy of CC was calculated with a ROC curve, using functional limitation as standard. Results: cutoff points and area under the curve (AUC) were: CC (≤ 28.5; 0.62); CC·body mass-1 (≤ 0.40; 0.63); CC·height-2 (≤ 8.52; 0.55) and CC·BMI-1 (≤ 1.10; 0.73). Only CC·BMI-1 achieved a desirable accuracy (AUC > 0.7) to distinguish functional limitation. Conclusion: the accuracy attained supports the use of CC·BMI-1 to identify low SMM in older women. In the clinical context it is possible to predict the risk of sarcopenia when sophisticated methods for determining SMM are not available.
published_date 2021-07-01T04:12:34Z
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