SARCOPENIA: A REVIEW OF THE VALIDITY AND USEFULNESS OF FIVE COMMONLY EMPLOYED SCREENING TESTS FOR EARLY DETECTION IN CLINICAL PRACTICE

Main Article Content

Joseph Miller

Keywords

Sarcopenia, Older Adults, Screening Procedures, Physical Function

Abstract

Objective: Sarcopenia is defined as a progressive, generalized loss of skeletal muscle mass and strength. Early detection with screening procedures is thought to be a key to mitigating the damage of sarcopenia. Sarcopenia often goes unrecognized in primary health care settings. Chiropractors are uniquely positioned to play an important role in screening this condition. The purpose of this paper is to review the evidence assessing the validity and usefulness of 5 commonly applied sarcopenia screening tools for use in clinical settings.


Methods: MEDLINE, PubMed, Scopus and Google Scholar searches were conducted to identify relevant papers published between 1985-2021. Three questions drove this review: what is the prevalence of sarcopenia; what are the potential health consequences of sarcopenia; and, what screening tools are available for the early detection of sarcopenia.


Results: Papers were screened according to the following eligibility criteria. Population: community dwelling adults aged 40 and over; men and women screened for sarcopenia with clear-cut diagnostic criteria. Studies were included in the review if they were RCT’s, reviews or guidelines. Limits: English language, human adults. Of Of 3,224 records a total of 36 papers were included in this review. Although researchers generally are in agreement of the need for screening tools to identify sarcopenia in clinical settings, there is no consensus about which screening tools are most useful at performing this task.


Conclusions: This paper presents evidence on the predictive value of five screening tools for sarcopenia. This data has importance to chiropractors who by their practice privileges are uniquely positioned to detect patients at risk for sarcopenia with use of viable screening tools. Although more research is needed to determine the most effective screening tools for sarcopenia, utilization of these procedures, by chiropractors, may be valuable in helping to mitigate health consequences related to sarcopenia.

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