Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia

Abstract Background Sarcopenia is associated with adverse outcomes in older people. Several tools are recommended to assess muscle mass, muscle strength and physical performance, but are not always available in daily practice. Objective The aim of the present study is to evaluate if there is a corre...

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Main Authors: Sara Salini, Andrea Russo, Riccardo Calvani, Marcello Covino, Anna Maria Martone, Matteo Tosato, Francesco Paolo Damiano, Anna Picca, Emanuele Marzetti, Francesco Landi
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03231-z
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author Sara Salini
Andrea Russo
Riccardo Calvani
Marcello Covino
Anna Maria Martone
Matteo Tosato
Francesco Paolo Damiano
Anna Picca
Emanuele Marzetti
Francesco Landi
author_facet Sara Salini
Andrea Russo
Riccardo Calvani
Marcello Covino
Anna Maria Martone
Matteo Tosato
Francesco Paolo Damiano
Anna Picca
Emanuele Marzetti
Francesco Landi
author_sort Sara Salini
collection DOAJ
description Abstract Background Sarcopenia is associated with adverse outcomes in older people. Several tools are recommended to assess muscle mass, muscle strength and physical performance, but are not always available in daily practice. Objective The aim of the present study is to evaluate if there is a correlation between the personal perception of physical performance (assessed through a question on personal functional status) and the effective presence of sarcopenia (according to the EWGSOP2 definition) using data from the Longevity Check-up 7 + project. Design Cross-sectional study. Setting The Longevity Check-up 7 + project is an ongoing study started in June 2015 and conducted in unconventional settings (i.e., exhibitions, malls, and health promotion campaigns). Subjects Candidate participants are eligible for enrollment if they are at least 18 years of age and provide written informed consent. For the present study subjects 65 years age old and older have been considered (n = 2901). Methods According to the most recent EWGSOP2 consensus definition, subjects were defined to be affected by probable sarcopenia when handgrip strength was less than 27 kg in male and less than 16 kg in female, respectively. Furthermore, a single question assessed the perceived health status regarding own physical performance: “Do you have any difficulty in walking 400 m?”. Results Using the EWGSOP2 algorithm, 529 (18,9%) participants were identified as affected by probable sarcopenia with a significant higher prevalence among subjects with self-reported difficulty in walking 400 m compared to participant without any difficulty (33.6% versus 13.1%, respectively; p < 0.001). Relative to participants without self-reported difficulty, those subjects with self-reported difficulty in walking 400 m showed a significantly higher risk of sarcopenia (odds ratio [OR]: 3.34; 95% confidence interval [CI]: 2.75–4.07). Conclusions A single “Red Flag” question such as “Do you have any difficulty in walking 400 m?” should be considered as a recommended method for screening probable sarcopenia risk.
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spelling doaj.art-87cc3bc334564acea9407d175f703f582022-12-22T00:25:09ZengBMCBMC Geriatrics1471-23182022-06-012211910.1186/s12877-022-03231-zSelf-reported difficulty in walking 400 meters: the “red flag” for probable sarcopeniaSara Salini0Andrea Russo1Riccardo Calvani2Marcello Covino3Anna Maria Martone4Matteo Tosato5Francesco Paolo Damiano6Anna Picca7Emanuele Marzetti8Francesco Landi9Fondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSFondazione Policlinico Universitario “Agostino Gemelli” IRCCSAbstract Background Sarcopenia is associated with adverse outcomes in older people. Several tools are recommended to assess muscle mass, muscle strength and physical performance, but are not always available in daily practice. Objective The aim of the present study is to evaluate if there is a correlation between the personal perception of physical performance (assessed through a question on personal functional status) and the effective presence of sarcopenia (according to the EWGSOP2 definition) using data from the Longevity Check-up 7 + project. Design Cross-sectional study. Setting The Longevity Check-up 7 + project is an ongoing study started in June 2015 and conducted in unconventional settings (i.e., exhibitions, malls, and health promotion campaigns). Subjects Candidate participants are eligible for enrollment if they are at least 18 years of age and provide written informed consent. For the present study subjects 65 years age old and older have been considered (n = 2901). Methods According to the most recent EWGSOP2 consensus definition, subjects were defined to be affected by probable sarcopenia when handgrip strength was less than 27 kg in male and less than 16 kg in female, respectively. Furthermore, a single question assessed the perceived health status regarding own physical performance: “Do you have any difficulty in walking 400 m?”. Results Using the EWGSOP2 algorithm, 529 (18,9%) participants were identified as affected by probable sarcopenia with a significant higher prevalence among subjects with self-reported difficulty in walking 400 m compared to participant without any difficulty (33.6% versus 13.1%, respectively; p < 0.001). Relative to participants without self-reported difficulty, those subjects with self-reported difficulty in walking 400 m showed a significantly higher risk of sarcopenia (odds ratio [OR]: 3.34; 95% confidence interval [CI]: 2.75–4.07). Conclusions A single “Red Flag” question such as “Do you have any difficulty in walking 400 m?” should be considered as a recommended method for screening probable sarcopenia risk.https://doi.org/10.1186/s12877-022-03231-zMuscle strengthPhysical performanceSarcopeniaFrailty400 m walking test
spellingShingle Sara Salini
Andrea Russo
Riccardo Calvani
Marcello Covino
Anna Maria Martone
Matteo Tosato
Francesco Paolo Damiano
Anna Picca
Emanuele Marzetti
Francesco Landi
Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
BMC Geriatrics
Muscle strength
Physical performance
Sarcopenia
Frailty
400 m walking test
title Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
title_full Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
title_fullStr Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
title_full_unstemmed Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
title_short Self-reported difficulty in walking 400 meters: the “red flag” for probable sarcopenia
title_sort self reported difficulty in walking 400 meters the red flag for probable sarcopenia
topic Muscle strength
Physical performance
Sarcopenia
Frailty
400 m walking test
url https://doi.org/10.1186/s12877-022-03231-z
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