South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document

The South Asian population is rapidly ageing and sarcopenia is likely to become a huge burden in this region if proper action is not taken in time. Several sarcopenia guidelines are available, from the western world and from East Asia. However, these guidelines are not fully relevant for the South A...

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Main Authors: Minakshi Dhar, Nitin Kapoor, Ketut Suastika, Mohammad E. Khamseh, Shahjada Selim, Vijay Kumar, Syed Abbas Raza, Umal Azmat, Monika Pathania, Yovan Parikshat Rai Mahadeb, Sunny Singhal, Mohammad Wali Naseri, IGP Suka Aryana, Subarna Dhoj Thapa, Jubbin Jacob, Noel Somasundaram, Ali Latheef, Guru Prasad Dhakal, Sanjay Kalra
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Osteoporosis and Sarcopenia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240552552200022X
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author Minakshi Dhar
Nitin Kapoor
Ketut Suastika
Mohammad E. Khamseh
Shahjada Selim
Vijay Kumar
Syed Abbas Raza
Umal Azmat
Monika Pathania
Yovan Parikshat Rai Mahadeb
Sunny Singhal
Mohammad Wali Naseri
IGP Suka Aryana
Subarna Dhoj Thapa
Jubbin Jacob
Noel Somasundaram
Ali Latheef
Guru Prasad Dhakal
Sanjay Kalra
author_facet Minakshi Dhar
Nitin Kapoor
Ketut Suastika
Mohammad E. Khamseh
Shahjada Selim
Vijay Kumar
Syed Abbas Raza
Umal Azmat
Monika Pathania
Yovan Parikshat Rai Mahadeb
Sunny Singhal
Mohammad Wali Naseri
IGP Suka Aryana
Subarna Dhoj Thapa
Jubbin Jacob
Noel Somasundaram
Ali Latheef
Guru Prasad Dhakal
Sanjay Kalra
author_sort Minakshi Dhar
collection DOAJ
description The South Asian population is rapidly ageing and sarcopenia is likely to become a huge burden in this region if proper action is not taken in time. Several sarcopenia guidelines are available, from the western world and from East Asia. However, these guidelines are not fully relevant for the South Asian healthcare ecosystem. South Asia is ethnically, culturally, and phenotypically unique. Additionally, the region is seeing an increase in non-communicable lifestyle disease and obesity. Both these conditions can lead to sarcopenia. However, secondary sarcopenia and sarcopenic obesity are either not dealt with in detail or are missing in other guidelines. Hence, we present a consensus on the screening, diagnosis and management of sarcopenia, which addresses the gaps in the current guidelines. This South Asian consensus gives equal importance to muscle function, muscle strength, and muscle mass; provides cost-effective clinical and easy to implement solutions; highlights secondary sarcopenia and sarcopenic obesity; lists commonly used biomarkers; reminds us that osteo-arthro-muscular triad should be seen as a single entity to address sarcopenia; stresses on prevention over treatment; and prioritizes non-pharmacological over pharmacological management. As literature is scarce from this region, the authors call for more South Asian research guided interventions.
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spelling doaj.art-f0d3c28b28a84bd5bae01bd6c0026d032022-12-22T02:44:18ZengElsevierOsteoporosis and Sarcopenia2405-52552022-06-01823557South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus documentMinakshi Dhar0Nitin Kapoor1Ketut Suastika2Mohammad E. Khamseh3Shahjada Selim4Vijay Kumar5Syed Abbas Raza6Umal Azmat7Monika Pathania8Yovan Parikshat Rai Mahadeb9Sunny Singhal10Mohammad Wali Naseri11IGP Suka Aryana12Subarna Dhoj Thapa13Jubbin Jacob14Noel Somasundaram15Ali Latheef16Guru Prasad Dhakal17Sanjay Kalra18Department of Internal Medicine, AIIMS, Rishikesh, IndiaDepartment of Endocrinology, Christian Medical College, Vellore, Tamil Nadu, India; Non Communicable Disease Unit, The Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, AustraliaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Medicine, Udayana University Denpasar, Bali, IndonesiaEndocrine Research Center, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, IranDepartment of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Geriatric Medicine AIIMS New Delhi, IndiaDepartment of Medicine, Shaukat Khanum Cancer Hospital and Research Center, Lahore, PakistanDepartment of Internal Medicine, Shaukat Khanum Memorial Cancer Hospital and Research Center, Lahore, PakistanDepartment of Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, IndiaFlacq Hospital, Central Flacq, MauritiusDepartment of Geriatric Medicine, Sawai Man Singh Medical College and Hospital, Jaipur, Rajasthan, IndiaInternal Medicine, Division of Endocrinology Metabolism and Diabetes, Kabul University of Medical Sciences (KUMS), Kabul, AfghanistanGeriatric Division of Internal Medicine Department, Udayana University, Bali, IndonesiaDepartment of Endocrinology and Metabolism, Grande International Hospital, Kathmandu, NepalDepartment of Endocrinology, Christian Medical College and Hospital, Ludhiana, Punjab, IndiaDiabetes and Endocrine Unit, National Hospital of Sri Lanka, Colombo, 10, Sri LankaDepartment of Internal Medicine, Indira Gandhi Memorial Hospital, MaldivesDepartment of Gastroenterology, Jigme Dorji Wangchuk National Referral Hospital, Thimpu, BhutanDepartment of Endocrinology, Bharti Hospital, Karnal, Haryana, India; Corresponding author.The South Asian population is rapidly ageing and sarcopenia is likely to become a huge burden in this region if proper action is not taken in time. Several sarcopenia guidelines are available, from the western world and from East Asia. However, these guidelines are not fully relevant for the South Asian healthcare ecosystem. South Asia is ethnically, culturally, and phenotypically unique. Additionally, the region is seeing an increase in non-communicable lifestyle disease and obesity. Both these conditions can lead to sarcopenia. However, secondary sarcopenia and sarcopenic obesity are either not dealt with in detail or are missing in other guidelines. Hence, we present a consensus on the screening, diagnosis and management of sarcopenia, which addresses the gaps in the current guidelines. This South Asian consensus gives equal importance to muscle function, muscle strength, and muscle mass; provides cost-effective clinical and easy to implement solutions; highlights secondary sarcopenia and sarcopenic obesity; lists commonly used biomarkers; reminds us that osteo-arthro-muscular triad should be seen as a single entity to address sarcopenia; stresses on prevention over treatment; and prioritizes non-pharmacological over pharmacological management. As literature is scarce from this region, the authors call for more South Asian research guided interventions.http://www.sciencedirect.com/science/article/pii/S240552552200022XSarcopeniaSarcopenic obesityGuidelinesSecondary sarcopeniaSouth AsianBody composition
spellingShingle Minakshi Dhar
Nitin Kapoor
Ketut Suastika
Mohammad E. Khamseh
Shahjada Selim
Vijay Kumar
Syed Abbas Raza
Umal Azmat
Monika Pathania
Yovan Parikshat Rai Mahadeb
Sunny Singhal
Mohammad Wali Naseri
IGP Suka Aryana
Subarna Dhoj Thapa
Jubbin Jacob
Noel Somasundaram
Ali Latheef
Guru Prasad Dhakal
Sanjay Kalra
South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
Osteoporosis and Sarcopenia
Sarcopenia
Sarcopenic obesity
Guidelines
Secondary sarcopenia
South Asian
Body composition
title South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
title_full South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
title_fullStr South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
title_full_unstemmed South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
title_short South Asian Working Action Group on SARCOpenia (SWAG-SARCO) – A consensus document
title_sort south asian working action group on sarcopenia swag sarco a consensus document
topic Sarcopenia
Sarcopenic obesity
Guidelines
Secondary sarcopenia
South Asian
Body composition
url http://www.sciencedirect.com/science/article/pii/S240552552200022X
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