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Diagnostic Performance of Calf Circumference, Thigh Circumference, and SARC-F Questionnaire to Identify Sarcopenia in Elderly Compared to Asian Working Group for Sarcopenia’s Diagnostic Standard

ACTA MEDICA INDONESIANA · Vol. 51 No. 2 (2019)

ISSN
2338-2732, 0125-9326
Terbit
2019-08-05
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: sarcopenia is one of many geriatric problems that may lead to major clinical outcomes. Calf and thigh circumference have good correlation with muscle mass, whereas SARC-F questionnaire is very predictive of muscle function. There has not been a study that evaluates the diagnostic performance of calf and thigh circumference in combination with SARC-F questionnaire in detecting sarcopenia. The aim of this study was to investigate the diagnostic performance of calf and thigh circumference in combination with SARC-F questionnaire compared to standard diagnostic methods of sarcopenia according to the Asian Working Group for Sarcopenia (AWGS) to predict sarcopenia in patient aged 60 years or older. Methods: this cross-sectional study was conducted in Geriatric Clinic Cipto Mangunkusumo Hospital, Jakarta, Indonesia during April–June 2018. Analysis was performed using receiver operating characteristic (ROC) curve to determine the cut-off point as well as sensitivity (Sn), specificity (Sp), positive and negative predictive value (PPV and NPV), positive and negative likelihood ratio (LR+ and LR-) of calf and thigh circumference as an indicator of low muscle mass, and SARC-F questionnaire score to detect decreased muscle function. Results: from 120 participants, there were 46 men (38.3%) and 74 women (61.7%). The combination of calf circumference with cut-off point below 34 cm in men and below 29 cm in women, thigh circumference below 49 cm in men and below 44 cm in women with SARC-F questionnaire score of ≥4 have Sn, Sp, PPV, NPV, LR+, and LR- of 15.79%; 99.01%; 75.00%; 86.21%; 15.95; and 0.85 respectively. Conclusion: combination of calf and thigh circumference with SARC-F questionnaire showed good diagnostic accuracy in predicting sarcopenia in elderly outpatients.

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Kuntjoro HarimurtiAfiliasi tidak diketahui13
Irsan HasanAfiliasi tidak diketahui10
Hamzah ShatriAfiliasi tidak diketahui8
Muhammad Khifzhon AzwarAfiliasi tidak diketahui7
Noto DwimartutieAfiliasi tidak diketahui7
Ikhwan RinaldiAfiliasi tidak diketahui7
Rino Alvani GaniAfiliasi tidak diketahui6
Rahmi IstantiAfiliasi tidak diketahui6
Andri Sanityoso SulaimanAfiliasi tidak diketahui6
Cleopas Martin RumendeAfiliasi tidak diketahui6
Purwita W LaksmiAfiliasi tidak diketahui6
Roza MulyanaAfiliasi tidak diketahui5
Rensa RensaAfiliasi tidak diketahui5
Jessica MarsigitAfiliasi tidak diketahui5
Chyntia Olivia Maurine JasirwanAfiliasi tidak diketahui5
Rudi PutrantoAfiliasi tidak diketahui5
Rudy HidayatAfiliasi tidak diketahui5
Dyah PurnamasariAfiliasi tidak diketahui5
Imam SubektiAfiliasi tidak diketahui5
Nur RiviatiAfiliasi tidak diketahui4
Kemal Fariz KalistaAfiliasi tidak diketahui4
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Eka Dian SafitriAfiliasi tidak diketahui4
Siti Rizny F SaldiAfiliasi tidak diketahui4
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Esthika DewiastyAfiliasi tidak diketahui4
Lutfie LutfieAfiliasi tidak diketahui3
Ari Fahrial SyamAfiliasi tidak diketahui3
Muhammad YaminInstitut Agama Islam Negeri Bone3
Simon SalimAfiliasi tidak diketahui3
Marcellus SimadibrataAfiliasi tidak diketahui3
Dadang MakmunAfiliasi tidak diketahui3
Murdani AbdullahAfiliasi tidak diketahui3

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Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Diagnostic Performance of Calf Circumference, Thigh Circumference, and SARC-F Questionnaire to Identify Sarcopenia in Elderly Compared to Asian Working Group for Sarcopenia’s Diagnostic Standard</dc:title>
	<dc:creator>Mienche, Mienche</dc:creator>
	<dc:creator>Setiati, Siti</dc:creator>
	<dc:creator>Setyohadi, Bambang</dc:creator>
	<dc:creator>Kurniawan, Juferdy</dc:creator>
	<dc:creator>Laksmi, Purwita Wijaya</dc:creator>
	<dc:creator>Ariane, A</dc:creator>
	<dc:creator>Tirtarahardja, Gunawan</dc:creator>
	<dc:subject xml:lang="en-US">calf circumference</dc:subject>
	<dc:subject xml:lang="en-US">elderly</dc:subject>
	<dc:subject xml:lang="en-US">thigh circumference</dc:subject>
	<dc:subject xml:lang="en-US">SARC-F questionnaire</dc:subject>
	<dc:subject xml:lang="en-US">sarcopenia</dc:subject>
	<dc:description xml:lang="en-US">Background: sarcopenia is one of many geriatric problems that may lead to major clinical outcomes. Calf and thigh circumference have good correlation with muscle mass, whereas SARC-F questionnaire is very predictive of muscle function. There has not been a study that evaluates the diagnostic performance of calf and thigh circumference in combination with SARC-F questionnaire in detecting sarcopenia. The aim of this study was to investigate the diagnostic performance of calf and thigh circumference in combination with SARC-F questionnaire compared to standard diagnostic methods of sarcopenia according to the Asian Working Group for Sarcopenia (AWGS) to predict sarcopenia in patient aged 60 years or older. Methods: this cross-sectional study was conducted in Geriatric Clinic Cipto Mangunkusumo Hospital, Jakarta, Indonesia during April–June 2018. Analysis was performed using receiver operating characteristic (ROC) curve to determine the cut-off point as well as sensitivity (Sn), specificity (Sp), positive and negative predictive value (PPV and NPV), positive and negative likelihood ratio (LR+ and LR-) of calf and thigh circumference as an indicator of low muscle mass, and SARC-F questionnaire score to detect decreased muscle function. Results: from 120 participants, there were 46 men (38.3%) and 74 women (61.7%). The combination of calf circumference with cut-off point below 34 cm in men and below 29 cm in women, thigh circumference below 49 cm in men and below 44 cm in women with SARC-F questionnaire score of ≥4 have Sn, Sp, PPV, NPV, LR+, and LR- of 15.79%; 99.01%; 75.00%; 86.21%; 15.95; and 0.85 respectively. Conclusion: combination of calf and thigh circumference with SARC-F questionnaire showed good diagnostic accuracy in predicting sarcopenia in elderly outpatients.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2019-08-05</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/976</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 51 No. 2 (2019): Acta Medica Indonesiana; 117</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/976/pdf</dc:relation>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/976/pdf_1</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2019 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>