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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
Published
2019-08-05
Publisher
The Indonesian Society of Internal Medicine
Language
eng

Abstract

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.

Keywords

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40 authors · 267 co-authorship links · showing the 40 most connected

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Co-authorOrganisationJoint articles
Kuntjoro HarimurtiAffiliation unknown13
Irsan HasanAffiliation unknown10
Hamzah ShatriAffiliation unknown8
Muhammad Khifzhon AzwarAffiliation unknown7
Noto DwimartutieAffiliation unknown7
Ikhwan RinaldiAffiliation unknown7
Rino Alvani GaniAffiliation unknown6
Rahmi IstantiAffiliation unknown6
Andri Sanityoso SulaimanAffiliation unknown6
Cleopas Martin RumendeAffiliation unknown6
Purwita W LaksmiAffiliation unknown6
Roza MulyanaAffiliation unknown5
Rensa RensaAffiliation unknown5
Jessica MarsigitAffiliation unknown5
Chyntia Olivia Maurine JasirwanAffiliation unknown5
Rudi PutrantoAffiliation unknown5
Rudy HidayatAffiliation unknown5
Dyah PurnamasariAffiliation unknown5
Imam SubektiAffiliation unknown5
Nur RiviatiAffiliation unknown4
Kemal Fariz KalistaAffiliation unknown4
Aulia RizkaAffiliation unknown4
Eka Dian SafitriAffiliation unknown4
Siti Rizny F SaldiAffiliation unknown4
Tirza Z TaminAffiliation unknown4
Esthika DewiastyAffiliation unknown4
Lutfie LutfieAffiliation unknown3
Ari Fahrial SyamAffiliation unknown3
Muhammad YaminAffiliation unknown3
Simon SalimAffiliation unknown3
Marcellus SimadibrataAffiliation unknown3
Dadang MakmunAffiliation unknown3
Murdani AbdullahAffiliation unknown3

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, first harvested 8 Nov 2026, last seen 8 Nov 2026.
Original metadata (oai_dc) 
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	<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>