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Sarcopenia: revised European consensus on definition and diagnosis

医学 肌萎缩 重症监护医学 老年学 物理疗法 内科学
作者
A.J. Cruz-Jentoft,Gülistan Bahat,Jürgen Bauer,Yves Boirie‌,Olivier Bruyère,Tommy Cederholm,Cyrus Cooper,Francesco Landi,Yves Rolland,Avan Aihie Sayer,Stéphane Schneider,Cornel Sieber,Eva Topinková,Maurits Vandewoude,Marjolein Visser,Mauro Zamboni,Ivan Bautmans,Jean-Pierre Baeyens,Matteo Cesari,Antonio Cherubini,John А. Kanis,Marcello Maggio,Finbarr C. Martin,Jean‐Pierre Michel,Kaisu Pitkälä,Jean‐Yves Reginster,René Rizzoli,Dolores Sánchez-Rodríguez,Jos M. G. A. Schols
出处
期刊:Age and Ageing [Oxford University Press]
卷期号:48 (1): 16-31 被引量:7485
标识
DOI:10.1093/ageing/afy169
摘要

in 2010, the European Working Group on Sarcopenia in Older People (EWGSOP) published a sarcopenia definition that aimed to foster advances in identifying and caring for people with sarcopenia. In early 2018, the Working Group met again (EWGSOP2) to update the original definition in order to reflect scientific and clinical evidence that has built over the last decade. This paper presents our updated findings.to increase consistency of research design, clinical diagnoses and ultimately, care for people with sarcopenia.sarcopenia is a muscle disease (muscle failure) rooted in adverse muscle changes that accrue across a lifetime; sarcopenia is common among adults of older age but can also occur earlier in life. In this updated consensus paper on sarcopenia, EWGSOP2: (1) focuses on low muscle strength as a key characteristic of sarcopenia, uses detection of low muscle quantity and quality to confirm the sarcopenia diagnosis, and identifies poor physical performance as indicative of severe sarcopenia; (2) updates the clinical algorithm that can be used for sarcopenia case-finding, diagnosis and confirmation, and severity determination and (3) provides clear cut-off points for measurements of variables that identify and characterise sarcopenia.EWGSOP2's updated recommendations aim to increase awareness of sarcopenia and its risk. With these new recommendations, EWGSOP2 calls for healthcare professionals who treat patients at risk for sarcopenia to take actions that will promote early detection and treatment. We also encourage more research in the field of sarcopenia in order to prevent or delay adverse health outcomes that incur a heavy burden for patients and healthcare systems.
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