Cut-offs for calf circumference as a screening tool for low muscle mass: WASEDA'S Health Study.

Abstract:

AIM:To re-evaluate the suitability of calf circumference as a surrogate marker of low muscle mass measured by both bioelectrical impedance analysis (BIA) and dual-energy X-ray absorptiometry (DXA). We also examined the effects of obesity and age on low muscle mass screening using calf circumference. METHODS:In total, 1239 adults participated in this cross-sectional study. We measured the maximum calf circumference in a standing position and appendicular skeletal muscle mass (ASM) using BIA and DXA. We defined low muscle mass based on the Asian Working Group for Sarcopenia 2019 consensus. RESULTS:Calf circumference was positively correlated with BIA-measured ASM/height2 (men: r = 0.81, women: r = 0.73) and DXA-measured ASM/height2 (men: r = 0.78, women: r = 0.76). In the subgroup analyses by obesity and age, calf circumference was also positively correlated with ASM/height2 . The optimal calf circumference cut-offs for low muscle mass screening measured by BIA and DXA were 35 cm (sensitivity 91%, specificity 84%) and 36 cm (sensitivity 82%, specificity 80%) for men, and 33 cm (sensitivity 82%, specificity 84%) and 34 cm (sensitivity 85%, specificity 72%) for women, respectively. CONCLUSIONS:Calf circumference is positively correlated with BIA- and DXA-measured muscle mass regardless of obesity and age and is a simple and accurate surrogate marker of muscle mass for diagnosing sarcopenia. Geriatr Gerontol Int 2020; 20: 943-950.

journal_name

Geriatr Gerontol Int

authors

Kawakami R,Miyachi M,Sawada SS,Torii S,Midorikawa T,Tanisawa K,Ito T,Usui C,Ishii K,Suzuki K,Sakamoto S,Higuchi M,Muraoka I,Oka K

doi

10.1111/ggi.14025

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

943-950

issue

10

eissn

1444-1586

issn

1447-0594

journal_volume

20

pub_type

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