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Prevalence of Sarcopenia Among Slovenian Older Adults and Associated Risk Factors Cover

Prevalence of Sarcopenia Among Slovenian Older Adults and Associated Risk Factors

Open Access
|Feb 2025

Figures & Tables

Table 1.

Sarcopenia classification algorithms with cut-off points.

Algorithm nameAlgorithm with cut-off pointsSarcopeniaSarcopenia severity
SDOC (5)Physical performance (<0.8m/s)
Muscle strength (HGS; M:<35.5kg; F:<20kg)
- physical performance AND - muscle strengthNA
EWGSOP (severity algorithm) (2)Muscle mass (BIA: ASM/ht2; M:<8.87 kg/m2, F:<6.42 kg/m2)
Muscle strength (HGS; M:<30 kg, F:<20 kg)
Physical performance (gait speed<0.8 m/s)
- muscle mass AND - muscle strength OR - physical performance- muscle mass AND - muscle strength OR - physical performance
EWGSOP (2)Physical performance (gait speed≤0.8m/s)
Muscle mass (BIA: ASM/ht2; M:<8.87kg/m2, F:<6.42 kg/m2
Physical performance (gait speed>0.8m/s)
Muscle strength (HGS; M:<30 kg F:<20 kg)
Muscle mass (BIA: ASM/ht2; M:<8.87kg/m2, F:<6.42kg/m2)
- physical performance AND - muscle strength - normal physical performance AND - muscle strength AND - muscle massNA
EWGSOP2 (3)Positive screening test (Sarc-F≥4)
Muscle strength (HGS; M:<27kg; F:<16kg OR 5STS>15s)
Muscle quantity or quality (BIA ASM/ht2; M:<7.0kg/m2; F:<5.5kg/m2)
Physical performance (gait speed≤0.8m/s OR TUG≥20s)
Positive screening test AND - muscle strength AND - muscle quantity AND/OR - physical performancePositive screening test AND - muscle strength AND - muscle quantity AND/OR - physical performance
EWGSOP2 without Sarc-FMuscle strength (HGS; M: <27kg; F: <16kg OR 5STS >15s)
Muscle quantity or quality (BIA ASM/ht2; M:<7.0 kg/m2; F:<5.5kg/m2)
Physical performance (gait speed≤0.8m/s OR TUG≥20 s)
- muscle strength AND - muscle quantity AND/OR - physical performance- muscle strength AND - muscle quantity AND - physical performance
IWGS (6)Muscle quantity (BIA ASM/ht2; M:<7.23kg/m2; F:<5.67kg/m2)
Physical performance (gait speed<1.0m/s)
- physical performance AND - muscle quantityNA
FNIH (4)Muscle quantity (BIA ASMM; M<19.75kg; F<15.02kg)
Muscle strength (HGS; M:<26kg; F:<16kg) Physical performance (gait speed<0.8m/s)
- muscle strength AND - muscle quantity- muscle strength AND - muscle quantity AND - physical performance

1 Legend: EWGSOP: European Working Group on Sarcopenia in Older People; SDOC: Sarcopenia Definitions and Outcomes Consortium; IWGS: International Working Group on Sarcopenia; FNIH: Foundation for the National Institutes of Health; M: males; F: females; BIA: electrical bioimpedance; ASM/ht2: appendicular skeletal mass normalised to height; ASMM: appendicular skeletal muscle mass; TUG: timed up-and-go test; 5STS: five-repetition sit to stand test; HGS: hand grip strength; NA: not applicable

Table 2.

Descriptive statistics.

NMinimumMaximumMeanStd. deviation
Age654609772.458.74
Body height (cm)638140.4186.5163.558.53
Body mass (kg)63844.0133.8977.0414.28
BMI (kg/m2)63717.3552.1328.764.78
5STS (s)5903.3741.0611.114.49
TUG (s)6293.6066.978.475.91
HGS6451.0076.0027.4411.32
Gait speed (m/s)639.122.641.14.39
Calf Circumference (cm)64916.450.736.183.50
SARC-F6480101.872.50
SARC-CalF6480203.935.14
MNA64911.53025.354.18
TMT-A (s)52413.38314.7049.3831.00
TMT-B (s)44624.57439.91106.4962.32
ASM/ht2 (kg/m2)6214.2311.526.781.02

1 Legend: BMI: body mass index; 5STS: five-repetition sit to stand test; TUG: timed up-and-go test; HGS: hand grip strength; MNA: Mini Nutritional Assessment; TMT: trail-making test; SMI: skeletal muscle index; ASM/ht2: appendicular skeletal mass normalised to height

Table 3.

Sarcopenia and sarcopenia severity prevalence.

EWGSOP severity N (%)EWGSOP N (%)EWGSOP2 N (%)EWGSOP2 without SARC-F N (%)EWGSOP2 with SARC-CalF N (%)SDOC N (%)IWGS N (%)FNIH N (%)
No sarcopenia553 (84.6)546 (83.5)627 (96.9)602 (92.0)625 (95.6)539 (82.4)599 (91.6)567 (86.7)
No sarcopenia450 (68.8)547 (83.6)459 (70.2)594 (90.8)
Presarcopenia96 (14.7)80 (12.2)143 (21.9)31 (4.7)
Sarcopenia77 (11.8)77 (11.8)27 (4.1)50 (7.7)29 (4.4)100 (15.3)14 (2.1)50 (7.7)
Sarcopenia40 (6.1)3 (.5)19 (2.9)9 (1.4)15 (2.3)
Severe sarcopenia37 (5.7)24 (3.7)31 (4.7)20 (3.1)35 (5.4)
Missing data24 (3.7)31 (4.7)/2 (.3)/15 (2.3)41 (6.3)37 (5.7)
Total654 (100.0)654 (100.0)654 (100.0)654 (100.0)654 (100.0)654 (100.0)654 (100.0)654 (100.0)

1 Legend: EWGSOP: European Working Group on Sarcopenia in Older People; SDOC: Sarcopenia Definition and Outcomes Consortium; IWGS: international working group on sarcopenia; FNIH: Foundation for the National Institutes of Health

Table 4.

Factors of sarcopenia using logistic regression model.

95% CI for odds ratio
Odds ratioLowerUpperSig.
Age1.1891.1531.227<.001
Sex1.283.8042.048.296
BMI1.0451.0001.092.049
MNA.656.598.719<.001
TMT-a1.0261.0181.034<.001
TMT-b1.0111.0071.016<.001
Sedentary1.0061.0041.008<.001
MVPA.975.966.983<.001

1 Legend: BMI: body mass index; MNA: Mini Nutritional Assessment; TMT: trail-making test; MVPA: moderate to vigorous physical activity

DOI: https://doi.org/10.2478/sjph-2025-0013 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English, Slovenian
Page range: 103 - 111
Submitted on: Sep 18, 2024
Accepted on: Jan 7, 2024
Published on: Feb 28, 2025
Published by: National Institute of Public Health, Slovenia
In partnership with: Paradigm Publishing Services

© 2025 Katarina PUŠ, Saša PIŠOT, Uroš MARUŠIČ, Manca PESKAR, Kaja TERAŽ, Miloš KALC, Helena BLAŽUN VOŠNER, Peter KOKOL, Jernej ZAVRŠNIK, Boštjan ŠIMUNIČ, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.