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Title: Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Muscoloskeletal ...

Author
item BEAUDART, CHARLOTTE - University Of Liege
item ROLLAND, YVES - Gerontopole De Toulouse Center Hospital University
item CRUZ-JENTOFT, ALFONSO - Hospital Ramon Y Cajal
item BAUER, JURGEN - University Of Heidelberg
item SIEBER, CORNEL - University Of Erlangen
item COOPER, CYRUS - University Of Southampton
item AL-DAGHRI, NASSER - King Saud University
item ARAUJO DE CARVALHO, ISLENE - World Health Organization (WHO) - Switzerland
item BAUTMANS, IVANS - Vrije University
item BERNABEI, ROBERTO - Catholic University Of The Sacred Heart Italy
item BRUYERE, OLIVIER - University Of Liege
item CESARI, MATTEO - Fondazione Irccs Ca’ Granda Ospedale Maggiore Policlinico
item CHERUBINI, ANTONIO - Centro Di Ricerca Difesa E Certificazione (CREA – DC)
item DAWSON-HUGHES, BESS - Jean Mayer Human Nutrition Research Center On Aging At Tufts University
item KANIS, JOHN - Australian Catholic University
item KAUFMAN, JEAN-MARC - Ghent University
item LANDI, FRANCESCO - Catholic University Of The Sacred Heart Italy
item MAGGI, STEFANIA - Cnr Neuroscience Institute
item MCCLOSKEY, EUGENE - Australian Catholic University
item PETERMANS, JEAN - Liege Chu
item RODRIGUEZ MANAS, LEOCADIO - University Hospital Of Getafe
item REGINSTER, JEAN-YVES - University Of Liege
item ROLLER-WIRNSBERGER, REGINA - Medical University Of Graz
item SCHAAP, LAURA - Vrije University
item UEBELHART, DANIEL - Valais Hospital
item RIZZOLI, RENE - Geneva University Hospital
item FIELDING, ROGER - Jean Mayer Human Nutrition Research Center On Aging At Tufts University

Submitted to: Calcified Tissue International
Publication Type: Review Article
Publication Acceptance Date: 3/29/2019
Publication Date: 4/10/2019
Citation: Beaudart, C., Rolland, Y., Cruz-Jentoft, A.J., Bauer, J.M., Sieber, C., Cooper, C., Al-Daghri, N., Araujo De Carvalho, I., Bautmans, I., Bernabei, R., Bruyere, O., Cesari, M., Cherubini, A., Dawson-Hughes, B., Kanis, J.A., Kaufman, J., Landi, F., Maggi, S., McCloskey, E., Petermans, J., Rodriguez Manas, L., Reginster, J., Roller-Wirnsberger, R., Schaap, L.A., Uebelhart, D., Rizzoli, R., Fielding, R.A. 2019. Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Muscoloskeletal Diseases (ESCEO). Calcified Tissue International. 105(1):1-14. https://doi.org/10.1007/s00223-019-00545-w.
DOI: https://doi.org/10.1007/s00223-019-00545-w

Interpretive Summary:

Technical Abstract: It is well recognized that poor muscle function and poor physical performance are strong predictors of clinically relevant adverse events in older people. Given the large number of approaches to measure muscle function and physical performance, clinicians often struggle to choose a tool that is appropriate and validated for the population of older people they deal with. In this paper, an overview of different methods available and applicable in clinical settings is proposed. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were organized afterwards where the whole group could amend and discuss the recommendations further. Several characteristics should be considered when choosing a tool: (1) purpose of the assessment (intervention, screening, diagnosis); (2) patient characteristics (population, settings, functional ability, etc.); (3) psychometric properties of the tool (test-retest reliability, inter-rater reliability, responsiveness, floor and ceiling effects, etc.); (4) applicability of the tool in clinical settings (overall cost, time required for the examination, level of training, equipment, patient acceptance, etc.); (5) prognostic reliability for relevant clinical outcomes. Based on these criteria and the available evidence, the expert group advises the use of grip strength to measure muscle strength and the use of 4-m gait speed or the Short Physical Performance Battery test to measure physical performance in daily practice. The tools proposed are relevant for the assessment of muscle weakness and physical performance. Subjects with low values should receive additional diagnostic workups to achieve a full diagnosis of the underlying condition responsible (sarcopenia, frailty or other).