Comprehensive intervention for sarcopenia among older adults: an evidence-based clinical practice guideline_Chinese Journal of Evidence-Based Medicine

Authors：

SHEN Yanjiao ^1,2 , HAO Qiukui ² , ZHANG Meng ² , XIAN Hong ² ,  YUE Jirong ² ,  HUANG Jin ¹ ,  DONG Birong ²

1. Medical Device Regulatory Research and Evaluation Center, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Geriatrics, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

YUE Jirong, Email: yuejirong11@hotmail.com; HUANG Jin, Email: michael_huangjin@163.com; DONG Birong, Email: birongdong@163.com

Keywords：

Older adults; Sarcopenia; Intervention; Evidence-based; Guideline

DOI：

10.7507/1672-2531.202306172

Video：

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Abstract Full text Figures/Tables Video References Cited by

Sarcopenia, characterized by the progressive loss of muscle mass and function, predominantly afflicts older adults. This condition is a notable risk factor for functional impairments, increased incidence of falls and fractures, and can escalate to mortality. Timely intervention is crucial to mitigate disability and minimize complications during hospitalization. The development of these guidelines adhered to an internationally recognized standard protocol. This involved framing clinical queries, pinpointing key outcomes, systematically gathering evidence, and appraising this evidence through the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework. Subsequently, a consortium of experts convened to deliberate over the evidence, culminating in the formulation of these recommendations.

Citation： SHEN Yanjiao, HAO Qiukui, ZHANG Meng, XIAN Hong, YUE Jirong, HUANG Jin, DONG Birong. Comprehensive intervention for sarcopenia among older adults: an evidence-based clinical practice guideline. Chinese Journal of Evidence-Based Medicine, 2024, 24(4): 378-384. doi: 10.7507/1672-2531.202306172 Copy

1.	Dent E, Morley JE, Cruz-Jentoft AJ, et al. International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and management. J Nutr Health Aging, 2018, 22(10): 1148-1161.
2.	Beaudart C, McCloskey E, Bruyère O, et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr, 2016, 16(1): 170.
3.	Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle, 2016, 7(5): 512-514.
4.	Masanes F, Culla A, Navarro-Gonzalez M, et al. Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain). J Nutr Health Aging, 2012, 16(2): 184-187.
5.	Dent E, Woo J, Scott D, et al. Toward the recognition and management of sarcopenia in routine clinical care. Nat Aging, 2021, 1(11): 982-990.
6.	Lim WS, Cheong CY, Lim JP, et al. Singapore clinical practice guidelines for sarcopenia: screening, diagnosis, management and prevention. J Frailty Aging, 2022, 11(4): 348-369.
7.	Chen LK, Liu LK, Woo J, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc, 2014, 15(2): 95-101.
8.	Yang LJ, Wu GH, Yang YL, et al. Nutrition, physical exercise, and the prevalence of sarcopenia in elderly residents in nursing homes in China. Med Sci Monit, 2019, 25: 4390-4399.
9.	Cruz-Jentoft AJ, Sayer AA. Sarcopenia. Lancet, 2019, 393(10191): 2636-2646.
10.	Bloom I, Shand C, Cooper C, et al. Diet quality and sarcopenia in older adults: a systematic review. Nutrients, 2018, 10(3): 308.
11.	Baek JY, Jung HW, Kim KM, et al. Korean Working Group on Sarcopenia guideline: expert consensus on sarcopenia screening and diagnosis by the Korean Society of Sarcopenia, The Korean Society for Bone and Mineral Research, and the Korean Geriatrics Society. Ann Geriatr Med Res, 2023, 27(1): 9-21.
12.	Zanker J, Sim M, Anderson K, et al. Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand. J Cachexia Sarcopenia Muscle, 2023, 14(1): 142-156.
13.	闵文珺, 陈亚梅, 卢群, 等. 老年肌少症患者运动干预的最佳证据总结. 解放军护理杂志, 2022, 39(3): 75-78.
14.	浙江省医学会肿瘤营养与治疗学分会, 浙江省医师协会营养医师专业委员会, 浙江省医学会肠外肠内营养学分会, 等. 老年患者营养诊疗专家共识. 浙江医学, 2023, 45(2): 113-120.
15.	刘娟, 丁清清, 周白瑜, 等. 中国老年人肌少症诊疗专家共识(2021). 中华老年医学杂志, 2021, 40(8): 943-952.
16.	崔华, 王朝晖, 吴剑卿, 等. 老年人肌少症防控干预中国专家共识(2023). 中华老年医学杂志, 2023, 42(2): 144-153.
17.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
18.	Shen Y, Shi Q, Nong K, et al. Exercise for sarcopenia in older people: a systematic review and network meta-analysis. J Cachexia Sarcopenia Muscle, 2023, 14(3): 1199-1211.
19.	Zhang Y, Coello PA, Brożek J, et al. Using patient values and preferences to inform the importance of health outcomes in practice guideline development following the GRADE approach. Health Qual Life Outcomes, 2017, 15(1): 52.

1. Dent E, Morley JE, Cruz-Jentoft AJ, et al. International clinical practice guidelines for sarcopenia (ICFSR): screening, diagnosis and management. J Nutr Health Aging, 2018, 22(10): 1148-1161.
2. Beaudart C, McCloskey E, Bruyère O, et al. Sarcopenia in daily practice: assessment and management. BMC Geriatr, 2016, 16(1): 170.
3. Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle, 2016, 7(5): 512-514.
4. Masanes F, Culla A, Navarro-Gonzalez M, et al. Prevalence of sarcopenia in healthy community-dwelling elderly in an urban area of Barcelona (Spain). J Nutr Health Aging, 2012, 16(2): 184-187.
5. Dent E, Woo J, Scott D, et al. Toward the recognition and management of sarcopenia in routine clinical care. Nat Aging, 2021, 1(11): 982-990.
6. Lim WS, Cheong CY, Lim JP, et al. Singapore clinical practice guidelines for sarcopenia: screening, diagnosis, management and prevention. J Frailty Aging, 2022, 11(4): 348-369.
7. Chen LK, Liu LK, Woo J, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc, 2014, 15(2): 95-101.
8. Yang LJ, Wu GH, Yang YL, et al. Nutrition, physical exercise, and the prevalence of sarcopenia in elderly residents in nursing homes in China. Med Sci Monit, 2019, 25: 4390-4399.
9. Cruz-Jentoft AJ, Sayer AA. Sarcopenia. Lancet, 2019, 393(10191): 2636-2646.
10. Bloom I, Shand C, Cooper C, et al. Diet quality and sarcopenia in older adults: a systematic review. Nutrients, 2018, 10(3): 308.
11. Baek JY, Jung HW, Kim KM, et al. Korean Working Group on Sarcopenia guideline: expert consensus on sarcopenia screening and diagnosis by the Korean Society of Sarcopenia, The Korean Society for Bone and Mineral Research, and the Korean Geriatrics Society. Ann Geriatr Med Res, 2023, 27(1): 9-21.
12. Zanker J, Sim M, Anderson K, et al. Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand. J Cachexia Sarcopenia Muscle, 2023, 14(1): 142-156.
13. 闵文珺, 陈亚梅, 卢群, 等. 老年肌少症患者运动干预的最佳证据总结. 解放军护理杂志, 2022, 39(3): 75-78.
14. 浙江省医学会肿瘤营养与治疗学分会, 浙江省医师协会营养医师专业委员会, 浙江省医学会肠外肠内营养学分会, 等. 老年患者营养诊疗专家共识. 浙江医学, 2023, 45(2): 113-120.
15. 刘娟, 丁清清, 周白瑜, 等. 中国老年人肌少症诊疗专家共识(2021). 中华老年医学杂志, 2021, 40(8): 943-952.
16. 崔华, 王朝晖, 吴剑卿, 等. 老年人肌少症防控干预中国专家共识(2023). 中华老年医学杂志, 2023, 42(2): 144-153.
17. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
18. Shen Y, Shi Q, Nong K, et al. Exercise for sarcopenia in older people: a systematic review and network meta-analysis. J Cachexia Sarcopenia Muscle, 2023, 14(3): 1199-1211.
19. Zhang Y, Coello PA, Brożek J, et al. Using patient values and preferences to inform the importance of health outcomes in practice guideline development following the GRADE approach. Health Qual Life Outcomes, 2017, 15(1): 52.

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Chinese Journal of Evidence-Based Medicine

Comprehensive intervention for sarcopenia among older adults: an evidence-based clinical practice guideline

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