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.	閔文珺, 陳亞梅, 盧群, 等. 老年肌少癥患者運動干預的最佳證據總結. 解放軍護理雜志, 2022, 39(3): 75-78.
14.	浙江省醫學會腫瘤營養與治療學分會, 浙江省醫師協會營養醫師專業委員會, 浙江省醫學會腸外腸內營養學分會, 等. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
15.	劉娟, 丁清清, 周白瑜, 等. 中國老年人肌少癥診療專家共識(2021). 中華老年醫學雜志, 2021, 40(8): 943-952.
16.	崔華, 王朝暉, 吳劍卿, 等. 老年人肌少癥防控干預中國專家共識(2023). 中華老年醫學雜志, 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, Bro?ek 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. 閔文珺, 陳亞梅, 盧群, 等. 老年肌少癥患者運動干預的最佳證據總結. 解放軍護理雜志, 2022, 39(3): 75-78.
14. 浙江省醫學會腫瘤營養與治療學分會, 浙江省醫師協會營養醫師專業委員會, 浙江省醫學會腸外腸內營養學分會, 等. 老年患者營養診療專家共識. 浙江醫學, 2023, 45(2): 113-120.
15. 劉娟, 丁清清, 周白瑜, 等. 中國老年人肌少癥診療專家共識(2021). 中華老年醫學雜志, 2021, 40(8): 943-952.
16. 崔華, 王朝暉, 吳劍卿, 等. 老年人肌少癥防控干預中國專家共識(2023). 中華老年醫學雜志, 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, Bro?ek 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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Comprehensive intervention for sarcopenia among older adults: an evidence-based clinical practice guideline

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