The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates

Low muscle mass and weakness are common and potentially disabling in older adults, but in order to become recognized as a clinical condition, criteria for diagnosis should be based on clinically relevant thresholds and independently validated. The Foundation for the National Institutes of Health Bio...

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Published in:	The journals of gerontology. Series A, Biological sciences and medical sciences Vol. 69; no. 5; p. 547
Main Authors:	Studenski, Stephanie A, Peters, Katherine W, Alley, Dawn E, Cawthon, Peggy M, McLean, Robert R, Harris, Tamara B, Ferrucci, Luigi, Guralnik, Jack M, Fragala, Maren S, Kenny, Anne M, Kiel, Douglas P, Kritchevsky, Stephen B, Shardell, Michelle D, Dam, Thuy-Tien L, Vassileva, Maria T
Format:	Journal Article
Language:	English
Published:	United States 01.05.2014
Subjects:	Age Factors Aged Aged, 80 and over Body Mass Index Disease Susceptibility Female Hand Strength Humans Male National Institutes of Health (U.S.) Research Design Risk Factors Sarcopenia - diagnosis Sarcopenia - etiology Sex Factors United States United States Aging Sarcopenia Muscle Weakness Outcomes
ISSN:	1758-535X, 1758-535X
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Abstract	Low muscle mass and weakness are common and potentially disabling in older adults, but in order to become recognized as a clinical condition, criteria for diagnosis should be based on clinically relevant thresholds and independently validated. The Foundation for the National Institutes of Health Biomarkers Consortium Sarcopenia Project used an evidence-based approach to develop these criteria. Initial findings were presented at a conference in May 2012, which generated recommendations that guided additional analyses to determine final recommended criteria. Details of the Project and its findings are presented in four accompanying manuscripts. The Foundation for the National Institutes of Health Sarcopenia Project used data from nine sources of community-dwelling older persons: Age, Gene/Environment Susceptibility-Reykjavik Study, Boston Puerto Rican Health Study, a series of six clinical trials, Framingham Heart Study, Health, Aging, and Body Composition, Invecchiare in Chianti, Osteoporotic Fractures in Men Study, Rancho Bernardo Study, and Study of Osteoporotic Fractures. Feedback from conference attendees was obtained via surveys and breakout groups. The pooled sample included 26,625 participants (57% women, mean age in men 75.2 [±6.1 SD] and in women 78.6 [±5.9] years). Conference attendees emphasized the importance of evaluating the influence of body mass on cutpoints. Based on the analyses presented in this series, the final recommended cutpoints for weakness are grip strength <26kg for men and <16kg for women, and for low lean mass, appendicular lean mass adjusted for body mass index <0.789 for men and <0.512 for women. These evidence-based cutpoints, based on a large and diverse population, may help identify participants for clinical trials and should be evaluated among populations with high rates of functional limitations.
AbstractList	Low muscle mass and weakness are common and potentially disabling in older adults, but in order to become recognized as a clinical condition, criteria for diagnosis should be based on clinically relevant thresholds and independently validated. The Foundation for the National Institutes of Health Biomarkers Consortium Sarcopenia Project used an evidence-based approach to develop these criteria. Initial findings were presented at a conference in May 2012, which generated recommendations that guided additional analyses to determine final recommended criteria. Details of the Project and its findings are presented in four accompanying manuscripts. The Foundation for the National Institutes of Health Sarcopenia Project used data from nine sources of community-dwelling older persons: Age, Gene/Environment Susceptibility-Reykjavik Study, Boston Puerto Rican Health Study, a series of six clinical trials, Framingham Heart Study, Health, Aging, and Body Composition, Invecchiare in Chianti, Osteoporotic Fractures in Men Study, Rancho Bernardo Study, and Study of Osteoporotic Fractures. Feedback from conference attendees was obtained via surveys and breakout groups. The pooled sample included 26,625 participants (57% women, mean age in men 75.2 [±6.1 SD] and in women 78.6 [±5.9] years). Conference attendees emphasized the importance of evaluating the influence of body mass on cutpoints. Based on the analyses presented in this series, the final recommended cutpoints for weakness are grip strength <26kg for men and <16kg for women, and for low lean mass, appendicular lean mass adjusted for body mass index <0.789 for men and <0.512 for women. These evidence-based cutpoints, based on a large and diverse population, may help identify participants for clinical trials and should be evaluated among populations with high rates of functional limitations. Low muscle mass and weakness are common and potentially disabling in older adults, but in order to become recognized as a clinical condition, criteria for diagnosis should be based on clinically relevant thresholds and independently validated. The Foundation for the National Institutes of Health Biomarkers Consortium Sarcopenia Project used an evidence-based approach to develop these criteria. Initial findings were presented at a conference in May 2012, which generated recommendations that guided additional analyses to determine final recommended criteria. Details of the Project and its findings are presented in four accompanying manuscripts.BACKGROUNDLow muscle mass and weakness are common and potentially disabling in older adults, but in order to become recognized as a clinical condition, criteria for diagnosis should be based on clinically relevant thresholds and independently validated. The Foundation for the National Institutes of Health Biomarkers Consortium Sarcopenia Project used an evidence-based approach to develop these criteria. Initial findings were presented at a conference in May 2012, which generated recommendations that guided additional analyses to determine final recommended criteria. Details of the Project and its findings are presented in four accompanying manuscripts.The Foundation for the National Institutes of Health Sarcopenia Project used data from nine sources of community-dwelling older persons: Age, Gene/Environment Susceptibility-Reykjavik Study, Boston Puerto Rican Health Study, a series of six clinical trials, Framingham Heart Study, Health, Aging, and Body Composition, Invecchiare in Chianti, Osteoporotic Fractures in Men Study, Rancho Bernardo Study, and Study of Osteoporotic Fractures. Feedback from conference attendees was obtained via surveys and breakout groups.METHODSThe Foundation for the National Institutes of Health Sarcopenia Project used data from nine sources of community-dwelling older persons: Age, Gene/Environment Susceptibility-Reykjavik Study, Boston Puerto Rican Health Study, a series of six clinical trials, Framingham Heart Study, Health, Aging, and Body Composition, Invecchiare in Chianti, Osteoporotic Fractures in Men Study, Rancho Bernardo Study, and Study of Osteoporotic Fractures. Feedback from conference attendees was obtained via surveys and breakout groups.The pooled sample included 26,625 participants (57% women, mean age in men 75.2 [±6.1 SD] and in women 78.6 [±5.9] years). Conference attendees emphasized the importance of evaluating the influence of body mass on cutpoints. Based on the analyses presented in this series, the final recommended cutpoints for weakness are grip strength <26kg for men and <16kg for women, and for low lean mass, appendicular lean mass adjusted for body mass index <0.789 for men and <0.512 for women.RESULTSThe pooled sample included 26,625 participants (57% women, mean age in men 75.2 [±6.1 SD] and in women 78.6 [±5.9] years). Conference attendees emphasized the importance of evaluating the influence of body mass on cutpoints. Based on the analyses presented in this series, the final recommended cutpoints for weakness are grip strength <26kg for men and <16kg for women, and for low lean mass, appendicular lean mass adjusted for body mass index <0.789 for men and <0.512 for women.These evidence-based cutpoints, based on a large and diverse population, may help identify participants for clinical trials and should be evaluated among populations with high rates of functional limitations.CONCLUSIONSThese evidence-based cutpoints, based on a large and diverse population, may help identify participants for clinical trials and should be evaluated among populations with high rates of functional limitations.
Author	Shardell, Michelle D Kenny, Anne M Peters, Katherine W Cawthon, Peggy M Harris, Tamara B Kritchevsky, Stephen B Kiel, Douglas P Alley, Dawn E Vassileva, Maria T McLean, Robert R Dam, Thuy-Tien L Studenski, Stephanie A Guralnik, Jack M Ferrucci, Luigi Fragala, Maren S
Author_xml	– sequence: 1 givenname: Stephanie A surname: Studenski fullname: Studenski, Stephanie A email: studenskisa@mail.nih.gov organization: Baltimore Longitudinal Study of Aging, National Institute on Aging, 3001 S Hanover Street, Fifth Floor, Baltimore MD 21225. studenskisa@mail.nih.gov – sequence: 2 givenname: Katherine W surname: Peters fullname: Peters, Katherine W – sequence: 3 givenname: Dawn E surname: Alley fullname: Alley, Dawn E – sequence: 4 givenname: Peggy M surname: Cawthon fullname: Cawthon, Peggy M – sequence: 5 givenname: Robert R surname: McLean fullname: McLean, Robert R – sequence: 6 givenname: Tamara B surname: Harris fullname: Harris, Tamara B – sequence: 7 givenname: Luigi surname: Ferrucci fullname: Ferrucci, Luigi – sequence: 8 givenname: Jack M surname: Guralnik fullname: Guralnik, Jack M – sequence: 9 givenname: Maren S surname: Fragala fullname: Fragala, Maren S – sequence: 10 givenname: Anne M surname: Kenny fullname: Kenny, Anne M – sequence: 11 givenname: Douglas P surname: Kiel fullname: Kiel, Douglas P – sequence: 12 givenname: Stephen B surname: Kritchevsky fullname: Kritchevsky, Stephen B – sequence: 13 givenname: Michelle D surname: Shardell fullname: Shardell, Michelle D – sequence: 14 givenname: Thuy-Tien L surname: Dam fullname: Dam, Thuy-Tien L – sequence: 15 givenname: Maria T surname: Vassileva fullname: Vassileva, Maria T
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/24737557$$D View this record in MEDLINE/PubMed
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SubjectTerms	Age Factors Aged Aged, 80 and over Body Mass Index Disease Susceptibility Female Hand Strength Humans Male National Institutes of Health (U.S.) Research Design Risk Factors Sarcopenia - diagnosis Sarcopenia - etiology Sex Factors United States
Title	The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates
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