Evidence map›Paper›PMID 32633824›Full record

Observational studyJournal of the American Geriatrics Society2020

Putative Cut-Points in Sarcopenia Components and Incident Adverse Health Outcomes: An SDOC Analysis.

Peggy M Cawthon, Todd Manini, Sheena M Patel, Anne Newman, Thomas Travison, Douglas P Kiel, Adam J Santanasto, Kristine E Ensrud, Qian-Li Xue, Michelle Shardell and 13 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  9. Sarcopenia Definitions as Predictors of Fracture Risk Independent of FRAXJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Pooled it
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  12. Biomarkers of Cellular Senescence Predict the Onset of Mobility Disability and Are Reduced by Physical Activity in Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
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  19. Olfaction and muscle strength in older adults: a longitudinal study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  20. Article

85 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Peggy M CawthonResearch Institute, California Pacific Medical Center, San Francisco, California.ORCID 0000-0003-4938-9478
Todd ManiniUniversity of Florida, Gainesville, Florida.
Sheena M PatelResearch Institute, California Pacific Medical Center, San Francisco, California.
Anne NewmanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Thomas TravisonMarcus Institute for Aging Research, Hebrew SeniorLife, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
Douglas P KielMarcus Institute for Aging Research, Hebrew SeniorLife, Department of Medicine Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
Adam J SantanastoDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Kristine E EnsrudCenter for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota.ORCID 0000-0002-9069-3036
Qian-Li XueDivision of Geriatric Medicine and Gerontology and Center on Aging and Health, Johns Hopkins Medical Institute, Baltimore, Maryland.
Michelle ShardellLongitudinal Studies Section, The National Institute on Aging, Baltimore, Maryland.
Kate DuchownyDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California.
Kristine M ErlandsonUniversity of Colorado Denver-Anschutz Medical Campus, Aurora, Colorado.
Karol M PencinaDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Roger A FieldingNutrition, Exercise, Physiology, and Sarcopenia Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts.
Jay MagazinerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.
Timothy KwokDepartment of Medicine & Therapeutics and School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, New Territories, Shatin, Hong Kong.
Magnus KarlssonDepartment of Clinical Sciences in Malmo, Lund University, Malmo, Sweden.
Claes OhlssonCentre of Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Dan MellströmCentre of Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Vasant HiraniCharles Perkins Centre, University of Sydney, Sydney, Australia.
Eva RibomDepartment of surgical sciences, Orthopeadic Unit, Uppsala University, Uppsala, Sweden.
Rosaly Correa-de-AraujoThe National Institute on Aging, Bethesda, Maryland.
Shalender BhasinBoston Claude D. Pepper Older Americans Independence Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI Stephen L. Seliger · 2006 to 2026
$28.9M
Oregon Clinical and Translational Research InstituteUL1TR000128 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI ELLISON, DAVID H · 2012 to 2015
$28.7M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Caterina Rosano · 2004 to 2026
$28.6M
TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHALENDER BHASIN · 2008 to 2026
$23.9M
Study of Osteoporotic FracturesR01AG005407 · NIA · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI CUMMINGS, STEVEN RON, YAFFE, KRISTINE · 1986 to 2016
$23.2M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Exceptional Survival: Trajectories to Functional Aging (CHS All Stars)R01AG023629 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEWMAN, ANNE B. · 2004 to 2016
$9.5M
Osteoporotic Fractures in Men (MrOS) - San Francisco Coordinating CenterU01AR066160 · NIAMS · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI CUMMINGS, STEVEN RON · 2013 to 2017
$9.3M
CHS research resources for the cardiovascular health of older adultsU01HL130114 · NHLBI · UNIVERSITY OF WASHINGTON · PI BURKE, GREGORY L, KRONMAL, RICHARD A · 2016 to 2019
$6.6M
Study of Osteoporotic FracturesR01AG005394 · NIA · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ENSRUD, KRISTINE · 1986 to 2015
$6.1M
Project 3P60AR049465 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JORDAN, JOANNE M. · 2003 to 2008
$6.0M
Integrative Resource to Develop Translational Strategies to Promote LongevityU24AG051129 · NIA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI CUMMINGS, STEVEN RON, EVANS, DANIEL SPENCER · 2015 to 2019
$5.3M
CDC HHS S043, S1734CDC HHS S3486NCATS NIH HHS UL1 TR000128NHLBI NIH HHS HHSN268200800007CNHLBI NIH HHS HHSN268201200036CNHLBI NIH HHS HHSN268201800001CNHLBI NIH HHS N01-HC-25195NHLBI NIH HHS N01HC55222NHLBI NIH HHS N01HC85079NHLBI NIH HHS N01HC85080NHLBI NIH HHS N01HC85081NHLBI NIH HHS N01HC85082NHLBI NIH HHS N01HC85083NHLBI NIH HHS N01HC85086NHLBI NIH HHS U01HL080295NHLBI NIH HHS U01 HL130114NHLBI NIH HHS U01HL130114NIAMS NIH HHS 5-P60-AR30701NIAMS NIH HHS 5 P60 AR49465-03NIAMS NIH HHS U01 AR066160NIA NIH HHS AG51421NIA NIH HHS K01 AG057726NIA NIH HHS K23 AG050260NIA NIH HHS N01AG62101NIA NIH HHS N01AG62103NIA NIH HHS N01AG62106NIA NIH HHS P30 AG024827NIA NIH HHS P30 AG028740NIA NIH HHS P30 AG028747NIA NIH HHS P30 AG031679NIA NIH HHS R01 AG005394NIA NIH HHS R01 AG005407NIA NIH HHS R01AG023629NIA NIH HHS R01 AG027574NIA NIH HHS R01 AG027576NIA NIH HHS R01 AG048069NIA NIH HHS R01 AG054366NIA NIH HHS U01 AG027810NIA NIH HHS U01 AG042124NIA NIH HHS U01 AG042139NIA NIH HHS U01 AG042140NIA NIH HHS U01 AG042143NIA NIH HHS U01 AG042145NIA NIH HHS U01 AG042168NIA NIH HHS U01 AG051421NIA NIH HHS U24AG051129NIH HHS R01 AR049439-01A1NIH HHS R01AR057118NIH HHS R01 AR35582NIH HHS R01 AR35583NIH HHS R01AR35584NIH HHS R01 AR 41398
6 · The paper itself

Abstract

objectivesAnalyses performed by the Sarcopenia Definitions and Outcomes Consortium (SDOC) identified cut-points in several metrics of grip strength for consideration in a definition of sarcopenia. We describe the associations between the SDOC-identified metrics of low grip strength (absolute or standardized to body size/composition); low dual-energy x-ray absorptiometry (DXA) lean mass as previously defined in the literature (appendicular lean mass [ALM]/ht

designIndividual-level, sex-stratified pooled analysis. We calculated odds ratios (ORs) or hazard ratios (HRs) for incident falls, mobility limitation, hip fractures, and mortality. Follow-up time ranged from 1 year for falls to 8.8 ± 2.3 years for mortality.

settingEight prospective observational cohort studies.

participantsA total of 13,421 community-dwelling men and 4,828 community-dwelling women. MEASUREMENTS Grip strength by hand dynamometry, gait speed, and lean mass by DXA.

resultsLow grip strength (absolute or standardized to body size/composition) was associated with incident outcomes, usually independently of slowness, in both men and women. ORs and HRs generally ranged from 1.2 to 3.0 for those below vs above the cut-point. DXA lean mass was not consistently associated with these outcomes. When considered together, those who had both muscle weakness by absolute grip strength (<35.5 kg in men and <20 kg in women) and slowness were consistently more likely to have a fall, hip fracture, mobility limitation, or die than those without either slowness or muscle weakness.

conclusionOlder men and women with both muscle weakness and slowness have a higher likelihood of adverse health outcomes. These results support the inclusion of grip strength and walking speed as components in a summary definition of sarcopenia. J Am Geriatr Soc 68:1429-1437, 2020.

Indexed as

Absorptiometry, PhotonAccidental FallsAgedBody CompositionBody Mass IndexConsensusFemaleHand StrengthHip FracturesHumansIndependent LivingMaleMobility LimitationMuscle StrengthMuscle WeaknessProspective Studiesgait speedgrip strengthhip fracturemobility limitationsarcopenia

Identifiers

PMID32633824
PMCPMC7508260

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.