Evidence map›Paper›PMID 40495280›Full record

ArticleAnnals of geriatric medicine and research2025

Standardized Measurement of Muscle Strength and Physical Performance for Sarcopenia: An Expert-Based Delphi Consensus.

Seung-Kyu Lim, Jaewon Beom, Sang Yoon Lee, Kyunghoon Min, Seong-Eun Byun, Yonghan Cha, Jun Hwan Choi, Jung-Yeon Choi, Jae-Young Han, Hak-Chul Jang and 16 more

Abstract readConsensus Statement
In one paragraph

Article in Annals of geriatric medicine and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Seung-Kyu LimDepartment of Rehabilitation Medicine, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea.
Jaewon BeomDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Sang Yoon LeeDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Kyunghoon MinDepartment of Rehabilitation Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.
Seong-Eun ByunDepartment of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.
Yonghan ChaDepartment of Orthopaedic Surgery, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Republic of Korea.
Jun Hwan ChoiDepartment of Rehabilitation Medicine, Regional Rheumatoid and Degenerative Arthritis Center, Jeju National University Hospital, Jeju National University College of Medicine, Jeju, Republic of Korea.
Jung-Yeon ChoiDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Jae-Young HanDepartment of Physical and Rehabilitation Medicine, Chonnam National University Medical School & Hospital, Gwangju, Republic of Korea.
Hak-Chul JangDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Hee-Won JungDivision of Geriatrics, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Kwang-Il KimDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.
Younji KimDepartment of Rehabilitation Medicine, Ewha Woman's University Seoul Hospital, Ewha Woman's University School of Medicine, Seoul, Republic of Korea.
Young-Sang KimDepartment of Family Medicine, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.
Jong Hwa LeeDepartment of Physical Medicine and Rehabilitation, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Republic of Korea.
Jong In LeeDepartment of Rehabilitation Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Seung Yeol LeeDepartment of Physical Medicine and Rehabilitation, Soonchunhyang University Hospital, Soonchunhyang University College of Medicine, Bucheon, Republic of Korea.
Kil-Byung LimDepartment of Rehabilitation Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Republic of Korea.
Bumjo OhDepartment of Family Medicine, SMG-SNU Boramae Medical Center, Seoul, Republic of Korea.
Sae-Jong ParkDepartment of Sport Science, Korea Institute of Sport Science, Seoul, Republic of Korea.
Ga Yang ShimDepartment of Physical and Rehabilitation Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.
Wook SongDepartment of Physical Education, Seoul National University, Seoul, Republic of Korea.
Chang Won WonDepartment of Family Medicine, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Republic of Korea.
Jun-Il YooDepartment of Orthopedic Surgery, Inha University Hospital, Inha University School of Medicine, Incheon, Republic of Korea.
Seung Don YooDepartment of Physical Medicine and Rehabilitation, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea.
Jae-Young LimDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

Funding

Ministry of Health and Welfare RS-2020-KH095863Patient-Centered Clinical Research Coordinating Center
6 · The paper itself

Abstract

backgroundDespite updated sarcopenia guidelines, inconsistent protocols still cause clinical confusion and may compromise diagnostic and outcome accuracy. This Delphi study aimed to establish expert consensus to support the standardization of muscle strength and physical performance assessments for sarcopenia.

methodsA two-round modified Delphi study was conducted with 26 experts in geriatrics and sarcopenia. Participants completed two rounds of anonymous questionnaires evaluating 39 items across seven domains using a nine-point Likert scale or choice-based questions. Consensus was defined as ≥75% agreement.

resultsIn total, 27 of 38 statements (71.1%) reached consensus across two rounds Experts supported further standardization of assessments in alignment with the Asian and Korean Working Group on Sarcopenia (AWGS and KWGS) guidelines. For handgrip strength, consensus was achieved on using both mechanical and hydraulic dynamometers, hydraulic protocols, value selection, measurement time, and positioning, but not on mechanical protocols, repetitions, recovery intervals, repetitions, or unified cutoff values. For calf circumference, consensus was reached on measurement position, method, and value selection, but not on guideline application. In gait speed assessment, agreement was reached on speed, repetitions, assistive device use, and equipment type, but not on value selection, distance, acceleration/deceleration phases, or device interchangeability. For the 400-m walk test, the KWGS guideline and speed were endorsed. Chair stand test (CST) and Timed up-and-go (TUG) test reached consensus on armrest use, value selection, and repetitions, but not on seat height, (CST), or speed (TUG).

conclusionThis study highlights areas of agreement and ongoing uncertainty, supporting future standardization efforts sarcopenia assessment methods.

Indexed as

Geriatric AssessmentMuscle StrengthPhysical Functional PerformanceSarcopeniaAgedDelphi TechniqueFemaleHand StrengthHumansMaleAgedDelphi techniqueMuscle strengthPhysical functional performanceSarcopenia

Identifiers

PMID40495280
PMCPMC12214977

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.