Evidence map›Paper›PMID 41588557›Full record

ArticleJournal of cachexia, sarcopenia and muscle2026

Sit-to-Stand Power From 2D Pose Estimation as an Indicator of Muscle Strength in Older Adults.

Wonjae Hwang, Dain Shim, Joowan Kim, Kyung Rok Oh, Sun Gun Chung, Jaewon Beom, Myung Woo Park, Kyung Su Kim, Joonghee Kim, Chul Hyun Park and 1 more

Erratum issuedAbstract read
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Article in Journal of cachexia, sarcopenia and muscle, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Wonjae HwangDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0001-8907-4468
Dain ShimDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0002-3529-5262
Joowan KimDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0002-3547-1051
Kyung Rok OhDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0003-1989-8984
Sun Gun ChungDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0001-5785-8110
Jaewon BeomDepartment of Rehabilitation Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea.ORCID https://orcid.org/0000-0001-7984-9661
Myung Woo ParkDepartment of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, South Korea.ORCID https://orcid.org/0000-0001-7531-8433
Kyung Su KimDepartment of Emergency Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0002-3897-0278
Joonghee KimDepartment of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea.ORCID https://orcid.org/0000-0001-5080-7097
Chul Hyun ParkDepartment of Physical and Rehabilitation Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea.ORCID https://orcid.org/0000-0002-9897-6612
Keewon KimDepartment of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea.ORCID https://orcid.org/0000-0001-6597-578X

Funding

Ministry of Health & Welfare, Republic of Korea HC21C0064
6 · The paper itself

Abstract

backgroundThe sit-to-stand (STS) test is a crucial tool for sarcopenia assessment. However, the two most widely used diagnostic frameworks differ in their conceptualization of the test. The European Working Group on Sarcopenia in Older People 2 views the STS test primarily as a proxy for muscle strength, while the Asian Working Group for Sarcopenia 2019 (AWGS 2019) classifies it as a measure of physical performance. This discrepancy poses challenges to conceptual clarity in both research and practice. Recent advancements in pose-estimation algorithms allow for kinematic assessment using a standard handheld devices, providing a simple and cost-effective alternative to conventional motion-analysis.

methodsA total of 129 community-dwelling older adults (mean age 71.8 years) who could ambulate independently underwent assessments of muscle strength (knee extensor and handgrip strength), physical performance (usual walking speed, Timed Up and Go [TUG] velocity and Short Physical Performance Battery [SPPB]) and muscle mass (appendicular skeletal muscle index by bioelectrical impedance analysis). Kinematic analysis of the 30-s sit-to-stand (30-s STS) was conducted using 2D pose estimation to derive peak STS power and joint angles. For validation, a subset of 20 participants completed 30-s STS trials that were recorded concurrently using 2D pose estimation, optical motion capture and force-plate recordings. The correlation between peak STS power, five times sit-to-stand (5x-STS) time, and 30-s STS repetitions with clinical indicators was examined.

resultsPeak STS power correlated strongly with muscle strength and mass (knee extensor strength r = 0.64; handgrip r = 0.64; ASMI r = 0.70; all p < 0.001) but only weakly with physical performance (usual walking speed: r = 0.19, p = 0.030; TUG velocity and SPPB: p > 0.05). In contrast, the 5x-STS time and 30-s STS repetitions showed moderate to strong associations with physical performance (e.g., SPPB r = -0.79 and 0.52, respectively; both p < 0.001) but did not correlate with strength or muscle mass. Despite systematic biases between pose estimation and the reference, the agreement was high (intraclass correlation coefficient for peak STS power = 0.94; joint-angles = 0.83-0.89). In sex-stratified, within-subject mixed-effects models, changes in posture and timing explained modest variance in ΔPeak STS power (marginal R

conclusionsPeak STS power correlated more strongly with muscular strength, while 5x-STS and 30-s STS tests were more closely related to physical performance. These findings align better with and provide stronger support for the AWGS 2019 framework.

Indexed as

Muscle StrengthSarcopeniaAgedAged, 80 and overBiomechanical PhenomenaFemaleHumansMaleMuscle, Skeletalmuscle powerolder peoplepose estimationsarcopeniasit to stand

Identifiers

PMID41588557
PMCPMC12834695

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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.