Please use this identifier to cite or link to this item:
https://doi.org/10.1016/j.jamda.2021.05.011
Title: | Reliability and Concurrent Validity of the SARC-F and Its Modified Versions: A Systematic Review and Meta-Analysis | Authors: | Voelker, Stefanie N. Michalopoulos, Nikolaos Maier, Andrea B. Reijnierse, Esmee M. |
Keywords: | aged muscular atrophy SARC-F Sarcopenia screening |
Issue Date: | 1-Sep-2021 | Publisher: | Elsevier Inc. | Citation: | Voelker, Stefanie N., Michalopoulos, Nikolaos, Maier, Andrea B., Reijnierse, Esmee M. (2021-09-01). Reliability and Concurrent Validity of the SARC-F and Its Modified Versions: A Systematic Review and Meta-Analysis. Journal of the American Medical Directors Association 22 (9). ScholarBank@NUS Repository. https://doi.org/10.1016/j.jamda.2021.05.011 | Rights: | Attribution 4.0 International | Abstract: | Objectives: Sarcopenia, being prevalent in up to 40% of older adults, is associated with adverse health outcomes. The international sarcopenia guidelines recommend screening for sarcopenia using the SARC-F. A previous meta-analysis (2017) reported poor validity of the SARC-F among community-dwelling older adults. Since then, modified SARC-F versions were developed and new sarcopenia definitions were published, including the SARC-F for case-finding. This systematic review and meta-analysis aimed to assess the reliability of the SARC-F and its concurrent validity to identify sarcopenia. Design: Systematic review and meta-analyses. Setting and Participants: Adults (all ages) from any study population. Methods: A systematic search was conducted in MEDLINE, EMBASE, Cochrane, and CINAHL (January 1, 2013, to April 6, 2020). Articles were included if they reported on the reliability and/or concurrent validity of the (modified) SARC-F. No restrictions were applied for sex, age, study population, or sarcopenia definition. Reliability measures included inter-rater reliability, test-retest reliability, and internal consistency. Meta-analyses were performed for concurrent validity. Results: The 29 included articles included 21,855 individuals (mean age of 63.3±14.6 years, 61.3% females) among community-dwelling (n = 16), geriatric inpatient (n = 5), geriatric outpatient (n = 2), nursing home (n = 2), and long-term care (n = 1) populations. The SARC-F had good (2/4 articles) to excellent (2/4 articles) inter-rater reliability, moderate (1/6 articles) to good (5/6 articles) test-retest reliability, and low (4/8 articles) to high (4/8 articles) internal consistency. The SARC-F had low to moderate sensitivity (28.9%-55.3%) and moderate to high specificity (68.9%-88.9%) according to the European Working Group on Sarcopenia in Older People (EWGSOP; n = 13), revised EWGSOP definition (EWGSOP2; n = 6), Asian Working Group for Sarcopenia (AWGS; n = 13), Foundation for the National Institutes of Health (FNIH; n = 8), International Working Group on Sarcopenia (IWGS; n = 9), and Society on Sarcopenia, Cachexia and Wasting Disorders (n = 2). The SARC-CalF had low to moderate sensitivity (45.9%-57.2%) and high specificity (87.7%-91.3%) according to the EWGSOP (n = 5), AWGS (n = 4), FNIH (n = 3), and IWGS (n = 3). Conclusions and Implications: Despite the good reliability of the SARC-F, its low to moderate sensitivity and moderate to high specificity make it nonoptimal to use for sarcopenia screening. It is recommended to apply the diagnostic criteria for sarcopenia without screening. © 2021 The Authors | Source Title: | Journal of the American Medical Directors Association | URI: | https://scholarbank.nus.edu.sg/handle/10635/232212 | ISSN: | 1525-8610 | DOI: | 10.1016/j.jamda.2021.05.011 | Rights: | Attribution 4.0 International |
Appears in Collections: | Staff Publications Elements |
Show full item record
Files in This Item:
File | Description | Size | Format | Access Settings | Version | |
---|---|---|---|---|---|---|
10_1016_j_jamda_2021_05_011.pdf | 1.31 MB | Adobe PDF | OPEN | None | View/Download |
This item is licensed under a Creative Commons License