A cross-sectional study on sarcopenia using EWGSOP1 and EWGSOP2 criteria with regional thresholds and different adjustments in a specific geriatric outpatient clinic

  • Sumru SavasEmail author
  • Emin Taşkıran
  • Fulden Z Sarac
  • Fehmi Akcicek
Research Paper

Key summary points


To evaluate the impact of (1) different adjustments of body size, (2) regional grip strength thresholds, and (3) EWGSOP1 and EWGSOP2 algorithm on sarcopenia prevalence using regional muscle mass thresholds in a geriatric outpatient clinic specific to endocrinological problems.


There was no sarcopenic patient with the height square adjusted regional muscle mass thresholds for EWGSOP1 and EWGSOP2. Sarcopenia prevalence was 11.7% with EWGSOP2, and 41.1% by the use of regional grip strength thresholds for EWGSOP2 with body mass index adjustments.


The prevalence of sarcopenia varied significantly regarding the adjustment method for muscle mass in this specific patient group including normal to overweight and obese individuals, and also the regional grip strength thresholds whereas the comparison of the two criteria was not possible due to lack of sarcopenic individuals with height square adjusted regional muscle mass thresholds.



The aim of this study was to determine the prevalence of sarcopenia according to different methods in older outpatients using regional threshold values of muscle mass and muscle strength.


We used data from our university hospital’s geriatric outpatient clinic specific to endocrinological problems, retrospectively. Sarcopenia was defined according to European Working Group on Sarcopenia in Older People (EWGSOP)1 and EWGSOP2 criteria using regional threshold values of skeletal muscle mass (SMM) with the use of different adjustments, and also according to EWGSOP2 with regional threshold values of grip strength.


Among 248 study participants, 53.6% were obese. There was no sarcopenic patient with the height square adjusted regional SMM thresholds for EWGSOP1 and EWGSOP2. Sarcopenia prevalence was 11.7% with EWGSOP2, and 41.1% by the use of regional grip strength thresholds for EWGSOP2 with body mass index adjustments for SMM. The comparison of EWGSOP1 versus EWGSOP2 was not possible due to lack of sarcopenic patients with height adjustment.


The prevalence of sarcopenia varied significantly with the application of different adjustment methods for SMM, and the use of regional grip strength thresholds in the specific patient group with normal to overweight and obese individuals. The use of regional thresholds of grip strength increased the prevalence of EWGSOP2-defined sarcopenia. The impact of the adjustment methods, the characteristics of the study population, and the regional thresholds should be taken into consideration while evaluating the results of sarcopenia studies.


Sarcopenia criteria Skeletal muscle mass adjustment Regional thresholds Aged 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the Institutional Review Board of Clinical Research Ethics Committee of Faculty of Medicine-Ege University and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was obtained from all individual participants included in the study


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Copyright information

© European Geriatric Medicine Society 2019

Authors and Affiliations

  1. 1.Section of Geriatrics, Department of Internal Medicine, School of MedicineEge UniversityIzmirTurkey

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