Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia inJapanese men and women

Ryoko Kawakami; Haruka MURAKAMI; Kiyoshi Sanada; Noriko Tanaka; Susumu S Sawada; Izumi Tabata; Mitsuru Higuchi; Motohiko MIYACHI

doi:10.1111/ggi.12377

journal article Sep 20, 2014

Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia inJapanese men and women

Ryoko Kawakami

Haruka MURAKAMI Kiyoshi Sanada Noriko Tanaka Susumu S Sawada Izumi Tabata

Mitsuru Higuchi Motohiko MIYACHI

Geriatrics & Gerontology International Vol. 15 No. 8 pp. 969-976 · Wiley

View at Publisher Save 10.1111/ggi.12377

Abstract

AimTo examine the relationship between calf circumference and muscle mass, and to evaluate the suitability of calf circumference as a surrogate marker of muscle mass for the diagnosis of sarcopenia among middle‐aged and olderJapanese men and women.MethodsA total of 526 adults aged 40–89 years participated in the present cross‐sectional study. The maximum calf circumference was measured in a standing position. Appendicular skeletal muscle mass was measured using dual‐energyX‐ray absorptiometry, and the skeletal muscle index was calculated as appendicular skeletal muscle mass divided by the square of the height (kg/m2). The cut‐off values for sarcopenia were defined as a skeletal muscle index of less than −2 standard deviations of the mean value for Japanese young adults, as defined previously.ResultsCalf circumference was positively correlated with appendicular skeletal muscle (r = 0.81 in men,r = 0.73 in women) and skeletal muscle index (r = 0.80 in men,r = 0.69 in women). In receiver operating characteristic analysis, the optimal calf circumference cut‐off values for predicting sarcopenia were 34 cm (sensitivity 88%, specificity 91%) in men and 33 cm (sensitivity 76%, specificity 73%) in women.ConclusionsCalf circumference was positively correlated with appendicular skeletal muscle mass and skeletal muscle index, and could be used as a surrogate marker of muscle mass for diagnosing sarcopenia. The suggested cut‐off values of calf circumference for predicting low muscle mass are <34 cm in men and <33 cm in women.Geriatr Gerontol Int 2015; 15: 969–976.

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Citations

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References

Details

Published: Sep 20, 2014
Vol/Issue: 15(8)
Pages: 969-976
License: View

Authors

R

Ryoko Kawakami

Graduate School of Sport Sciences Waseda University Saitama Japan; Department of Health Promotion and Exercise National Institute of Health and Nutrition Tokyo Japan; Japan Society for the Promotion of Science Tokyo Japan

H

Haruka MURAKAMI

Department of Health Promotion and Exercise National Institute of Health and Nutrition Tokyo Japan

K

Kiyoshi Sanada

College of Sport and Health Science Ritsumeikan University Shiga Japan

N

Noriko Tanaka

Department of Health Promotion and Exercise National Institute of Health and Nutrition Tokyo Japan

S

Susumu S Sawada

Department of Health Promotion and Exercise National Institute of Health and Nutrition Tokyo Japan

I

Izumi Tabata

College of Sport and Health Science Ritsumeikan University Shiga Japan

M

Mitsuru Higuchi

Faculty of Sport Sciences Waseda University Saitama Japan

M

Motohiko MIYACHI

Department of Health Promotion and Exercise National Institute of Health and Nutrition Tokyo Japan

Funding

Ministry of Health, Labour and Welfare

Cite This Article

Ryoko Kawakami, Haruka MURAKAMI, Kiyoshi Sanada, et al. (2014). Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia inJapanese men and women. Geriatrics & Gerontology International, 15(8), 969-976. https://doi.org/10.1111/ggi.12377

Calf circumference as a surrogate marker of muscle mass for diagnosing sarcopenia inJapanese men and women

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