Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand

Jesse  Zanker; Marc Sim; Kate  Anderson; Saliu  Balogun; Sharon Lee Brennan-Olsen; Elsa  Dent; Gustavo Duque; Christian M  Girgis; Mathis  Grossmann; Alan Hayes; Tim R Henwood; Vasant  Hirani; Charles Anoopkumar Inderjeeth; Sandra  Iuliano; Justin Keogh; Josh  Lewis; Gordon S  Lynch; Julie A  Pasco; Steven  Phu; Esmee M  Reijnierse; Nicholas  Russell; Lara  Vlietstra; Renuka  Visvanathan; Troy  Walker; Debra L Waters; Solomon  Yu; Andrea B  Maier; Robin M Daly; David  Scott

doi:10.1002/jcsm.13115

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Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand

Journal article

Open access

Peer reviewed

Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand

Jesse Zanker, Marc Sim, Kate Anderson, Saliu Balogun, Sharon Lee Brennan-Olsen, Elsa Dent, Gustavo Duque, Christian M Girgis, Mathis Grossmann, Alan Hayes, …

Journal of Cachexia, Sarcopenia and Muscle, Vol.14(1), pp.142-156

2023

DOI: https://doi.org/10.1002/jcsm.13115

PMID: 36349684

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

Aged

Mass screening

Geriatric assessment

Sarcopenia

UniSC Diversity Area - Life Stages

Background: Sarcopenia is an age associated skeletal muscle condition characterized by low muscle mass, strength, and physical performance. There is no international consensus on a sarcopenia definition and no contemporaneous clinical and research guidelines specific to Australia and New Zealand. The Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) Sarcopenia Diagnosis and Management Task Force aimed to develop consensus guidelines for sarcopenia prevention, assessment, management and research, informed by evidence, consumer opinion, and expert consensus, for use by health professionals and researchers in Australia and New Zealand. Methods: A four phase modified Delphi process involving topic experts and informed by consumers, was undertaken between July 2020 and August 2021. Phase 1 involved a structured meeting of 29 Task Force members and a systematic literature search from which the Phase 2 online survey was developed (Qualtrics). Topic experts responded to 18 statements, using 11 point Likert scales with agreement threshold set a priori at >80%, and five multiple choice questions. Statements with moderate agreement (70%-80%) were revised and reintroduced in Phase 3, and statements with low agreement (<70%) were rejected. In Phase 3, topic experts responded to six revised statements and three additional questions, incorporating results from a parallel Consumer Expert Delphi study. Phase 4 involved finalization of consensus statements. Results: Topic experts from Australia (n = 62, 92.5%) and New Zealand (n = 5, 7.5%) with a mean ± SD age of 45.7 ± 11.8 years participated in Phase 2; 38 (56.7%) were women, 38 (56.7%) were health professionals and 27 (40.3%) were researchers/academics. In Phase 2, 15 of 18 (83.3%) statements on sarcopenia prevention, screening, assessment, management and future research were accepted with strong agreement. The strongest agreement related to encouraging a healthy lifestyle (100%) and offering tailored resistance training to people with sarcopenia (92.5%). Forty seven experts participated in Phase 3; 5/6 (83.3%) revised statements on prevention, assessment and management were accepted with strong agreement. A majority of experts (87.9%) preferred the revised European Working Group for Sarcopenia in Older Persons (EWGSOP2) definition. Seventeen statements with strong agreement (>80%) were confirmed by the Task Force in Phase 4. Conclusions: The ANZSSFR Task Force present 17 sarcopenia management and research recommendations for use by health professionals and researchers which includes the recommendation to adopt the EWGSOP2 sarcopenia definition in Australia and New Zealand. This rigorous Delphi process that combined evidence, consumer expert opinion and topic expert consensus can inform similar initiatives in countries/regions lacking consensus on sarcopenia.

Details

Title: Consensus guidelines for sarcopenia prevention, diagnosis and management in Australia and New Zealand
Authors: Jesse Zanker (Corresponding Author) - The University of Melbourne
Marc Sim (Author) - Edith Cowan University
Kate Anderson (Author) - Deakin University
Saliu Balogun (Author) - Australian National University
Sharon Lee Brennan-Olsen (Author) - The University of Melbourne
Elsa Dent (Author) - Torrens University Australia
Gustavo Duque (Author) - The University of Melbourne
Christian M Girgis (Author) - The University of Sydney
Mathis Grossmann (Author) - The University of Melbourne
Alan Hayes (Author) - The University of Melbourne
Tim R Henwood (Author) - The University of Queensland
Vasant Hirani (Author) - The University of Sydney
Charles Anoopkumar Inderjeeth (Author) - The University of Western Australia
Sandra Iuliano (Author) - The University of Melbourne
Justin Keogh (Author) - University of the Sunshine Coast, Queensland, Faculty of Science, Health, Education and Engineering
Josh Lewis (Author) - Edith Cowan University
Gordon S Lynch (Author) - The University of Melbourne
Julie A Pasco (Author) - The University of Melbourne
Steven Phu (Author) - The University of Melbourne
Esmee M Reijnierse (Author) - The Royal Melbourne Hospital
Nicholas Russell (Author) - The University of Melbourne
Lara Vlietstra (Author) - University of Otago
Renuka Visvanathan (Author) - The University of Adelaide
Troy Walker (Author) - Deakin University
Debra L Waters (Author)
Solomon Yu (Author) - The University of Adelaide
Andrea B Maier (Author) - National University of Singapore
Robin M Daly (Author) - Deakin University
David Scott (Author) - Deakin University
Publication details: Journal of Cachexia, Sarcopenia and Muscle, Vol.14(1), pp.142-156
Publisher: Wiley-VCH Verlag GmbH & Co. KGaA
Date published: 2023
DOI: 10.1002/jcsm.13115
ISSN: 2190-6009; 2190-5991
PMID: 36349684
Copyright note: © 2022 The Authors. Journal of Cachexia, Sarcopenia and Muscle published by John Wiley & Sons Ltd on behalf of Society on Sarcopenia, Cachexia and Wasting Disorders. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Grants: Australian Government Research Training Program (RTP) Scholarship, RTP, Department of Education (Australia, Canberra)
Optimising Exercise Interventions for Maintaining Physical Function, Bone and Muscle Health in Older Adults with Obesity and Osteoarthritis, 1174886, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Antipsychotics and Osteoporosis: Mechanisms and Clinical Consequences, 1162867, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Biological actions of estradiol in men, 1099173, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Frailty Trans-Disciplinary Research To Achieve Healthy Ageing, 1102208, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Mechanisms underlying adaptation to reactive balance training for falls prevention, 2003179, National Health and Medical Research Council (Australia, Canberra) - NHMRC
Grant note: Australian Medical Research Future Fund (APP2005987) / MRFF (APP1199726) / National Heart Foundation Future Leader Fellowship (ID: 102817) / Royal Perth Hospital Career Advancement Fellowship (CAF 130/ 2020) / Hospital Research Foundation
Organisation Unit: Faculty of Science, Health, Education and Engineering
Language: English
Record Identifier: 99686998402621
Output Type: Journal article