Patient selection: age > 65 years of age
Parameters:
(1) age in years
(2) number of hospitalizations in the past year
(3) activity level (based on walking distance in meters)
(4) regularly eat 3 meals a day
(5) consumption of milk or dairy products
(6) consumption of poultry, meat, fish, eggs, legumes, ragout (meat stew) or ham
(7) weight loss in the past year in kilograms
|
Parameter
|
Finding
|
7-Item
|
5-Item
|
|
age in years
|
< 70 years
|
5
|
5
|
|
|
>= 70 years
|
0
|
0
|
|
hospitalizations
|
>= 2
|
0
|
0
|
|
|
1
|
5
|
10
|
|
|
0
|
10
|
15
|
|
activity level
|
able to walk < 1,000 m
|
0
|
0
|
|
|
able to walk >= 1,000 m
|
5
|
15
|
|
regularly eat 3 meals/day
|
no
|
0
|
0
|
|
|
yes
|
5
|
15
|
|
milk and dairy
|
not every day
|
0
|
NA
|
|
|
every day
|
5
|
NA
|
|
poultry, meat, fish, etc
|
not every day
|
0
|
NA
|
|
|
every day
|
5
|
NA
|
|
weight loss in past year
|
<= 2 kg
|
5
|
10
|
|
|
> 2 kg
|
0
|
0
|
where:
• The is no distinction for intended vs unintended weight loss.
total score for 7 items =
= SUM(points for 7 items)
total score for 5 items =
= SUM(points for 5 items)
Interpretation:
• minimum score: 0
• maximum 7-item score: 40
• maximum 5-item score: 60
• A 7-item score <= 30 is associated with a greater risk for sarcopenia (odds ratio 4.2).
• A 5-item score <= 45 is associated with a greater risk of sarcopenia.
Performance:
• The area under the ROC curve for the 5-item score was 0.79.
