Título :	Agreement between the EWGSOP2 and SDOC consensuses for sarcopenia in patients receiving hemodialysis: Findings of a cross sectional analysis from the SARC-HD study
Autor :	Duarte, Marvery Peterson Nóbrega, Otávio de Toledo Baião, Victor M. Vieira, Fábio A. Monteiro, Jacqueline S. Pires, Luis F. Queiroz, Gabrielle G. Silva, Mauro J. Silva, Maryanne Z. C. Costa, Fabiana L Disessa, Henrique S. Rosa, Clara C. Monteiro, Henrique L. Mondini, Dario R. Nishimaru, Flávio I. Rosa, Maria G. Uchida, Marco C. Krug, Rodrigo R. Moreira , Paulo R. Sant'Helena, Bruna M. Bundchen, Daiana C. Molin, Christine D. Polo, Laura Bohlke, Maristela Mendes, Caroline S. Almeida, Antônia S. Adamoli, Angélica N. Colling, Catiussa Lima, Ricardo M. Inda-Filho, Antônio J. Ferreira, Aparecido P. Avesani, Carla M. Vogt, Barbara P. Reboredo, Maycon M. Ribeiro, Heitor S. The SARC‐HD Study Group
metadata.dc.identifier.orcid:	http://orcid.org/0000-0002-4467-7713 https://orcid.org/0000-0003-1775-7176 https://orcid.org/0000-0001-9641-1952 https://orcid.org/0009-0004-4592-3498 https://orcid.org/0009-0004-2918-3012 https://orcid.org/0000-0001-6602-3625 http://orcid.org/0000-0002-0101-547X http://orcid.org/0000-0002-3377-4331 https://orcid.org/0000-0003-3605-0571 https://orcid.org/0000-0002-4128-4965 https://orcid.org/0000-0002-6701-0751 https://orcid.org/0000-0003-2231-2614 https://orcid.org/0000-0002-3119-6515 https://orcid.org/0000-0001-9372-3475 https://orcid.org/0000-0001-8603-7514 https://orcid.org/0000-0003-1252-180X https://orcid.org/0000-0002-0069-1206 https://orcid.org/0000-0002-4458-8358 https://orcid.org/0000-0002-2619-0354 https://orcid.org/0000-0001-8155-7414 https://orcid.org/0000-0002-4019-4490
metadata.dc.contributor.affiliation:	Faculty of Health Sciences, University of Brasília Faculty of Health Sciences, University of Brasília Faculty of Health Sciences, University of Brasília Faculty of Health Sciences, University of Brasília School of Medicine, Federal University of Juiz de Fora School of Medicine, Federal University of Juiz de Fora School of Medicine, Federal University of Juiz de Fora School of Medicine, Federal University of Juiz de Fora Internal Medicine Department, Botucatu Medical School, São Paulo State University Internal Medicine Department, Botucatu Medical School, São Paulo State University Department of Physical Education, São Paulo State University Department of Physical Education, São Paulo State University Department of Physical Education, São Paulo State University Laboratory of Applied Kinesiology, Faculty of Physical Education,Universidade Estadual de Campinas PlanoAr Reabilitação, São Paulo, Brazil NefroClass, Paulínia, Brazil Renal Quality, Jundiaí, Brazil Laboratory of Applied Kinesiology, Faculty of Physical Education,Universidade Estadual de Campinas Postgraduation Program in Comprehensive Health Care, University of Cruz Alta, Brazil Postgraduation Program in Comprehensive Health Care, University of Cruz Alta, Brazil IELUSC Faculty, Joinville, Brazil Department of Health Sciences, Federal University of Santa Catarina Department of Health Sciences, Federal University of Santa Catarina Department of Health Sciences, Federal University of Santa Catarina Postgraduate Program in Health and Behavior, Catholic University of Pelotas Postgraduate Program in Health and Behavior, Catholic University of Pelotas Postgraduate Program in Health and Behavior, Catholic University of Pelotas Serviço de Educação Física e Terapia Ocupacional, Hospital de Clínicas de Porto Alegre Serviço de Educação Física e Terapia Ocupacional, Hospital de Clínicas de Porto Alegre Faculty of Physical Education, University of Brasília, Brasília, Brazil Faculty of Health Sciences, University of Brasília, Brasília, Brazil Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Technology and Intervention, Karolinska Institute, Stockholm, Sweden Graduate Program in Health Sciences, Medicine Faculty, Federal University of Uberlândia, Uberlândia School of Medicine, Federal University of Juiz de Fora, Juiz de Fora Faculty of Health Sciences, University of Brasília, Brasília
Fecha de publicación :	2024
Editorial :	American Society for Parenteral and Enteral Nutrition
Citación :	DUARTE, Marvery Peterson et al. Agreement between the EWGSOP2 and SDOC consensuses for sarcopenia in patients receiving hemodialysis: findings of a cross sectional analysis from the SARC-HD study. Nutrition in Clinical Practice. v. 39, p. 1441-145144,2024. doi: doi.org/10.1002/ncp.11227. Disponível em: https://aspenjournals.onlinelibrary.wiley.com/doi/full/10.1002/ncp.11227.
Abstract:	Differences in definitions and operational diagnoses for sarcopenia create difficulties in understanding the epidemiology of the disease. We examined the prevalences of sarcopenia using the revised European Working Group on Sarcopenia in Older People (EWGSOP2) and the Sarcopenia Definitions and Outcomes Consortium (SDOC) consensuses and analyzed their level of agreement in patients receiving hemodialysis. Methods Data from the SARCopenia trajectories and associations with clinical outcomes in patients receiving hemodialysis (SARC-HD) multicenter study in Brazil were analyzed. Muscle strength was assessed using handgrip strength, muscle mass by calf circumference, and physical performance by the 4-m gait speed test. Sarcopenia was diagnosed according to both the EWGSOP2 (low muscle strength plus low muscle mass) and the SDOC (low muscle strength plus low physical performance). The Cohen kappa statistic was used to determine the level of agreement between the consensuses. Results 838 patients (57.8 ± 15.0 years; 61\% men) from 19 dialysis units were included. We found similar prevalences of sarcopenia between the consensuses (EWGSOP2, n = 128, 15.3\%; SDOC, n = 105, 12.5\%) but with weak agreement (50 of 233 patients, 21.5\%; κ = 0.34, 95\% CI 0.25–0.43). Agreement was also weak within age categories (≥60 years, κ = 0.34; <60 years, κ = 0.15; both P < 0.001). Of the 51 patients diagnosed by the EWGSOP2 criterion as having severe sarcopenia, all but 1 (98.0\%) met the SDOC criterion for sarcopenia (κ = 0.61, 95\% CI 0.52–0.70). Low muscle strength was more frequently diagnosed using the SDOC than with the EWGSOP2 (52.3\% vs 25.9\%). Conclusion We found a weak agreement between the EWGSOP2 and SDOC consensuses for the diagnosis of sarcopenia in patients receiving hemodialysis. Although still weak, agreement was marginally better for older patients. These findings highlight the importance of a global and standardized conceptual diagnosis of sarcopenia.
metadata.dc.description.unidade:	Faculdade de Medicina (FM) Faculdade de Educação Física (FEF) Faculdade de Ciências da Saúde (FS)
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências da Saúde Programa de Pós-Graduação em Ciências Médicas
DOI:	https://doi.org/10.1002/ncp.11227
metadata.dc.relation.publisherversion:	https://aspenjournals.onlinelibrary.wiley.com/doi/epdf/10.1002/ncp.11227
metadata.dc.source:	Nutrition in Clinical Practice
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