“Yubi‐wakka” (finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults
Aim We developed a simple self‐screening method, the “Yubi‐wakka (finger‐ring)” test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community‐dwelling older adults for identifying sarcopenia, and for predicting disab...
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| Veröffentlicht in: | Geriatrics & gerontology international 2018-02, Vol.18 (2), p.224-232 |
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| creator | Tanaka, Tomoki Takahashi, Kyo Akishita, Masahiro Tsuji, Tetsuo Iijima, Katsuya |
| description | Aim
We developed a simple self‐screening method, the “Yubi‐wakka (finger‐ring)” test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community‐dwelling older adults for identifying sarcopenia, and for predicting disability and mortality.
Methods
We followed 1904 older adults, and analyzed associations between this “Yubi‐wakka” test result at baseline in 2012 and sarcopenia at baseline, new‐onset sarcopenia followed until 2014, and new‐certification for the long‐term care insurance and mortality followed until 2016. The “Yubi‐wakka” test checks whether the maximum non‐dominant calf circumference is bigger than the individual's own finger‐ring circumference, which is formed by the thumb and forefinger of both hands. We divided participants into three groups, “bigger,” “just fits” and “smaller” based on a comparison between the calf and finger‐ring circumference.
Results
Of 1904 participants (mean age 72.8 ± 5.4 years), 53% were grouped as “bigger,” 33% were in “just fits” and 14% were in “smaller.” Relative to “bigger,” the test results statistically associated with sarcopenia (“just fits” OR 2.4, 95% CI 1.4–4.1 and “smaller” OR 6.6, 95% CI 3.5–13), by multivariate analyses. The test results also increased the risk of new‐onset sarcopenia (“just fits” HR 2.1, 95% CI 1.2–3.8 and “smaller” HR 3.4, 95% CI 1.8–6.4). Furthermore, the “smaller” had 2.0‐ and 3.2‐fold increased risks for needing long‐term care insurance services and mortality, respectively.
Conclusions
The “Yubi‐wakka” test is an extremely practical method to identify older adults at risk of sarcopenia, disability and mortality. This test might contribute to increased primary prevention for sarcopenia by serving as an early wake‐up call for older adults against becoming sarcopenic. Geriatr Gerontol Int 2018; 18: 224–232. |
| doi_str_mv | 10.1111/ggi.13163 |
| format | Article |
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We developed a simple self‐screening method, the “Yubi‐wakka (finger‐ring)” test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community‐dwelling older adults for identifying sarcopenia, and for predicting disability and mortality.
Methods
We followed 1904 older adults, and analyzed associations between this “Yubi‐wakka” test result at baseline in 2012 and sarcopenia at baseline, new‐onset sarcopenia followed until 2014, and new‐certification for the long‐term care insurance and mortality followed until 2016. The “Yubi‐wakka” test checks whether the maximum non‐dominant calf circumference is bigger than the individual's own finger‐ring circumference, which is formed by the thumb and forefinger of both hands. We divided participants into three groups, “bigger,” “just fits” and “smaller” based on a comparison between the calf and finger‐ring circumference.
Results
Of 1904 participants (mean age 72.8 ± 5.4 years), 53% were grouped as “bigger,” 33% were in “just fits” and 14% were in “smaller.” Relative to “bigger,” the test results statistically associated with sarcopenia (“just fits” OR 2.4, 95% CI 1.4–4.1 and “smaller” OR 6.6, 95% CI 3.5–13), by multivariate analyses. The test results also increased the risk of new‐onset sarcopenia (“just fits” HR 2.1, 95% CI 1.2–3.8 and “smaller” HR 3.4, 95% CI 1.8–6.4). Furthermore, the “smaller” had 2.0‐ and 3.2‐fold increased risks for needing long‐term care insurance services and mortality, respectively.
Conclusions
The “Yubi‐wakka” test is an extremely practical method to identify older adults at risk of sarcopenia, disability and mortality. This test might contribute to increased primary prevention for sarcopenia by serving as an early wake‐up call for older adults against becoming sarcopenic. Geriatr Gerontol Int 2018; 18: 224–232.</description><identifier>ISSN: 1444-1586</identifier><identifier>EISSN: 1447-0594</identifier><identifier>DOI: 10.1111/ggi.13163</identifier><identifier>PMID: 28898523</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Aged ; anthropometry ; Body measurements ; Disabled Persons - statistics & numerical data ; geriatric assessment ; Humans ; Independent Living ; Japan - epidemiology ; long‐term care insurance ; Medical screening ; Mortality ; Mortality - trends ; Older people ; Predictive Value of Tests ; Prospective Studies ; Sarcopenia ; Sarcopenia - diagnosis ; Self-Examination - methods</subject><ispartof>Geriatrics & gerontology international, 2018-02, Vol.18 (2), p.224-232</ispartof><rights>2017 Japan Geriatrics Society</rights><rights>2017 Japan Geriatrics Society.</rights><rights>2018 Japan Geriatrics Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4783-92464e6d0785f13f8ab6ae5a8f509f6c71c51eae571b0ef11d2253e68d69bdc33</citedby><cites>FETCH-LOGICAL-c4783-92464e6d0785f13f8ab6ae5a8f509f6c71c51eae571b0ef11d2253e68d69bdc33</cites><orcidid>0000-0003-1339-5681</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fggi.13163$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fggi.13163$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28898523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanaka, Tomoki</creatorcontrib><creatorcontrib>Takahashi, Kyo</creatorcontrib><creatorcontrib>Akishita, Masahiro</creatorcontrib><creatorcontrib>Tsuji, Tetsuo</creatorcontrib><creatorcontrib>Iijima, Katsuya</creatorcontrib><title>“Yubi‐wakka” (finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults</title><title>Geriatrics & gerontology international</title><addtitle>Geriatr Gerontol Int</addtitle><description>Aim
We developed a simple self‐screening method, the “Yubi‐wakka (finger‐ring)” test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community‐dwelling older adults for identifying sarcopenia, and for predicting disability and mortality.
Methods
We followed 1904 older adults, and analyzed associations between this “Yubi‐wakka” test result at baseline in 2012 and sarcopenia at baseline, new‐onset sarcopenia followed until 2014, and new‐certification for the long‐term care insurance and mortality followed until 2016. The “Yubi‐wakka” test checks whether the maximum non‐dominant calf circumference is bigger than the individual's own finger‐ring circumference, which is formed by the thumb and forefinger of both hands. We divided participants into three groups, “bigger,” “just fits” and “smaller” based on a comparison between the calf and finger‐ring circumference.
Results
Of 1904 participants (mean age 72.8 ± 5.4 years), 53% were grouped as “bigger,” 33% were in “just fits” and 14% were in “smaller.” Relative to “bigger,” the test results statistically associated with sarcopenia (“just fits” OR 2.4, 95% CI 1.4–4.1 and “smaller” OR 6.6, 95% CI 3.5–13), by multivariate analyses. The test results also increased the risk of new‐onset sarcopenia (“just fits” HR 2.1, 95% CI 1.2–3.8 and “smaller” HR 3.4, 95% CI 1.8–6.4). Furthermore, the “smaller” had 2.0‐ and 3.2‐fold increased risks for needing long‐term care insurance services and mortality, respectively.
Conclusions
The “Yubi‐wakka” test is an extremely practical method to identify older adults at risk of sarcopenia, disability and mortality. This test might contribute to increased primary prevention for sarcopenia by serving as an early wake‐up call for older adults against becoming sarcopenic. Geriatr Gerontol Int 2018; 18: 224–232.</description><subject>Aged</subject><subject>anthropometry</subject><subject>Body measurements</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>geriatric assessment</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Japan - epidemiology</subject><subject>long‐term care insurance</subject><subject>Medical screening</subject><subject>Mortality</subject><subject>Mortality - trends</subject><subject>Older people</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Sarcopenia</subject><subject>Sarcopenia - diagnosis</subject><subject>Self-Examination - methods</subject><issn>1444-1586</issn><issn>1447-0594</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhSMEoj-w4AWQJTat1LR2fhy7u6qCaVElNrBgFTn29eA2iYOdaDS7eQQeoDxIX2eepLeTwgIJb2zf8_ncK58kecfoKcN1tly6U5Yznr9I9llRVCktZfFydy5SVgq-lxzEeEspqyRjr5O9TAgpyizfTx62m_vvU-O2m18rdXentpvf5Mi6fgkBSwEPx2SEOJ6TCzIEpUenVUsitBblqANAjwzpYPzhDbE-kKiC9gOW1QlRvSEK34FxekTNW2JcVI1r3bjeqZ0Po5pvnUejz2pQPUQg2nfd1KOAfcwK2vapjW8NBKLM1I7xTfLKqjbC2-f9MPn26ePXy6v05svi-vLiJtVFJfJUZgUvgBtaidKy3ArVcAWlErak0nJdMV0ywErFGgqWMZNlZQ5cGC4bo_P8MDmafYfgf074FXXnosaBcE4_xZrJXHBKCykR_fAPeuun0ON0dUZpSTkvJEXqeKZ08DEGsPUQXKfCuma0fsqzxjzrXZ7Ivn92nJoOzF_yT4AInM3AyrWw_r9TvVhcz5aPurayig</recordid><startdate>201802</startdate><enddate>201802</enddate><creator>Tanaka, Tomoki</creator><creator>Takahashi, Kyo</creator><creator>Akishita, Masahiro</creator><creator>Tsuji, Tetsuo</creator><creator>Iijima, Katsuya</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1339-5681</orcidid></search><sort><creationdate>201802</creationdate><title>“Yubi‐wakka” (finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults</title><author>Tanaka, Tomoki ; Takahashi, Kyo ; Akishita, Masahiro ; Tsuji, Tetsuo ; Iijima, Katsuya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4783-92464e6d0785f13f8ab6ae5a8f509f6c71c51eae571b0ef11d2253e68d69bdc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>anthropometry</topic><topic>Body measurements</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>geriatric assessment</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Japan - epidemiology</topic><topic>long‐term care insurance</topic><topic>Medical screening</topic><topic>Mortality</topic><topic>Mortality - trends</topic><topic>Older people</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Sarcopenia</topic><topic>Sarcopenia - diagnosis</topic><topic>Self-Examination - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanaka, Tomoki</creatorcontrib><creatorcontrib>Takahashi, Kyo</creatorcontrib><creatorcontrib>Akishita, Masahiro</creatorcontrib><creatorcontrib>Tsuji, Tetsuo</creatorcontrib><creatorcontrib>Iijima, Katsuya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Geriatrics & gerontology international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanaka, Tomoki</au><au>Takahashi, Kyo</au><au>Akishita, Masahiro</au><au>Tsuji, Tetsuo</au><au>Iijima, Katsuya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“Yubi‐wakka” (finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults</atitle><jtitle>Geriatrics & gerontology international</jtitle><addtitle>Geriatr Gerontol Int</addtitle><date>2018-02</date><risdate>2018</risdate><volume>18</volume><issue>2</issue><spage>224</spage><epage>232</epage><pages>224-232</pages><issn>1444-1586</issn><eissn>1447-0594</eissn><abstract>Aim
We developed a simple self‐screening method, the “Yubi‐wakka (finger‐ring)” test to assess sarcopenia swiftly. This prospective cohort study aimed to examine the validity of this test as a practical method among community‐dwelling older adults for identifying sarcopenia, and for predicting disability and mortality.
Methods
We followed 1904 older adults, and analyzed associations between this “Yubi‐wakka” test result at baseline in 2012 and sarcopenia at baseline, new‐onset sarcopenia followed until 2014, and new‐certification for the long‐term care insurance and mortality followed until 2016. The “Yubi‐wakka” test checks whether the maximum non‐dominant calf circumference is bigger than the individual's own finger‐ring circumference, which is formed by the thumb and forefinger of both hands. We divided participants into three groups, “bigger,” “just fits” and “smaller” based on a comparison between the calf and finger‐ring circumference.
Results
Of 1904 participants (mean age 72.8 ± 5.4 years), 53% were grouped as “bigger,” 33% were in “just fits” and 14% were in “smaller.” Relative to “bigger,” the test results statistically associated with sarcopenia (“just fits” OR 2.4, 95% CI 1.4–4.1 and “smaller” OR 6.6, 95% CI 3.5–13), by multivariate analyses. The test results also increased the risk of new‐onset sarcopenia (“just fits” HR 2.1, 95% CI 1.2–3.8 and “smaller” HR 3.4, 95% CI 1.8–6.4). Furthermore, the “smaller” had 2.0‐ and 3.2‐fold increased risks for needing long‐term care insurance services and mortality, respectively.
Conclusions
The “Yubi‐wakka” test is an extremely practical method to identify older adults at risk of sarcopenia, disability and mortality. This test might contribute to increased primary prevention for sarcopenia by serving as an early wake‐up call for older adults against becoming sarcopenic. Geriatr Gerontol Int 2018; 18: 224–232.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>28898523</pmid><doi>10.1111/ggi.13163</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-1339-5681</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged anthropometry Body measurements Disabled Persons - statistics & numerical data geriatric assessment Humans Independent Living Japan - epidemiology long‐term care insurance Medical screening Mortality Mortality - trends Older people Predictive Value of Tests Prospective Studies Sarcopenia Sarcopenia - diagnosis Self-Examination - methods |
| title | “Yubi‐wakka” (finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults |
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