Low Agreement Between Initial and Revised European Consensus on Definition and Diagnosis of Sarcopenia Applied to People Living With HIV

BACKGROUND:In 2019, the European Working Group on Sarcopenia in Older People (EWGSOP2) proposed low muscle strength as the primary outcome for sarcopenia diagnosis instead of low muscle mass, as proposed in 2010 (EWGSOP1). Therefore, the aim of this study was to compare the prevalence of sarcopenia...

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Veröffentlicht in:Journal of acquired immune deficiency syndromes (1999) 2021-04, Vol.86 (4), p.e106-e113
Hauptverfasser: Oliveira, Vitor H.F., Borsari, Ana L., Cárdenas, José David G., Alves Junior, Claudio M., Castro, Noemy F., Marinello, Poliana C., Padilha, Camila S., Webel, Allison R., Erlandson, Kristine M., Deminice, Rafael
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container_end_page e113
container_issue 4
container_start_page e106
container_title Journal of acquired immune deficiency syndromes (1999)
container_volume 86
creator Oliveira, Vitor H.F.
Borsari, Ana L.
Cárdenas, José David G.
Alves Junior, Claudio M.
Castro, Noemy F.
Marinello, Poliana C.
Padilha, Camila S.
Webel, Allison R.
Erlandson, Kristine M.
Deminice, Rafael
description BACKGROUND:In 2019, the European Working Group on Sarcopenia in Older People (EWGSOP2) proposed low muscle strength as the primary outcome for sarcopenia diagnosis instead of low muscle mass, as proposed in 2010 (EWGSOP1). Therefore, the aim of this study was to compare the prevalence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions in people living with HIV (PLHIV) and to determine the agreement and correlation between different tests proposed by EWGSOP2. SETTING:Cross-sectional study, where 302 PLHIV (151 men), 51.7±9.0 years old were evaluated for the presence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions. METHODS:Appendicular skeletal muscle was estimated using bioimpedance analysis. Handgrip strength, chair stand, gait speed and static balance were used as muscle function measures. Agreement was determined using Cohen’s kappa and Pearson correlation coefficient was calculated. RESULTS:Sarcopenia prevalence was 4.3% using EWGSOP1 and 1.0% using EWGSOP2. Agreement for sarcopenia diagnosis between EWGSOP1 and EWGSOP2 was fair (k=0.37, p
doi_str_mv 10.1097/QAI.0000000000002576
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Therefore, the aim of this study was to compare the prevalence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions in people living with HIV (PLHIV) and to determine the agreement and correlation between different tests proposed by EWGSOP2. SETTING:Cross-sectional study, where 302 PLHIV (151 men), 51.7±9.0 years old were evaluated for the presence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions. METHODS:Appendicular skeletal muscle was estimated using bioimpedance analysis. Handgrip strength, chair stand, gait speed and static balance were used as muscle function measures. Agreement was determined using Cohen’s kappa and Pearson correlation coefficient was calculated. RESULTS:Sarcopenia prevalence was 4.3% using EWGSOP1 and 1.0% using EWGSOP2. Agreement for sarcopenia diagnosis between EWGSOP1 and EWGSOP2 was fair (k=0.37, p&lt;0.01). From the 13 cases of sarcopenia diagnosed using EWGSOP1, only three cases (23.1%) were also diagnosed using EWGSOP2. A medium correlation (r=-0.32, p&lt;0.01) and poor agreement (k=0.14, p&lt;0.01) between muscle strength tests (handgrip strength and chair stand) were observed. Concordance between handgrip and chair stand was observed in 11 participants only, whereas 65 participants were considered to have low muscle strength using chair stand but not using handgrip. CONCLUSIONS:Lower sarcopenia prevalence using EWGSOP2 and low agreement between EWGSOP1 and EWGSOP2 operational definitions in diagnosing sarcopenia were observed in PLHIV.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0000000000002576</identifier><identifier>PMID: 33230028</identifier><language>eng</language><publisher>United States: JAIDS Journal of Acquired Immune Deficiency Syndromes</publisher><subject>AIDS/HIV</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2021-04, Vol.86 (4), p.e106-e113</ispartof><rights>JAIDS Journal of Acquired Immune Deficiency Syndromes</rights><rights>Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4016-56af2eb9431ec10946bcd82bf17b0d705c80bd27b23b4b225b1a12a0e23da37a3</citedby><cites>FETCH-LOGICAL-c4016-56af2eb9431ec10946bcd82bf17b0d705c80bd27b23b4b225b1a12a0e23da37a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;NEWS=n&amp;CSC=Y&amp;PAGE=fulltext&amp;D=ovft&amp;AN=00126334-202104010-00018$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,776,780,4595,27901,27902,65206</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33230028$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oliveira, Vitor H.F.</creatorcontrib><creatorcontrib>Borsari, Ana L.</creatorcontrib><creatorcontrib>Cárdenas, José David G.</creatorcontrib><creatorcontrib>Alves Junior, Claudio M.</creatorcontrib><creatorcontrib>Castro, Noemy F.</creatorcontrib><creatorcontrib>Marinello, Poliana C.</creatorcontrib><creatorcontrib>Padilha, Camila S.</creatorcontrib><creatorcontrib>Webel, Allison R.</creatorcontrib><creatorcontrib>Erlandson, Kristine M.</creatorcontrib><creatorcontrib>Deminice, Rafael</creatorcontrib><title>Low Agreement Between Initial and Revised European Consensus on Definition and Diagnosis of Sarcopenia Applied to People Living With HIV</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>BACKGROUND:In 2019, the European Working Group on Sarcopenia in Older People (EWGSOP2) proposed low muscle strength as the primary outcome for sarcopenia diagnosis instead of low muscle mass, as proposed in 2010 (EWGSOP1). Therefore, the aim of this study was to compare the prevalence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions in people living with HIV (PLHIV) and to determine the agreement and correlation between different tests proposed by EWGSOP2. SETTING:Cross-sectional study, where 302 PLHIV (151 men), 51.7±9.0 years old were evaluated for the presence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions. METHODS:Appendicular skeletal muscle was estimated using bioimpedance analysis. Handgrip strength, chair stand, gait speed and static balance were used as muscle function measures. Agreement was determined using Cohen’s kappa and Pearson correlation coefficient was calculated. RESULTS:Sarcopenia prevalence was 4.3% using EWGSOP1 and 1.0% using EWGSOP2. Agreement for sarcopenia diagnosis between EWGSOP1 and EWGSOP2 was fair (k=0.37, p&lt;0.01). From the 13 cases of sarcopenia diagnosed using EWGSOP1, only three cases (23.1%) were also diagnosed using EWGSOP2. A medium correlation (r=-0.32, p&lt;0.01) and poor agreement (k=0.14, p&lt;0.01) between muscle strength tests (handgrip strength and chair stand) were observed. Concordance between handgrip and chair stand was observed in 11 participants only, whereas 65 participants were considered to have low muscle strength using chair stand but not using handgrip. CONCLUSIONS:Lower sarcopenia prevalence using EWGSOP2 and low agreement between EWGSOP1 and EWGSOP2 operational definitions in diagnosing sarcopenia were observed in PLHIV.</description><subject>AIDS/HIV</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkclu2zAURYkiRQY3f1AUXHYjl5MGL11nsAEDSadkKZDSk82EJhVSstA_yGeXhpMiyCLhhg_gufcR9yL0mZIxJZP824_pYkxeHJbm2Qd0TCdCJHlRiIM4pyxNBOXpEToJ4Y4QmgkxOURHnDMeFcUxely6AU9XHmADtsPfoRsALF5Y3WlpsLQ1_glbHaDG5713LUiLZ84GsKEP2Fl8Bo3ewXHcwWdarqwLOr41-Jf0VZRYLfG0bY2OJp3D1-BaA3ipt9qu8K3u1ni-uPmEPjbSBDh9ukfoz8X579k8WV5dLmbTZVKJ-P0kzWTDQE0Ep1DFHESmqrpgqqG5InVO0qogqma5YlwJxViqqKRMEmC8ljyXfIS-7n1b7x56CF250aECY6QF14eSiUxQkacki6jYo5V3IXhoytbrjfR_S0rKXQdl7KB83UGUfXna0KsN1P9Fz6FHoNgDgzMd-HBv-gF8uQZpuvV73uINaSyYZZyLhBFGScyLJFFIC_4PtL6jAg</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Oliveira, Vitor H.F.</creator><creator>Borsari, Ana L.</creator><creator>Cárdenas, José David G.</creator><creator>Alves Junior, Claudio M.</creator><creator>Castro, Noemy F.</creator><creator>Marinello, Poliana C.</creator><creator>Padilha, Camila S.</creator><creator>Webel, Allison R.</creator><creator>Erlandson, Kristine M.</creator><creator>Deminice, Rafael</creator><general>JAIDS Journal of Acquired Immune Deficiency Syndromes</general><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210401</creationdate><title>Low Agreement Between Initial and Revised European Consensus on Definition and Diagnosis of Sarcopenia Applied to People Living With HIV</title><author>Oliveira, Vitor H.F. ; Borsari, Ana L. ; Cárdenas, José David G. ; Alves Junior, Claudio M. ; Castro, Noemy F. ; Marinello, Poliana C. ; Padilha, Camila S. ; Webel, Allison R. ; Erlandson, Kristine M. ; Deminice, Rafael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4016-56af2eb9431ec10946bcd82bf17b0d705c80bd27b23b4b225b1a12a0e23da37a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>AIDS/HIV</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliveira, Vitor H.F.</creatorcontrib><creatorcontrib>Borsari, Ana L.</creatorcontrib><creatorcontrib>Cárdenas, José David G.</creatorcontrib><creatorcontrib>Alves Junior, Claudio M.</creatorcontrib><creatorcontrib>Castro, Noemy F.</creatorcontrib><creatorcontrib>Marinello, Poliana C.</creatorcontrib><creatorcontrib>Padilha, Camila S.</creatorcontrib><creatorcontrib>Webel, Allison R.</creatorcontrib><creatorcontrib>Erlandson, Kristine M.</creatorcontrib><creatorcontrib>Deminice, Rafael</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliveira, Vitor H.F.</au><au>Borsari, Ana L.</au><au>Cárdenas, José David G.</au><au>Alves Junior, Claudio M.</au><au>Castro, Noemy F.</au><au>Marinello, Poliana C.</au><au>Padilha, Camila S.</au><au>Webel, Allison R.</au><au>Erlandson, Kristine M.</au><au>Deminice, Rafael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low Agreement Between Initial and Revised European Consensus on Definition and Diagnosis of Sarcopenia Applied to People Living With HIV</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>86</volume><issue>4</issue><spage>e106</spage><epage>e113</epage><pages>e106-e113</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><abstract>BACKGROUND:In 2019, the European Working Group on Sarcopenia in Older People (EWGSOP2) proposed low muscle strength as the primary outcome for sarcopenia diagnosis instead of low muscle mass, as proposed in 2010 (EWGSOP1). Therefore, the aim of this study was to compare the prevalence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions in people living with HIV (PLHIV) and to determine the agreement and correlation between different tests proposed by EWGSOP2. SETTING:Cross-sectional study, where 302 PLHIV (151 men), 51.7±9.0 years old were evaluated for the presence of sarcopenia using both EWGSOP1 and EWGSOP2 operational definitions. METHODS:Appendicular skeletal muscle was estimated using bioimpedance analysis. Handgrip strength, chair stand, gait speed and static balance were used as muscle function measures. Agreement was determined using Cohen’s kappa and Pearson correlation coefficient was calculated. RESULTS:Sarcopenia prevalence was 4.3% using EWGSOP1 and 1.0% using EWGSOP2. Agreement for sarcopenia diagnosis between EWGSOP1 and EWGSOP2 was fair (k=0.37, p&lt;0.01). From the 13 cases of sarcopenia diagnosed using EWGSOP1, only three cases (23.1%) were also diagnosed using EWGSOP2. A medium correlation (r=-0.32, p&lt;0.01) and poor agreement (k=0.14, p&lt;0.01) between muscle strength tests (handgrip strength and chair stand) were observed. Concordance between handgrip and chair stand was observed in 11 participants only, whereas 65 participants were considered to have low muscle strength using chair stand but not using handgrip. CONCLUSIONS:Lower sarcopenia prevalence using EWGSOP2 and low agreement between EWGSOP1 and EWGSOP2 operational definitions in diagnosing sarcopenia were observed in PLHIV.</abstract><cop>United States</cop><pub>JAIDS Journal of Acquired Immune Deficiency Syndromes</pub><pmid>33230028</pmid><doi>10.1097/QAI.0000000000002576</doi></addata></record>
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title Low Agreement Between Initial and Revised European Consensus on Definition and Diagnosis of Sarcopenia Applied to People Living With HIV
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