Comparison of four screening methods for sarcopenia among community-dwelling older adults: A diagnostic accuracy study

•This study is the first to compare the validity of SARC-F, SARC-Calf, calf circumference, and Yubi-wakka tests for sarcopenia screening among community-dwelling older adults.•This study shows that calf circumference has excellent discrimination ability for both males and females with a diagnosis of sarcopenia.•This study shows that the Yubi-wakka test in the “smaller” and “just fits” categories is significantly associated with an increased risk of sarcopenia. This study aimed to compare the diagnostic values of SARC-F (strength, assistance with walking, rising from a chair, climbing stairs, and falls), SARC-Calf (SARC-F combined with calf circumference), CC (calf circumference), and the Yubi-wakka (finger-ring) test for screening for sarcopenia in community-dwelling older adults. The Asian Working Group for Sarcopenia (AWGS) 2019 criteria were used as a standard reference. A total of 209 participants were enrolled, and 40.7% were identified as sarcopenia. The sensitivity, specificity, and AUC were respectively 54.1%, 70.2%, and 0.687 for SARC-F; 76.5%, 73.4% and 0.832 for SARC-calf, 86.7%, 82.4%, and 0.906 for CC in men, and 85.5%, 63.3%, and 0.877 for CC in women. Relative to the “bigger,” a significant association between sarcopenia and the Yubi-wakka test (“just fits” OR: 4.1, 95% CI: 1.57–10.98; “small” OR: 27.5, 95% CI: 10.14–74.55) was observed. The overall accuracy of CC was better than SARC-Calf for sarcopenia screening.