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Assessing the Risk of Sarcopenia in the Elderly: The Mini Sarcopenia Risk Assessment (MSRA) Questionnaire.

A P Rossi¹, R Micciolo, S Rubele

¹Andrea P Rossi, M.D., Ph.D. Department of Medicine, Division of Geriatrics, University of Verona, Ospedale Maggiore, Piazzale Stefani 1, 37126 Verona, Italy, +39-45-8122537, +39-45-8122043 (fax),

The Journal of Nutrition, Health & Aging

|May 25, 2017

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The Mini Sarcopenia Risk Assessment (MSRA) questionnaire effectively prescreens for sarcopenia in older adults. A shorter version of the MSRA improves its ability to identify individuals with sarcopenia.

Area of Science:

Gerontology
Nutritional Science
Epidemiology

Background:

Sarcopenia, a condition characterized by loss of muscle mass and strength, significantly impacts the health and independence of the elderly population.
Early identification of sarcopenia is crucial for timely intervention and management.
The Mini Sarcopenia Risk Assessment (MSRA) questionnaire has been proposed as a potential prescreening tool for sarcopenia.

Purpose of the Study:

To validate the Mini Sarcopenia Risk Assessment (MSRA) questionnaire as a prescreening tool for sarcopenia.
To assess the effectiveness of the MSRA in identifying sarcopenic individuals within a community-dwelling elderly population.

Main Methods:

An observational study was conducted with 274 community-dwelling elderly subjects (177 women, 97 men, aged 66-78 years).

Keywords:

Sarcopenia muscle strength risk factor assessment

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Sarcopenia was diagnosed based on the European Working Group on Sarcopenia in Older People (EWGSOP) criteria.

The 7-item MSRA questionnaire, assessing anamnestic and nutritional factors, was administered to all participants.

Main Results:

33.5% of the participants were classified as sarcopenic.
A 7-item MSRA score of 30 or less indicated a 4-fold increased risk of sarcopenia (OR: 4.20; 95% CI: 2.26-8.06), with an ROC curve area of 0.786.
A derived 5-item MSRA score showed improved specificity (0.604) compared to the 7-item version (0.505) while maintaining sensitivity (0.804).

Conclusions:

The MSRA questionnaire demonstrates predictive value for sarcopenia and can serve as a useful prescreening instrument.
A shortened version of the MSRA questionnaire enhances its capacity for identifying individuals with sarcopenia.