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Sarcopenia - the need for an Asian perspective.

¹Department of Medicine & Therapeutics, Faculty of Medicine, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, N.T., Hong Kong. jeanwoowong@cuhk.edu.hk.

Aging Clinical and Experimental Research

|August 29, 2025

Summary

Sarcopenia research in Asia has rapidly advanced, with evolving consensus definitions. Despite recognized importance, a gap persists in clinical practice for sarcopenia case finding and management.

Keywords:

Community screening Ethnicity Management Sarcopenia Social determinants

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Area of Science:

Gerontology and aging research
Musculoskeletal health and disease
Public health and epidemiology

Background:

Sarcopenia research originated in Asia approximately 25 years ago.
The Asian Working Group in Sarcopenia (AWGS) was established in 2014, releasing consensus definitions in 2014, 2019, and a forthcoming 2025 update.
Asian sarcopenia definitions utilize different cutoff values compared to European or US standards, potentially influenced by ethnicity and social determinants of body composition.

Purpose of the Study:

To review the development and current status of sarcopenia research in Asia.
To highlight the evolution of consensus definitions for sarcopenia in the Asian population.
To identify the gap between sarcopenia research, public health initiatives, and clinical practice.

Main Methods:

Literature review of sarcopenia research originating from or focused on Asia.
Analysis of consensus definitions and updates from the Asian Working Group in Sarcopenia.
Examination of the translation of research findings into clinical practice and public health strategies.

Main Results:

Sarcopenia research is a rapidly growing field in Asia.
Distinct diagnostic criteria for sarcopenia exist in Asia compared to Western countries.
There is a recognized need for improved integration of sarcopenia detection and management in community and hospital settings.

Conclusions:

The field of sarcopenia in Asia has matured significantly with established working groups and evolving definitions.
Differences in sarcopenia definitions underscore the need for culturally and ethnically relevant diagnostic criteria.
Bridging the gap between research, public health, and clinical practice is crucial for effective sarcopenia management in Asian populations.