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Developing a proactive coping theory-based conceptual framework for sarcopenia management in aging societies: a

Ruiqi Dai1,2, Xinqun Feng1, Yixi Weng3

  • 1College of Fashion and Design, Donghua University, Shanghai, China.

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|December 8, 2025
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Summary

This study introduces a proactive public health strategy to combat sarcopenia in aging populations. It enables early risk identification and tailored interventions by integrating daily life data with clinical insights.

Keywords:
aging societydesign strategymuscle energy attenuationproactive coping theorysarcopeniasystem design intervention

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Area of Science:

  • Public Health
  • Gerontology
  • Design Science

Background:

  • Aging societies face increasing challenges with sarcopenia, a condition often diagnosed late.
  • Existing preventive healthcare systems have systemic gaps in addressing age-related muscle loss.
  • A proactive, design-driven approach is needed to combat sarcopenia effectively.

Purpose of the Study:

  • To propose a public health strategy to combat sarcopenia in rapidly aging societies.
  • To develop a design-driven framework for proactive, preventive healthcare.
  • To bridge clinical diagnostics with daily life narratives for early risk identification.

Main Methods:

  • Mixed-methods approach: participatory questionnaires (n=1,683) and grounded theory interviews (n=48).
  • Validated stage classification using self-reported limitations, clinimetric scoring, and biomechanical assessments.
  • Analytic Hierarchy Process to weigh physiological, psychological, and environmental factors.

Main Results:

  • Developed a four-stage progression model for urban contexts, enabling out-of-healthcare setting risk identification.
  • Created a novel mapping algorithm linking patient-reported staging to evidence-based intervention tiers.
  • Established a three-tier system for cognitive reframing and behavioral reconfiguration.

Conclusions:

  • The interdisciplinary model optimizes healthcare resources, enhances social participation, and modulates disability trajectories.
  • Design acts as an ecological mediator, shifting healthcare from acute care to preventive ecosystem orchestration.
  • Fosters equitable health resilience in aging societies through a proactive, design-driven framework.