Table 6.
Receiver operating characteristic curve for diagnosis vs. low muscle function.
| Men | Women | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUC | 95% CI | Cut off | Specificity | Sensitivity | vs. SMI | AUC | 95% CI | Cut off | Specificity | Sensitivity | vs. SMI | ||||||
| Min | Max | Min | Max | ||||||||||||||
| Quantity | Quantity | ||||||||||||||||
| CSA, cm2 | 0.853 | * | 0.779 | 0.927 | 51.1 | 0.838 | 0.760 | 0.047 | CSA, cm2 | 0.769 | * | 0.682 | 0.856 | 39.1 | 0.692 | 0.742 | 0.039 |
| CSA / height, cm | 0.817 | 0.738 | 0.895 | 0.327 | 0.694 | 0.800 | 0.273 | CSA / height, cm | 0.727 | 0.636 | 0.818 | 0.258 | 0.659 | 0.710 | 0.145 | ||
| CSA / height2, % | 0.752 | 0.659 | 0.844 | 0.203 | 0.607 | 0.760 | 0.590 | CSA / height2, % | 0.663 | 0.567 | 0.759 | 0.167 | 0.665 | 0.645 | 0.708 | ||
| CSA / weight, cm2/kg | 0.713 | 0.603 | 0.824 | 0.853 | 0.721 | 0.600 | 0.417 | CSA / weight, cm2/kg | 0.647 | 0.542 | 0.752 | 0.765 | 0.665 | 0.613 | 0.960 | ||
| CSA / BMI, 104·cm4/kg | 0.848 | 0.768 | 0.927 | 2.29 | 0.803 | 0.760 | 0.200 | CSA / BMI, 104·cm4/kg | 0.730 | 0.633 | 0.828 | 1.62 | 0.859 | 0.548 | 0.244 | ||
| ASM, kg | 0.867 | * | 0.793 | 0.942 | 19.2 | 0.769 | 0.880 | 0.006 | ASM, kg | 0.768 | * | 0.694 | 0.841 | 14.0 | 0.600 | 0.871 | <0.001 |
| SMI, kg / m2 | 0.774 | 0.690 | 0.858 | 7.18 | 0.699 | 0.800 | – | SMI, kg / m2 | 0.643 | 0.539 | 0.747 | 5.86 | 0.600 | 0.645 | – | ||
| ASM / weight, % | 0.791 | 0.708 | 0.875 | 31.8 | 0.672 | 0.840 | 0.788 | ASM / weight, % | 0.671 | 0.559 | 0.784 | 26.8 | 0.622 | 0.710 | 0.636 | ||
| ASM / BMI, m2 | 0.883 | * | 0.821 | 0.946 | 0.814 | 0.847 | 0.800 | 0.035 | ASM / BMI, m2 | 0.740 | 0.639 | 0.842 | 0.622 | 0.692 | 0.677 | 0.149 | |
| Quality | Quality | ||||||||||||||||
| CTV, HU | 0.759 | 0.657 | 0.861 | 53.4 | 0.677 | 0.840 | 0.830 | CTV, HU | 0.720 | 0.625 | 0.814 | 50.9 | 0.605 | 0.806 | 0.320 | ||
| CTV / BMI, HU·m2/kg | 0.559 | 0.434 | 0.685 | 2.20 | 0.686 | 0.440 | 0.026 | CTV / BMI, HU·m2/kg | 0.584 | 0.478 | 0.691 | 2.29 | 0.530 | 0.581 | 0.517 | ||
| KES / CSA, N/cm2 | 0.703 | 0.591 | 0.815 | 7.25 | 0.716 | 0.680 | 0.412 | KES / CSA, N/cm2 | 0.686 | 0.573 | 0.798 | 6.27 | 0.757 | 0.613 | 0.609 | ||
| Quality× Quantity | Quality× Quantity | ||||||||||||||||
| CSA × CTV, cm2·HU | 0.868 | * | 0.791 | 0.945 | 2678 | 0.821 | 0.760 | 0.039 | CSA × CTV, cm2·HU | 0.810 | * | 0.731 | 0.889 | 1935 | 0.719 | 0.839 | 0.007 |
| CSA × CTV / height, cm·HU | 0.842 | 0.762 | 0.923 | 17.4 | 0.716 | 0.880 | 0.137 | CSA × CTV / height, cm·HU | 0.782 | * | 0.698 | 0.865 | 12.8 | 0.692 | 0.806 | 0.022 | |
| CSA × CTV / height2, HU | 0.794 | 0.705 | 0.883 | 0.108 | 0.629 | 0.880 | 0.680 | CSA × CTV / height2, HU | 0.737 | 0.647 | 0.827 | 0.0843 | 0.676 | 0.742 | 0.116 | ||
| CSA × CTV / weight, cm2·HU/kg | 0.759 | 0.661 | 0.856 | 47.2 | 0.664 | 0.760 | 0.824 | CSA × CTV / weight, cm2·HU/kg | 0.702 | 0.606 | 0.798 | 37.7 | 0.697 | 0.710 | 0.424 | ||
| CSA × CTV / BMI, 104·cm4·HU/kg | 0.850 | 0.774 | 0.926 | 115 | 0.843 | 0.720 | 0.180 | CSA × CTV / BMI, 104·cm4·HU/kg | 0.767 | 0.681 | 0.853 | 89.6 | 0.697 | 0.742 | 0.084 | ||
| Physical performance | Physical performance | ||||||||||||||||
| Grip, kg | 0.980 | * | 0.955 | 1.000 | 30.0 | 0.956 | 0.920 | <0.001 | Grip, kg | 0.978 | * | 0.948 | 1.000 | 17.9 | 1.000 | 0.903 | <0.001 |
| KES, N | 0.871 | * | 0.812 | 0.931 | 382 | 0.799 | 0.800 | 0.049 | KES, N | 0.816 | * | 0.748 | 0.885 | 255 | 0.735 | 0.710 | 0.007 |
| Leg Power, W | 0.888 | 0.834 | 0.943 | 446 | 0.769 | 0.917 | 0.069 | Leg Power, W | 0.777 | * | 0.704 | 0.850 | 278 | 0.737 | 0.714 | 0.040 | |
| Sit up, times | 0.838 | 0.745 | 0.931 | 10.0 | 0.819 | 0.783 | 0.296 | Sit up, times | 0.692 | 0.579 | 0.805 | 8.00 | 0.611 | 0.760 | 0.732 | ||
| Walking, m/seconds | 0.852 | 0.767 | 0.937 | 1.32 | 0.764 | 0.800 | 0.205 | Walking, m/seconds | 0.648 | 0.537 | 0.760 | 1.33 | 0.627 | 0.613 | 0.952 | ||
| Fast walking, m/seconds | 0.841 | 0.747 | 0.934 | 1.80 | 0.777 | 0.800 | 0.333 | Fast walking, m/seconds | 0.739 | 0.634 | 0.845 | 1.67 | 0.795 | 0.633 | 0.277 | ||
| Balance, seconds | 0.772 | 0.678 | 0.865 | 5.00 | 0.672 | 0.720 | 0.969 | Balance, seconds | 0.794 | * | 0.717 | 0.871 | 5.00 | 0.632 | 0.839 | 0.045 | |
| Reaction, seconds | 0.784 | 0.693 | 0.875 | 0.479 | 0.829 | 0.680 | 0.877 | Reaction, seconds | 0.643 | 0.535 | 0.751 | 0.493 | 0.724 | 0.516 | 1.000 | ||
| Age, years | 0.915 | * | 0.86 | 0.971 | 72.0 | 0.856 | 0.88 | 0.007 | Age, years | 0.828 | * | 0.748 | 0.907 | 67.0 | 0.757 | 0.774 | 0.011 |
Bold is 0.700 or higher, Red bold is 0.900 or higher.
* Significant higher AUC relative to SMI (p<0.05).
Abbreviations: AUC, area under the curve; CI, confidence interval; CSA, cross-sectional area; BMI, body mass index; ASM, appendicular skeletal muscle mass; SMI, skeletal muscle mass index; CTV, computed tomography attenuation value; HU, Hounsfield unit; KES, knee extension strength.