Box 1.

Key Recommendations from Wave 1 of BEPOP benchmarking.

1.	Assessment: All older people referred for exercise programmes should be assessed using an objective strength-based assessment method, such as grip strength and/or chair stand test (five times or 30 second sit to stand), before starting an exercise programme.
2.	Diagnosis: Probable sarcopenia can be diagnosed, as per European Working Group on Sarcopenia in Older People 2019 guidelines and diagnostic cut-offs, using objective strength-based assessment methods. This should be clearly documented and shared with the patient’s GP.
3.	Exercise prescription: Progressive resistance exercise training, including use of resistance equipment, should be included in all exercise prescriptions for older people living with sarcopenia (probable or confirmed) and physical frailty.
4.	Progress and Re-assess: Resistance exercises should be progressed by increasing intensity of exercises, not just by increasing the volume of exercises. At the end of an exercise programme, all older people should be re-assessed using the same objective strength-based assessment method that was used at baseline (paired outcome assessment), to assess progress, guide ongoing prescription and identify those that need onward signposting to community exercise services.
5.	Take forwards: All older people completing an exercise programme should be offered education about the benefits of exercise, importance of continuation beyond discharge, signposting or referral onwards to ongoing exercise services where possible.