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editorial
. 2016 Oct 17;7(5):512–514. doi: 10.1002/jcsm.12147

Welcome to the ICD‐10 code for sarcopenia

Stefan D Anker 1, John E Morley 2,✉, Stephan von Haehling 1
PMCID: PMC5114626  PMID: 27891296

Abstract

The new ICD‐10‐CM (M62.84) code for sarcopenia represents a major step forward in recognizing sarcopenia as a disease. This should lead to an increase in availability of diagnostic tools and the enthusiasm for pharmacological companies to develop drugs for sarcopenia.

Keywords: Aging, Sarcopenia, ICD code

Sarcopenia has come a long way since Irwin Rosenberg first suggested the term to apply to age‐related muscle mass.1 This codified the original report in 1931 by Critchley on loss of muscle mass in the extremities with old age.2 Extensive work by Baumgartner and his colleagues3, 4 established that low muscle mass defined as lean appendicular mass/height2 was a good predictor of future outcomes. He also established that obese persons with sarcopenia had worse outcomes than non‐obese persons with sarcopenia and obese persons with intact muscle mass.5 This condition has subsequently been termed sarcopenic obesity.6, 7, 8, 9

In 2010, the European Working Group on Sarcopenia defined sarcopenia as low muscle mass together with low muscle function (strength or performance).10 Subsequently, other international groups developed similar definitions for sarcopenia focusing on walking speed or distance walked in 6 min or grip strength in persons with lean muscle mass.11, 12, 13 A number of studies have confirmed the validity of these definitions.14, 15, 16, 17, 18, 19, 20 Finally, it was recently demonstrated that cutoffs for the definitions need to be ethnically sensitive.21, 22, 23 Based on the available literature, it would appear that sarcopenia is present in 5 to 10% of persons 65 years of age or older.24, 25, 26

This high quality research approach to sarcopenia has led to the recognition of sarcopenia as a disease entity with the awarding of an ICD‐10‐CM (M62.84) code in September, 2016 (www.prweb.com‐prweb13376057). This is an important step similar to the much earlier recognition of osteoporosis as a disease state.27 This will lead to an accelerated interest in physicians making the diagnosis of sarcopenia and for pharmaceutical companies to accelerate the interest in developing drugs to treat sarcopenia. This research will be helped by there already being a number of biomarkers available for sarcopenia.28, 29, 30 This should also drive an increase in diagnostic tool availability for recognizing sarcopenia.31

Sarcopenia is the most important cause of frailty in older persons.32, 33, 34, 35, 36 In addition, there is a close association between sarcopenia and bone loss and hip fracture‐osteosarcopenia.37, 38 Sarcopenia has also been found to be a major reason for poor outcomes in persons with diabetes mellitus.39, 40

SARC‐F is a simple screening test for sarcopenia.41, 42, 43 It prospectively identifies decreased walking speed, activities of daily living disability, hospitalization, and mortality.44, 45, 46 It has been shown to correlate well with the available international definitions for sarcopenia.

There are numerous causes of sarcopenia including anorexia,47 inflammation,48 hypogonadism,49 lack of activity,50 hypovitaminosis D,51 motoneuron loss,52, 53 insulin resistance,54 poor blood flow to muscle,55 mitochondrial dysfunction,56 and genetic causes.57

The established treatment for sarcopenia is resistance exercise.58, 59, 60 It appears that sarcopenia is always responsive to resistance exercise.61 Supplementation with leucine enriched, essential amino acid can also enhance muscle rejuvenation.62, 63, 64, 65 Vitamin D declines with ageing, and supplementation enhances muscle function when deficient.66, 67 Testosterone is the drug with the strongest record for increasing muscle mass and improving function.68, 69, 70 Anamorelin improves muscle mass but not strength.71 A number of other drugs are under development focusing mainly on myostatin and activin‐2 receptor inhibitors.72 Selective androgen receptor molecules (SARMs) have also shown positive effects.73

Overall, the availability of an ICD‐10 code for those of us who work in the area of muscle wasting disease is a very exciting time.74 Over the next few years, we can expect major advances in the treatment of older persons with sarcopenia.

Conflicts of interest

The authors state they have no conflicts of interest regarding this work.

Acknowledgements

The authors certify that they comply with the ethical guidelines for authorship and publishing of the Journal of Cachexia, Sarcopenia and Muscle.75

Anker, S. D. , Morley, J. E. , and von Haehling, S. (2016) Welcome to the ICD‐10 code for sarcopenia. Journal of Cachexia, Sarcopenia and Muscle, 7: 512–514. doi: 10.1002/jcsm.12147.

References

  • 1. Rosenberg H. Summary comments. Am J Clin Nutr 1989;50:1231S–1233S. [Google Scholar]
  • 2. Critchley M. The neurology of old age. Lancet 1931;1:1221–1230. [Google Scholar]
  • 3. Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymsfield SB, Ross RR, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol 1998;147:755–763. [DOI] [PubMed] [Google Scholar]
  • 4. Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med 2001;137:231–243. [DOI] [PubMed] [Google Scholar]
  • 5. Baumgartner RN, Wayne SJ, Waters DL, Janssen I, Gallagher D, Morley JE. Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obes Res 2004;12:1995–2004. [DOI] [PubMed] [Google Scholar]
  • 6. Rolland Y, Lauwers‐Cances V, Cristini C, Abellan van Kan G, Janssen I, Morley JE, Vellas B. Difficulties with physical function associated with obesity, sarcopenia, and sarcopenic‐obesity in community‐dwelling elderly women: The EPIDOS (EPIDemiologie de l'OSteoporose) study. Am J Clin Nutr 2009;89:1895–1900. [DOI] [PubMed] [Google Scholar]
  • 7. Dupuy C, Lauwers‐Cances V, Guyonnet S, Gentil C, Abellan van Kan G, et al. Searching for a relevant definition of sarcopenia: results from the cross‐sectional EPIDOS study. J Cachexia Sarcopenia Muscle 2015;6:144–154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 8. Joppa P, Tkacova R, Franssen FM, Hanson C, Rennard SI, Silverman EK, et al. Sarcopenic obesity, functional outcomes, and systematic inflammation in patients with chronic obstructive pulmonary disease. J Am Med Dir Assoc 2016, DOI: 10.1016/j.jamda.2016.03.020 [Epub ahead of print]. [DOI] [PubMed] [Google Scholar]
  • 9. Kim YP, Kim S, Joh JY, Hwang HS. Effect of interaction between dynapenic component of the European working group on sarcopenia in older people sarcopenia criteria and obesity on activities of daily living in the elderly. J Am Med Dir Assoc 2014;15:371.e1–5. [DOI] [PubMed] [Google Scholar]
  • 10. Cruz‐Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing 2010;39:412–423. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11. Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc 2011;12:249–256. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12. Morley JE, Abbatecola AM, Argiles JM, Baracos V, Bauer J, Bhasin S, et al. Sarcopenia with limited mobility: an international consensus. J Am Med Dir Assoc 2011;12:403–409. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13. Dam TT, Peters KW, Fragala M, Cawthon PM, Harris TB, McLean R, et al. An evidence‐based comparison of operational criteria for the presence of sarcopenia. J Gerontol A Biol Sci Med Sci 2014;69:584–590. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14. Vetrano DL, Landi F, Volpato S, Corsonello A, Meloni E, Bernabei R, Onder G. Association of sarcopenia with short‐ and long‐term mortality in older adults admitted to acute care wards: results from the CRIME study. J Gerontol A Biol Sci Med Sci 2014;69:1154–1161. [DOI] [PubMed] [Google Scholar]
  • 15. Malmstrom TK, Miller DK, Herning MM, Morley JE. Low appendicular skeletal muscle mass (ASM) with limited mobility and poor health outcomes in middle‐aged African Americans. J Cachexia Sarcopenia Muscle 2013;4:179–186. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16. Landi F, Liperoti R, Fusco D, Mastropaolo S, Quartrociocchi D, Proia A, et al. Sarcopenia and mortality among older nursing home residents. J Am Med Dir Assoc 2012;13:121–126. [DOI] [PubMed] [Google Scholar]
  • 17. Bianchi L, Ferrucci L, Cherubini A, Maggio M, Bandinelli S, Savino E, et al. The predictive value of the EWGSOP definition of sarcopenia: results from the InCHIANTI study. J Gerontol A Biol Sci Med Sci 2016;71:259–264. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18. Lee WJ, Liu LK, Peng LN, Lin MH, Chen LK, ILAS Research Group . Comparisons of sarcopenia defined by IWGS and EWGSOP criteria among older people: results from the I‐Lan longitudinal aging study. J Am Med Dir Assoc 2013;14:528.e1–7. [DOI] [PubMed] [Google Scholar]
  • 19. Brown JC, Harhay MO, Harhay MN. Sarcopenia and mortality among a population‐based sample of community‐dwelling older adults. J Cachexia Sarcopenia Muscle 2016;7:290–298. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 20. Hirani V, Blyth F, Naganathan V, Le Couteur DG, Seibel MJ, Waite LM, et al. Sarcopenia is associated with incident disability, institutionalization, and mortality in community‐dwelling older men: The Concord Health and Ageing in Men Project. J Am Med Dir Assoc 2015;16:607–613. [DOI] [PubMed] [Google Scholar]
  • 21. Chen LK, Lee WJ, Peng LN, Lui LK, Arai H, Akishita M; Asian Working Group for Sarcopenia . Recent advances in sarcopenia research in Asia: 2016 update from the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2016;17:767.e1‐767.e__ (August). [DOI] [PubMed] [Google Scholar]
  • 22. Chen LK, Liu LK, Woo J, Assantachai P, Euyeung TW, Bahyah KS, Chou MY, et al. Sarcopenia in Asai: consensus report of the Asian Working Group for Sarcopenia. J Am Med Dir Assoc 2014;15:95–101. [DOI] [PubMed] [Google Scholar]
  • 23. Woo J, Arai H, Ng TP, Sayer AA, Wong M, Syddall H, et al. Ethnic and geographic variations in muscle mass, muscle strength and physical performance measures. Eur Geriatr Med 2014;5:155–164. [Google Scholar]
  • 24. Morley JE, Anker SD, von Haehling S. Prevalence, incidence, and clinical impact of sarcopenia: facts, numbers, and epidemiology—update 2014. J Cachexia Sarcopenia Muscle 2014;5:253–259. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25. von Haehling S, Morley JE, Anker SD. From muscle wasting to sarcopenia and myopenia: update 2012. J Cachexia Sarcopenia Muscle 2012;3:213–217. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26. Gao L, Jiang J, Yang M, Hao Q, Luo L, Dong B. Prevalence of sarcopenia and associated factors in Chinese community‐dwelling elderly: comparison between rural and urban areas. J Am Med Dir Assoc 2015;16:1003.e1–6. [DOI] [PubMed] [Google Scholar]
  • 27. Roman D, Mahoney K, Mohamadi A. Sarcopenia: what's in a name? J Am Med Dir Assoc 2013;14:80–82. [DOI] [PubMed] [Google Scholar]
  • 28. Cesari M, Fielding RA, Pahor M, Goodpaster B, Hellerstein M, van Kan GA, et al. Biomarkers of sarcopenia in clinical trials—recommendations from the International Working Group on Sarcopenia. J Cachexia Sarcopenia Muscle 2012;3:181–190. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 29. Drescher C, Konishi M, Ebner N, Springer J. Loss of muscle mass: current developments in cachexia and sarcopenia focused on biomarkers and treatment. J Cachexia Sarcopenia Muscle 2015;6:303–311. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30. Mijnarends DM, Schols JM, Meijers JM, Tan FE, Verlaan S, Luiking YC, et al. Instruments to assess sarcopenia and physical frailty in older people living in a community (care) setting: similarities and discrepancies. J Am Med Dir Assoc 2015;16:301–308. [DOI] [PubMed] [Google Scholar]
  • 31. Trevino‐Aguirre E, Lopez‐Teros T, Gutierrez‐Robledo L, Vandewoude M, Perez‐Zepeda M. Availability and use of dual energy X‐ray absorptiometry (DXA) and bio‐impedance analysis (BIA) for the evaluation of sarcopenia by Belgian and Latin American geriatricians. J Cachexia Sarcopenia Muscle 2014;5:79–81. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32. Michel JP. Sarcopenia: there is a need for some steps forward. J Am Med Dir Assoc 2014;15:379–380. [DOI] [PubMed] [Google Scholar]
  • 33. Morley JE. Frailty screening comes of age. J Nutr Health Aging 2014;18:453–454. [DOI] [PubMed] [Google Scholar]
  • 34. Woo J, Yu R, Wong M, Yeung F, Wong M, Lum C. Frailty screening in the community using the FRAIL scale. J Am Med Dir Assoc 2015;16:412–419. [DOI] [PubMed] [Google Scholar]
  • 35. Argiles JM, Muscaritoli M. The three faces of sarcopenia. J Am Med Dir Assoc 2016;17:471–472. [DOI] [PubMed] [Google Scholar]
  • 36. Morley JE. Frailty: a time for action. Eur Geriatr Med 2013;4:215–216. [Google Scholar]
  • 37. Huo YR, Suriyaarachchi P, Gomez F, Curcio CL, Boersma D, Mui SW, et al. Phenotype of osteosarcopenia in older individuals with a history of falling. J Am Med Dir Assoc 2015;16:290–295. [DOI] [PubMed] [Google Scholar]
  • 38. Morley JE. Frailty and sarcopenia: the new geriatric giants. Rev Invest Clin 2016;68:59–67. [PubMed] [Google Scholar]
  • 39. Morley JE, Malmstrom TK, Rodriguez‐Manas L, Sinclair AJ. Frailty, sarcopenia and diabetes. J Am Med Dir Assoc 2014;15:853–859. [DOI] [PubMed] [Google Scholar]
  • 40. Liccini A, Malmstrom TK. Frailty and sarcopenia as predictors of adverse health outcomes in persons with diabetes mellitus. J Am Med Dir Assoc 2016;17:846–851. [DOI] [PubMed] [Google Scholar]
  • 41. Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC‐F: a symptoms core to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle 2016;7:28–36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42. Cao L, Chen S, Zou C, Ding X, Gao L, Liao Z, et al. A pilot study of the SARC‐F scale on screening sarcopenia and physical disability in the Chinese older people. J Nutr Health Aging 2014;18:277–283. [DOI] [PubMed] [Google Scholar]
  • 43. Morley JE, Malmstrom TK. Can sarcopenia be diagnosed without measurements? Eur Geriatr Med 2014;5:291–293. [Google Scholar]
  • 44. Woo J, Leung J, Morley JE. Validating the SARC‐F: a suitable community screening tool for sarcopenia? J Am Med Dir Assoc 2014;15:630–634. [DOI] [PubMed] [Google Scholar]
  • 45. Woo J, Leung J, Morley JE. Defining sarcopenia in terms of incident adverse outcomes. J Am Med Dir Assoc 2015;16:247–252. [DOI] [PubMed] [Google Scholar]
  • 46. Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC‐F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia Muscle 2016;7:28–36. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47. Ezeoke CC, Morley JE. Pathophysiology of anorexia in the cancer cachexia syndrome. J Cachexia Sarcopenia Muscle 2015;6:287–302. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48. Michaud M, Balardy L, Moulis G, Gaudin C, Peyrot C, Vellas B, et al. Proinflammatory cytokines, aging, and age‐related diseases. J Am Med Dir Assoc 2013;14:877–882. [DOI] [PubMed] [Google Scholar]
  • 49. Morley JE. Hypogonadism, testosterone, and nursing home residents. J Am Med Dir Assoc 2013;14:381–383. [DOI] [PubMed] [Google Scholar]
  • 50. Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol 2012;2:1143–1211. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51. Dupuy C, Lauwers‐Cances V, van Kan GA, Gillette S, Schott AM, Beauchet O, et al. Dietary vitamin D intake and muscle mass in older women. Results from a cross‐sectional analysis of the EPIDOS study. J Nutr Health Aging 2013;17:119–124. [DOI] [PubMed] [Google Scholar]
  • 52. Drey M, Krieger B, Sieber CC, Bauer JM, Hettwer S, Bertsch T, DISARCO Study Group . Motoneuron loss is associated with sarcopenia. J Am Med Dir Assoc 2014;15:435–439. [DOI] [PubMed] [Google Scholar]
  • 53. Scherbakov N, Knops M, Ebner N, Valentova M, Sandek A, Grittner U, et al. Evaluation of C‐terminal agrin fragment as a marker of muscle wasting in patients after acute stroke during early rehabilitation. J Cachexia Sarcopenia Muscle 2016;7:60–67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54. Bianchi L, Volpato S. Muscle dysfunction in type 2 diabetes: a major threat to patient's mobility and independence. Acta Diabetol 2016;Jul 9 [Epub ahead of print]. [DOI] [PubMed] [Google Scholar]
  • 55. Morley JE. Pharmacologic options for the treatment of sarcopenia. Calcif Tissue Int 2016;98:319–333. [DOI] [PubMed] [Google Scholar]
  • 56. Rygiel KA, Picard M, Turnbull DM. The ageing neuromuscular system and sarcopenia—a mitochondrial perspective. J Physiol 2016;Feb 27 doi: 10.1113/JP271212. [Epub ahead of print]. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 57. Urano T, Inoue S. Recent genetic discoveries in osteoporosis, sarcopenia and obesity. Endocr J 2015;62:475–484. [DOI] [PubMed] [Google Scholar]
  • 58. Tieland M, van de Rest O, Dirks ML, van der Zwaluw N, Mensink M, van Loon LJ, de Groot LC. Protein supplementation improves physical performance in frail elderly people: a randomized, double‐blind placebo‐controlled trial. J Am Med Dir Assoc 2012;13:720–726. [DOI] [PubMed] [Google Scholar]
  • 59. Tieland M, Dirks ML, van der Zwaluw N, Verdijk LB, van de Rest O, de Groot LC, van Loon LJ. Protein supplementation increases muscle mass gain during prolonged resistance‐type exercise training in frail elderly people: a randomized, double‐blind, placebo‐controlled trial. J Am Med Dir Assoc 2012;13:713–719. [DOI] [PubMed] [Google Scholar]
  • 60. Singh NA, Quine S, Clemson LM, Williams EJ, Williamson DA, Stavrinos TM, et al. Effects of high‐intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: a randomized controlled trial. J Am Med Dir Assoc 2012;13:24–30. [DOI] [PubMed] [Google Scholar]
  • 61. Churchward‐Venne TA, Tieland M, Verdijk LB, Leenders M, Dirks ML, de Groot LC, van Loon LJ. There are no nonresponders to resistance‐type exercise training in older men and women. J Am Med Dir Assoc 2015;16:400–411. [DOI] [PubMed] [Google Scholar]
  • 62. Bauer JM, Biolo G, Cederholm T, Cesari M, Cruz‐Jentoft AJ, Morley JE, et al. Evidence‐based recommendations for optimal dietary protein intake in older people: a position paper from the PROT‐AGE study group. J Am Med Dir Assoc 2013;14:542–559. [DOI] [PubMed] [Google Scholar]
  • 63. Bauer JM, Verlaan S, Bautmans I, Brandt K, Donini LM, Maggio M, et al. Effects of a vitamin D and leucine‐enriched whey protein nutrition supplement on measures of sarcopenia in older adults, the PROVIDE study: a randomized, double‐blind, placebo‐controlled trial. J Am Med Dir Assoc 2015;16:740–747. [DOI] [PubMed] [Google Scholar]
  • 64. Morley JE, Argiles JM, Evans WJ, Bhasin S, Cella D, Deutz NE, et al. Nutritional recommendations for the management of sarcopenia. J Am Med Dir Assoc 2010;11:391–396. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 65. Anker SD, Morley JE. Cachexia: a nutritional syndrome? J Cachexia Sarcopenia Muscle 2015;6:269–271. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 66. Perry HM 3rd, Horowitz M, Morley JE, Patrick P, Vellas B, Baumgartner R, Garr PJ. Longitudinal changes in serum 25‐hydroxyvitamin D in older people. Metabolism 1999;48:1028–1032. [DOI] [PubMed] [Google Scholar]
  • 67. Halfon M, Phan O, Teta D. Vitamin D: a review on its effects on muscle strength, the risk of fall, and frailty. Biomed Res Int 2015; Apr 27; DOI: 10.1155/2015/953241. Epub ahead of print]. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 68. Snyder PJ, Bhasin S, Cunningham GR, Matsumoto AM, Stephens‐Shields AJ, Cauley JA, et al, Investigators TT. Effects of testosterone treatment in older men. N Engl J Med 2016;374:611–624. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 69. Morley JE. Scientific overview of hormone treatment used for rejuvenation. Fertil Steril 2013;99:1807–1813. [DOI] [PubMed] [Google Scholar]
  • 70. Sih R, Morley JE, Kaiser FE, Perry HM 3rd, Patrick P, Ross C. Testosterone replacement in older hypogonadal men: a 12‐month randomized controlled trial. J Clin Endocrinol Metab 1997;82:1661–1667. [DOI] [PubMed] [Google Scholar]
  • 71. Anker SD, Coats AJ, Morley JE. Evidence for partial pharmaceutical reversal of the cancer anorexia–cachexia syndrome: the case of anamorelin. J Cachexia Sarcopenia Muscle 2015;6:275–277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 72. Morley JE, von Haehling S, Anker SD. Are we closer to having drugs to treat muscle wasting disease? J Cachexia Sarcopenia Muscle 2014;5:83–87. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 73. Anker MS, von Haehling S, Springer J, et al. Highlights of the mechanistic and therapeutic cachexia and sarcopenia research 2010 to 2012 and their relevance for cardiology. Int J Cardiol 2013;162:73–76. [DOI] [PubMed] [Google Scholar]
  • 74. http://www.eurekalert.org/pub_releases/2016‐04/afar‐ac042716.php Accessed July 18, 2016
  • 75. von Haehling S, Morley JE, Coats AJS, Anker SD. Ethical guidelines for authorship and publishing in the Journal of Cachexia, Sarcopenia and Muscle. J Cachexia Sarcopenia Muscle. 2015;6:315–6. [DOI] [PMC free article] [PubMed] [Google Scholar]

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