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. 2020 Jan 13;21(2):494. doi: 10.3390/ijms21020494

Table 1.

Diagnostic criteria for sarcopenic obesity.

Study Definition of Sarcopenia Definition of Obesity
EWGSOP2 [2]
Use the SARC-F questionnaire to find subjects with sarcopenia
Decreased muscle mass and Decreased muscle strength or performance NA
Muscle mass measurement ASM < 20 kg (M), 15 kg (W) ASM/height2 < 7.0 kg/m2 (M), < 6.0 kg/m2 (W) (DXA)
Muscle strength measurement Hand grip strength < 27 kg (M), <16 kg (W) Chair stand > 15 s for five rises
Performance measurement Gait speed ≤ 0.8 m/s SPPB ≤ 8 TUG ≥ 20 s 400 m walk test Non-completion or ≥6 min for completion
New Mexico Aging Process Study [16] ASM/height2 < 7.26 kg/m2 (M), <5.45 kg/m2 (W) (DXA) Body fat > 27% (M),
>38% (W)
NHANES III [17] ALM/height2 < 9.12 kg/m2 (M), <6.53 kg/m2 (W) Body fat > 27% (M),
>38% (W)
FNIH [18] ALM < 19.75 kg (M), <15.02kg (W) (DXA) NA
Asian Working Group for Sarcopenia [19] Decreased muscle mass and Decreased muscle strength or performance NA
Muscle mass measurement ALM/height2 < 7.0 kg/m2 (M), <5.4 kg/m2 (W) (DXA) ALM/height2 < 7.0 kg/m2 (M), <5.7 kg/m2 (W) (BIA)
Muscle strength measurements Hand grip strength < 26 kg (M), <18 kg (W)
Performance measurement Gait speed ≤ 0.8 m/s
Korea Sarcopenic Obesity Study [20] SMI < 7.26 kg/m2 (M), < 5.45 kg/m2 (W) (DXA) Body fat > 27% (M),
>38% (W)

SARC-F is a five-question self-reported questionnaire to screen for sarcopenia risk. The question comprises the subjects’ perception of his/ her limitations in strength, walking ability, rising from a chair, stair climbing, and experiences with falls [21]. ALM; appendicular lean mass. ASM; appendicular skeletal muscle mass. SPPB; Short physical performance battery. TUG; Timed-Up and Go test. SMI; Skeletal muscle index (total skeletal muscle mass (kg)/height (m)2). VFA; Visceral fat area.