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. 2019 Nov 13;28(154):190049. doi: 10.1183/16000617.0049-2019

TABLE 1.

Criteria and cut-off points to diagnose sarcopenia according to the main consensus criteria groups

Consensus group Main criteria definition Lean muscle mass Muscle function
Handgrip strength Gait speed m·s−1 SPPB TUG
ESPEN SIG [33] Low muscle mass plus low gait speed 2sd below mean of young adults of the same sex and ethnic background <0.8 (4MGS)
EWGSOP [34] Low muscle mass plus low muscle strength or low gait speed ASMI: Male <30 kg <0.8 (4MGS) ≤8
 DXA score Female <20 kg
 Male ≤7.26 kg·m−2
 Female ≤5.54 kg·m−2
 (2sd below mean of young adults)
BIA score:
 Male 8.87 kg·m−2
 Female 6.42 kg·m−2
 (2sd below mean of young adults)
IWGS task force [35] Low ASMI plus low gait speed ASMI: <1 (4MGS)
 Male ≤7.23 kg·m−2
 Female ≤5.67 kg·m−2
FNIH [36] Low ALM/BMI plus low handgrip ALM/BMI Male <26 kg <0.8 (4MGS, 6MWT)
Male <0.789 Female <16 kg
Female <0.512 kg/BMI
Male <1
Female <0.56
AWGS [37] Low ASMI plus low gait speed or low handgrip ASMI: Male <26 kg ≤0.8 (6MWT)
 Male ≤7.0 kg·m−2 Female <18 kg
 Female ≤5.4 kg·m−2
EWGSOP2 [38] Low muscle strength plus low muscle mass; severity of sarcopenia involve low physical performance ASMI: Male <27 kg ≤0.8 ≤8 ≥20 s
 Male <7.0 kg·m−2 Female <16 kg
 Female <5.5 kg·m−2

SPPB: Short Physical Performance Battery; TUG: timed up and go test; ESPEN SIG: European Society of Clinical Nutrition and Metabolism Special Interest Group (“cachexia-anorexia in chronic wasting diseases”); EWGSOP: European Working Group on Sarcopenia in Older People; IWGS: International Working Group on Sarcopenia; FNIH: Foundation for the National Institutes of Health; AWGS: Asian Working Group on Sarcopenia; 4MGS: 4-min gait speed; ASMI: appendicular skeletal muscle mass index; DXA: dual-energy X-ray absorptiometry; BIA: bioelectrical impedance analysis; BMI: body mass index; ALM: appendicular lean mass; 6MWT: 6-min walk test.