Volume 23 Issue 8
Aug.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(8): 1337-1339
NING Chuanrong, LI Qian, ZHANG Yan, FANG Shitong, HUANG Changbao, WANG Jingjing. Analysis of diagnostic efficacy of different sarcopenia diagnostic tools in senile comorbid patients with normal nutrition and malnutrition[J]. Chinese Journal of General Practice, 2025, 23(8): 1337-1339. doi: 10.16766/j.cnki.issn.1674-4152.004128
Citation: NING Chuanrong, LI Qian, ZHANG Yan, FANG Shitong, HUANG Changbao, WANG Jingjing. Analysis of diagnostic efficacy of different sarcopenia diagnostic tools in senile comorbid patients with normal nutrition and malnutrition[J]. Chinese Journal of General Practice, 2025, 23(8): 1337-1339. doi: 10.16766/j.cnki.issn.1674-4152.004128
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Analysis of diagnostic efficacy of different sarcopenia diagnostic tools in senile comorbid patients with normal nutrition and malnutrition

doi: 10.16766/j.cnki.issn.1674-4152.004128
  • 1.

    General Practice Department of Ma'anshan People's Hospital, Ma'anshan, Anhui 243000, China

Funds:

 2022AH040168

  • Received Date: 2024-08-09
    Available Online: 2025-10-31
    Abstract
  •   Objective  To analyze the diagnostic efficacy of different sarcopenia examination tools in the nutritional assessment of elderly patients with comorbidities. The results of this study will provide a reference for clinical selection of a faster and simpler nutritional assessment scheme.  Methods  A total of 242 elderly patients suffering from multiple chronic conditions were selected for inclusion in the study. These patients were admitted to Ma'anshan People's Hospital between August 2021 and April 2024. The mini nutritional assessment (MNA) diagnostic results were utilized as the gold standard for the evaluation of nutritional status, and the patients were categorized into two groups based on their nutritional status: a normal nutrition group and a malnutrition group. Three commonly used sarcopenia screening tools were employed to investigate the nutritional status of the patients: the modified 5-item scale (SARC-CalF) questionnaire, the simple sarcopenia screen (SARC-F) questionnaire, and the Ishii score. The present study sought to analyze the diagnostic value of these three different sarcopenia screening tools in assessing the nutritional status of elderly patients with multiple chronic conditions.  Results  The nutritional status of 242 senile patients with comorbidities was evaluated by means of the MNA. Among the subjects, 98 exhibited signs of malnourishment, while 144 demonstrated a healthy nutritional status. The utilization of the MNA questionnaire as the diagnostic criteria revealed the diagnostic sensitivity of the SARC-CalF questionnaire, SARC-F questionnaire and Ishii score for the nutritional status of elderly comorbidities was to be 83.5%, 73.7%, and 77.0%, respectively. Concurrently, the respective specificities were determined to be 94.7%, 89.1%, and 91.5%. The accuracy of the model was 89.7%, 81.8% and 84.7%, respectively. The consistency test demonstrated that the Kappa values of the SARC-CalF questionnaire, the SARC-F questionnaire, the Ishii score, and the gold standard were 0.789, 0.632, and 0.690, respectively. The diagnostic efficacy of SARC-CalF in senile comorbidities was marginally superior to that of the other two SARC-CALF diagnostic tools.  Conclusion  The SARC-CalF, SARC-F and Ishii score are three commonly used diagnostic tools for the nutritional assessment of senile comorbidities. The SARC-CalF demonstrates relatively higher sensitivity and specificity for the nutritional assessment of senile comorbidities.

     

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