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037 _ _ |a DKFZ-2023-00200
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Huemer, Marie-Theres
|b 0
245 _ _ |a Grip strength values and cut-off points based on over 200,000 adults of the German National Cohort - a comparison to the EWGSOP2 cut-off points.
260 _ _ |a Oxford
|c 2023
|b Oxford Univ. Press
336 7 _ |a article
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520 _ _ |a The European Working Group on Sarcopenia in Older People (EWGSOP) updated in 2018 the cut-off points for low grip strength to assess sarcopenia based on pooled data from 12 British studies.Comparison of the EWGSOP2 cut-off points for low grip strength to those derived from a large German sample.We assessed the grip strength distribution across age and derived low grip strength cut-off points for men and women (peak mean -2.5 × SD) based on 200,389 German National Cohort (NAKO) participants aged 19-75 years. In 1,012 Cooperative Health Research in the Region of Augsburg (KORA)-Age participants aged 65-93 years, we calculated the age-standardised prevalence of low grip strength and time-dependent sensitivity and specificity for all-cause mortality.Grip strength increased in the third and fourth decade of life and declined afterwards. Calculated cut-off points for low grip strength were 29 kg for men and 18 kg for women. In KORA-Age, the age-standardised prevalence of low grip strength was 1.5× higher for NAKO-derived (17.7%) compared to EWGSOP2 (11.7%) cut-off points. NAKO-derived cut-off points yielded a higher sensitivity and lower specificity for all-cause mortality.Cut-off points for low grip strength from German population-based data were 2 kg higher than the EWGSOP2 cut-off points. Higher cut-off points increase the sensitivity, thereby suggesting an intervention for more patients at risk, while other individuals might receive additional diagnostics/treatment without the urgent need. Research on the effectiveness of intervention in patients with low grip strength defined by different cut-off points is needed.
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650 _ 7 |a European Working Group on Sarcopenia in Older People (EWGSOP)
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650 _ 7 |a cut-off points
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650 _ 7 |a grip strength
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650 _ 7 |a mortality
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650 _ 7 |a probable sarcopenia
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700 1 _ |a Kluttig, Alexander
|b 1
700 1 _ |a Fischer, Beate
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700 1 _ |a Ahrens, Wolfgang
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700 1 _ |a Castell, Stefanie
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700 1 _ |a Ebert, Nina
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700 1 _ |a Gastell, Sylvia
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700 1 _ |a Jöckel, Karl-Heinz
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700 1 _ |a Kaaks, Rudolf
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700 1 _ |a Karch, André
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700 1 _ |a Keil, Thomas
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700 1 _ |a Kemmling, Yvonne
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700 1 _ |a Krist, Lilian
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700 1 _ |a Leitzmann, Michael
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700 1 _ |a Lieb, Wolfgang
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700 1 _ |a Meinke-Franze, Claudia
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700 1 _ |a Michels, Karin B
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700 1 _ |a Mikolajczyk, Rafael
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700 1 _ |a Moreno Velásquez, Ilais
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700 1 _ |a Pischon, Tobias
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700 1 _ |a Schipf, Sabine
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700 1 _ |a Schmidt, Börge
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700 1 _ |a Schöttker, Ben
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700 1 _ |a Schulze, Matthias B
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700 1 _ |a Stocker, Hannah
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700 1 _ |a Teismann, Henning
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700 1 _ |a Wirkner, Kerstin
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700 1 _ |a Drey, Michael
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700 1 _ |a Peters, Annette
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700 1 _ |a Thorand, Barbara
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773 _ _ |a 10.1093/ageing/afac324
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