SARCOPENIA IN OLDER ADULTS: A THEORETICAL REVIEW ON DEFINITION, DIAGNOSIS AND CLINICAL IMPLICATIONS
DOI:
https://doi.org/10.63026/acertte.v6i2.307Keywords:
Sarcopenia. Aging. Quality of life. Geriatric syndrome.Abstract
Population aging has intensified in recent decades, becoming one of the most significant contemporary demographic phenomena and bringing important challenges to healthcare systems. Among the conditions associated with aging, sarcopenia stands out as a multifactorial geriatric syndrome characterized by the progressive loss of muscle mass, strength, and physical performance, being directly associated with adverse outcomes such as falls, functional disability, frequent hospitalizations, and increased mortality. The present study aims to provide a comprehensive theoretical review of sarcopenia, addressing its conceptual evolution, pathophysiology, diagnostic criteria, determining factors, clinical impacts, relationship with quality of life, and implications for public health. Based on the analysis of scientific literature, it is observed that sarcopenia remains underdiagnosed despite its high prevalence in the older population. The role of the European Working Group on Sarcopenia in Older People (EWGSOP2) is highlighted, as it established muscle strength as the main clinical marker of the condition. It is concluded that sarcopenia represents a relevant public health issue, requiring greater integration between early diagnosis, preventive strategies, and multidimensional therapeutic approaches.
Downloads
References
Instituto Brasileiro de Geografia e Estatística. Projeções da população do Brasil. Rio de Janeiro: IBGE; 2019.
World Health Organization. World report on ageing and health. Geneva: WHO; 2015.
Reis TS, De Liberal MMC. O direito à saúde: princípio da reserva do possível e mínimo existencial na legislação brasileira. Rev Cient Acertte. 2024;4(6):e46190.
Dodds RM, Roberts HC, Cooper C, Sayer AA. The epidemiology of sarcopenia. J Clin Densitom. 2015;18(4):461-6. doi:10.1016/j.jocd.2015.04.012.
Yu S, Umapathysivam K, Visvanathan R. Sarcopenia in older people. Int J Evid Based Healthc. 2014;12(4):227-43. doi:10.1097/XEB.0000000000000012.
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412-23. doi:10.1093/ageing/afq034.
Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. doi:10.1093/ageing/afy169.
Fielding RA, Vellas B, Evans WJ, et al. Sarcopenia: an undiagnosed condition in older adults. J Am Med Dir Assoc. 2011;12(4):249-56. doi:10.1016/j.jamda.2011.01.003.
Rosenberg IH. Sarcopenia: origins and clinical relevance. Clin Geriatr Med. 2011;27(3):337-9. doi:10.1016/j.cger.2011.03.003.
Silva TAA, Frisoli A Jr, Pinheiro MM, Szejnfeld VL. Sarcopenia associada ao envelhecimento: aspectos etiológicos e opções terapêuticas. Rev Bras Reumatol. 2006;46(6):391-7.
Laviano A, Gori C, Rianda S. Sarcopenia and nutrition. Adv Food Nutr Res. 2014;71:101-36. doi:10.1016/B978-0-12-800270-4.00003-1.
Woo J. Sarcopenia. Clin Geriatr Med. 2017;33(3):305-14. doi:10.1016/j.cger.2017.02.003.
Bischoff-Ferrari HA, Orav JE, Kanis JA, et al. Comparative performance of current definitions of sarcopenia against the prospective incidence of falls among community-dwelling seniors aged 65 years and older. Osteoporos Int. 2015;26(12):2793-802. doi:10.1007/s00198-015-3194-y.
Tinetti ME, Williams CS. Falls, injuries due to falls, and the risk of admission to a nursing home. N Engl J Med. 1997;337(18):1279-84. doi:10.1056/NEJM199710303371806.
Hida T, Harada A, Imagama S, Ishiguro N. Managing sarcopenia and its related fractures to improve quality of life in geriatric populations. Aging Dis. 2013;5(4):226-37. doi:10.14336/AD.2014.0500226.
Beaudart C, Biver E, Reginster JY, et al. Development of a self-administered quality of life questionnaire for sarcopenia in elderly subjects: the SarQoL. Age Ageing. 2015;44(6):960-6. doi:10.1093/ageing/afv133.
Manrique-Espinoza B, Salinas-Rodríguez A, Rosas-Carrasco O, et al. Sarcopenia is associated with physical and mental components of health-related quality of life in older adults. J Am Med Dir Assoc. 2017;18(7):636.e1-636.e5. doi:10.1016/j.jamda.2017.04.005.
Sun S, Lee H, Yim HW, Won HS, Ko YH. The impact of sarcopenia on health-related quality of life in elderly people. Korean J Intern Med. 2019;34(4):877-84. doi:10.3904/kjim.2018.159.
Downloads
Published
How to Cite
License
Copyright (c) 2026 ACERTTE SCIENTIFIC JOURNAL

This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista ACERTTE, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a ACERTTE apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.



