Prediction models for sarcopenia in older adults in China: a scoping review - Report - MDSpire

Prediction models for sarcopenia in older adults in China: a scoping review

  • By

  • Kanfei Yao

  • Yihong Xu

  • Jia Xu

  • Xiaojie Zhang

  • Fanglei Gu

  • Lijiangshan Hua

  • Xiuping Li

  • May 28, 2026

  • 0 min

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Clinical Report: Review of Sarcopenia Prediction Models for Elderly Populations in China

Overview

Expand on the specific limitations in variable selection and methodological rigor.

Background

Sarcopenia is a significant public health concern, particularly among aging populations, as it is associated with increased risks of adverse health outcomes such as falls and mortality. In China, the prevalence of sarcopenia is reported to be as high as 19.8%, necessitating effective screening and intervention strategies. Despite the emergence of prediction models, their clinical utility is often limited due to methodological shortcomings.

Data Highlights

Model TypePrevalence RangeAUC RangeSensitivity RangeSpecificity Range
Logistic Regression & Machine Learning12% - 54.17%0.706 - 0.9740.405 - 0.9630.400 - 0.947

Key Findings

  • Identified 20 articles with 34 prediction models for sarcopenia.
  • Prevalence of sarcopenia in studies ranged from 12% to 54.17%.
  • Common predictors included age (n=24), BMI (n=23), and sex (n=15).
  • Models demonstrated acceptable discriminative ability with AUC values from 0.706 to 0.974.
  • Methodological limitations hinder the clinical applicability of these models.

Clinical Implications

Clinicians should be aware of the limitations in existing sarcopenia prediction models, particularly regarding variable selection and external validation. Future model development should focus on enhancing methodological rigor to improve clinical applicability in diverse healthcare settings.

Conclusion

The review underscores the need for improved sarcopenia prediction models that are both statistically robust and clinically applicable, particularly for the aging population in China.

Related Resources & Content

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  2. npj Digital Medicine, 2026 -- Thigh Volume Measurement via Neck-to-Knee Dixon MRI as an Enhanced Biomarker for Sarcopenia: Insights from the UK Biobank Study
  3. Clinical Research in Cardiology, 2023 -- The Relationship Between Sarcopenia, Its Components, and All-Cause Mortality in Heart Failure: A Systematic Review and Meta-Analysis
  4. Journal of Medical Internet Research (JMIR), 2026 -- Effectiveness of Digital Health Interventions in Older Adults With Frailty and Sarcopenia: Systematic Review and Meta‐Analysis of Randomized Controlled Trials
  5. Nature Aging, 2025 -- A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update
  6. PubMed, 2023 -- Combined resistance training and amino acid-based supplementation for sarcopenia in older adults: a systematic review and meta-analysis
  7. BMC Geriatrics, 2025 -- Risk prediction models for sarcopenia among community-dwelling older adults in China: a systematic review and meta-analysis
  8. A focus shift from sarcopenia to muscle health in the Asian Working Group for Sarcopenia 2025 Consensus Update | Nature Aging
  9. Combined resistance training and amino acid-based supplementation for sarcopenia in older adults: a systematic review and meta-analysis - PubMed
  10. Risk prediction models for sarcopenia among community-dwelling older adults in China: a systematic review and meta-analysis | BMC Geriatrics | Springer Nature Link

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