Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

Article


Keogh, Justin W. L., Henwood, Tim, Gardiner, Paul A., Tuckett, Anthony G., Hetherington, Sharon, Rouse, Kevin and Swinton, Paul. 2019. "Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship." PEERJ. 7, pp. 1-19. https://doi.org/10.7717/peerj.8140
Article Title

Sarc-F and muscle function in community dwelling adults with aged care service needs: baseline and post-training relationship

ERA Journal ID211193
Article CategoryArticle
AuthorsKeogh, Justin W. L. (Author), Henwood, Tim (Author), Gardiner, Paul A. (Author), Tuckett, Anthony G. (Author), Hetherington, Sharon (Author), Rouse, Kevin (Author) and Swinton, Paul (Author)
Journal TitlePEERJ
Journal Citation7, pp. 1-19
Article Numbere8140
Number of Pages19
Year2019
Place of PublicationLondon, United kingdom
ISSN2167-8359
Digital Object Identifier (DOI)https://doi.org/10.7717/peerj.8140
Web Address (URL)https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6884990/pdf/peerj-07-8140.pdf
Abstract

Background. This study sought to better understand the psychometric properties of the SARC-F, by examining the baseline and training-related relationships between the five SARC-F items and objective measures of muscle function. Each of the five items of the SARC-F are scored from 0 to 2, with total score of four or more indicative of likely sarcopenia.

Methods. This manuscript describes a sub-study of a larger step-wedge, randomised controlled 24-week progressive resistance and balance training (PRBT) program trial for Australian community dwelling older adults accessing government supported aged care. Muscle function was assessed using handgrip strength, isometric knee extension, 5-time repeated chair stand and walking speed over 4 m. Associations within and between SARC-F categories and muscle function were assessed using multiple correspondence analysis (MCA) and multinomial regression, respectively.

Results. Significant associations were identified at baseline between SARC-F total score and measures of lower-body muscle function (r = to 0.57; p <= 0.002) in 245 older adults. MCA analysis indicated the first three dimensions of the SARC-F data explained 48.5% of the cumulative variance. The initial dimension represented overall sarcopenia diagnosis, Dimension 2 the ability to displace the body vertically, and Dimension 3 walking ability and falls status. The majority of the 168 older adults who completed the PRBT program reported no change in their SARC-F diagnosis or individual item scores (56.5-79.2%). However, significant associations were obtained between trainin-grelated changes in SARC-F total and item scores and changes in walking speed and chair stand test performance (r = to 0.33; p < 0.001 and relative risk ratio = 0.40-2.24; p < 0.05, respectively). MCA analysis of the change score data indicated that the first two dimensions explained 32.2% of the cumulative variance, with these dimensions representing whether a change occurred and the direction of change, respectively.

Discussion. The results advance our comprehension of the psychometric properties on the SARC-F, particularly its potential use in assessing changes in muscle function. Older adults' perception of their baseline and training-related changes in their function, as self-reported by the SARC-F, closely matched objectively measured muscle function tests. This is important as there may be a lack of concordance between self-reported and clinician-measured assessments of older adults' muscle function. However, the SARC-F has a relative lack of sensitivity to detecting training-related changes, even over a period of 24 weeks.

Conclusions. Results of this study may provide clinicians and researchers a greater understanding of how they may use the SARC-F and its potential limitations. Future studies may wish to further examine the SARC-F's sensitivity of change, perhaps by adding a few additional items or an additional category of performance to each item.

Keywordsaged care; exercise; physical performance; Sarcopenia; screening
ANZSRC Field of Research 2020420603. Health promotion
320210. Geriatrics and gerontology
420702. Exercise physiology
Public Notes

Copyright 2019 Keogh et al. Distributed under Creative Commons CC-BY 4.0.

Byline AffiliationsBond University
University of Queensland
Chermside Senior Citizens Centre, Australia
Robert Gordon University, United Kingdom
Institution of OriginUniversity of Southern Queensland
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Gardiner, Paul A., Byrne, Gerard J., Mitchell, Leander K. and Pachana, Nancy A.. 2015. "Financial capacity in older adults: a growing concern for clinicians." Medical Journal of Australia. 202 (2), pp. 82-86. https://doi.org/10.5694/mja14.00201
A comparative study of Australian and New Zealand male and female nurses’ health: a sex comparison and gender analysis
Tuckett, Anthony, Henwood, Tim, Oliffe, John L., Kolbe-Alexander, Tracy L. and Rin Kim, Jae. 2016. "A comparative study of Australian and New Zealand male and female nurses’ health: a sex comparison and gender analysis." American Journal of Men's Health. 10 (6), pp. 450-458. https://doi.org/10.1177/1557988314567222
I love nursing, but.. - qualitative findings from Australian aged-care nurses about their intrinsic, extrinsic and social work values
Tuckett, Anthony, Parker, Deborah, Eley, Robert and Hegney, Desley. 2009. "I love nursing, but.. - qualitative findings from Australian aged-care nurses about their intrinsic, extrinsic and social work values." International Journal of Older People Nursing. 4 (4), pp. 307-317. https://doi.org/10.1111/j.1748-3743.2009.00184.x
Regional differences among employed nurses: a Queensland study
Henwood, Tim, Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2009. "Regional differences among employed nurses: a Queensland study." Australian Journal of Rural Health. 17 (4), pp. 201-207. https://doi.org/10.1111/j.1440-1584.2009.01072.x
The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot
Tuckett, Anthony, Hegney, Desley, Parker, Deborah, Eley, Robert M. and Dickie, Robyn. 2011. "The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot." International Journal of Nursing Practice. 17 (5), pp. 444-454. https://doi.org/10.1111/j.1440-172X.2011.01966.x
Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses
Parker, Deborah, Tuckett, Anthony, Eley, Robert and Hegney, Desley. 2010. "Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses." International Journal of Nursing Practice. 16 (4), pp. 352-358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis ." International Journal of Nursing Practice. 16 (2), pp. 188-202. https://doi.org/10.1111/j.1440-172X.2010.01829.x
Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007." Nurse Education Today. 30 (2), pp. 142-149. https://doi.org/10.1016/j.nedt.2009.06.015
Career breaks and intentions for retirement by Queensland's nurses - a sign of the times?
Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2010. "Career breaks and intentions for retirement by Queensland's nurses - a sign of the times? " Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 17 (1), pp. 38-42. https://doi.org/10.1016/j.colegn.2009.10.004