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CHAPTER 6 Recognizing Persons at Risk for Sarcopenia
John E. Morley
Division of Geriatric Medicine, Saint Louis University School of Medicine, St. Louis, MO, USA
Sarcopenia is recognized as a disease with its own International Classification of Disease. However, sarcopenia is rarely recognized or diagnosed by primary care health professionals. The average general practitioner has between 7 and 10 minutes for each patient visit. To make the diagnosis of sarcopenia requires either measuring grip strength or walking speed together with a measure of lean mass. For a primary care clinician to consider making a referral for the diagnosis and treatment for sarcopenia they need to recognize that there is a likelihood that the person may be sarcopenic. This may be particularly difficult in persons with sarcopenic obesity [1]. For this reason there is a need for a rapid screening test for sarcopenia. The need for such a test is particularly important as persons with sarcopenia are at high risk for deleterious outcomes such as falls, hip fractures, disability, hospitalizations, nursing home admissions, and mortality [2,