The Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) sarcopenia diagnosis and management task force: Findings from the consumer expert Delphi process

Jesse Zanker; Marc Sim; Kate Anderson; Saliu Balogun; Sharon L Brennan-Olsen; Elsa Dent; Gustavo Duque; Christian M Girgis; Mathis Grossmann; Alan Hayes; Tim Henwood; Vasant Hirani; Charles Inderjeeth; Sandra Iuliano; Justin Keogh; Joshua R Lewis; Gordon S Lynch; Julie A Pasco; Steven Phu; Esmee M Reijnierse; Nicholas Russell; Lara Vlietstra; Renuka Visvanathan; Troy Walker; Debra L Waters; Solomon Yu; Andrea B Maier; Robin M Daly; David Scott

doi:10.1111/ajag.13164

The Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) sarcopenia diagnosis and management task force: Findings from the consumer expert Delphi process

Australas J Ageing. 2023 Mar;42(1):251-257. doi: 10.1111/ajag.13164. Epub 2022 Dec 8.

Authors

Jesse Zanker^{1

2}, Marc Sim^{3

4}, Kate Anderson^{5

6}, Saliu Balogun^{7

8}, Sharon L Brennan-Olsen^{1

2

6

9}, Elsa Dent¹⁰, Gustavo Duque^{1

2

11}, Christian M Girgis^{12

13}, Mathis Grossmann^{14

15}, Alan Hayes^{1

16}, Tim Henwood¹⁷, Vasant Hirani¹⁸, Charles Inderjeeth¹⁹, Sandra Iuliano^{1

2}, Justin Keogh^{20

21

22

23}, Joshua R Lewis^{3

4

24}, Gordon S Lynch²⁵, Julie A Pasco^{2

26}, Steven Phu^{2

27}, Esmee M Reijnierse^{28

29

30}, Nicholas Russell^{14

15}, Lara Vlietstra³¹, Renuka Visvanathan^{32

33}, Troy Walker³⁴, Debra L Waters³⁵, Solomon Yu^{32

33}, Andrea B Maier^{28

36

37

38}, Robin M Daly³⁹, David Scott^{39

40}

Affiliations

¹ Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, Melbourne, Victoria, Australia.
² Department of Medicine - Western Health, The University of Melbourne, Melbourne, Victoria, Australia.
³ Nutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia.
⁴ School of Medicine, University of Western Australia, Perth, Western Australia, Australia.
⁵ Institute for Health Transformation - Determinants of Health, Faculty of Health, Deakin University, Melbourne, Victoria, Australia.
⁶ School of Health and Social Development, Faculty of Health, Deakin University, Melbourne, Victoria, Australia.
⁷ College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia.
⁸ Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia.
⁹ Institute for Health Transformation, Deakin University, Melbourne, Victoria, Australia.
¹⁰ Torrens University Australia, Adelaide, South Australia, Australia.
¹¹ Department of Medicine, Research Institute of the McGill University Health Centre, McGill University, Montreal, Quebec, Canada.
¹² Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
¹³ Department of Diabetes and Endocrinology, Westmead Hospital, Sydney, New South Wales, Australia.
¹⁴ Department of Medicine - Austin Health, The University of Melbourne, Melbourne, Victoria, Australia.
¹⁵ Department of Endocrinology, Austin Health, Melbourne, Victoria, Australia.
¹⁶ Institute for Health and Sport (IHeS), Victoria University, Melbourne, Victoria, Australia.
¹⁷ Human Movement and Nutritional Science, University of Queensland, Brisbane, Queensland, Australia.
¹⁸ Nutrition and Dietetics Group, School of Life and Environmental Sciences Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia.
¹⁹ North Metropolitan Health Service and University of Western Australia, Perth, Western Australia, Australia.
²⁰ Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
²¹ Human Potential Centre, Auckland University of Technology, Auckland, New Zealand.
²² Cluster for Health Improvement, Faculty of Science, Health, Education and Engineering, University of the Sunshine Coast, Sunshine Coast, Queensland, Australia.
²³ Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
²⁴ Centre for Kidney Research, Children's Hospital at Westmead School of Public Health, Sydney Medical School, The University of Sydney, Sydney, Australia.
²⁵ Centre for Muscle Research, Department of Anatomy and Physiology, School of Biomedical Sciences, The University of Melbourne, Melbourne, Victoria, Australia.
²⁶ IMPACT-Institute for Mental and Physical Health and Clinical Translation, Barwon Health, Deakin University, Melbourne, Victoria, Australia.
²⁷ Falls, Balance, and Injury Research Centre, Neuroscience Research Australia (NeuRA), Sydney, New South Wales, Australia.
²⁸ Department of Medicine and Aged Care, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, Australia.
²⁹ Amsterdam UMC, Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands.
³⁰ Amsterdam Movement Sciences, Ageing and Vitality, Amsterdam, The Netherlands.
³¹ School of Physical Education, Sport and Exercise Sciences, University of Otago, Dunedin, New Zealand.
³² Adelaide Geriatrics Training and Research with Aged Care (GTRAC) Centre, School of Medicine, Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.
³³ Aged and Extended Care Services, Acute and Urgent Care, The Queen Elizabeth Hospital, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.
³⁴ Institute for Health Transformation, Global Obesity Centre, Deakin University, Melbourne, Victoria, Australia.
³⁵ Department of Medicine, School of Physiotherapy, University of Otago, Dunedin, New Zealand.
³⁶ Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
³⁷ Centre for Healthy Longevity, National University Health System, Singapore.
³⁸ Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
³⁹ Institute for Physical Activity and Nutrition, Deakin University, Melbourne, Victoria, Australia.
⁴⁰ Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.

Abstract

Objectives: To develop guidelines, informed by health-care consumer values and preferences, for sarcopenia prevention, assessment and management for use by clinicians and researchers in Australia and New Zealand.

Methods: A three-phase Consumer Expert Delphi process was undertaken between July 2020 and August 2021. Consumer experts included adults with lived experience of sarcopenia or health-care utilisation. Phase 1 involved a structured meeting of the Australian and New Zealand Society for Sarcopenia and Frailty Research (ANZSSFR) Sarcopenia Diagnosis and Management Task Force and consumer representatives from which the Phase 2 survey was developed. In Phase 2, consumers from Australia and New Zealand were surveyed online with opinions sought on sarcopenia outcome priorities, consultation preferences and interventions. Findings were confirmed and disseminated in Phase 3. Descriptive statistical analyses were performed.

Results: Twenty-four consumers (mean ± standard deviation age 67.5 ± 12.8 years, 18 women) participated in Phase 2. Ten (42%) identified as being interested in sarcopenia, 7 (29%) were health-care consumers and 6 (25%) self-reported having/believing they have sarcopenia. Consumers identified physical performance, living circumstances, morale, quality of life and social connectedness as the most important outcomes related to sarcopenia. Consumers either had no preference (46%) or preferred their doctor (40%) to diagnose sarcopenia and preferred to undergo assessments at least yearly (54%). For prevention and treatment, 46% of consumers preferred resistance exercise, 2-3 times per week (54%).

Conclusions: Consumer preferences reported in this study can inform the implementation of sarcopenia guidelines into clinical practice at local, state and national levels across Australia and New Zealand.

Keywords: community-based participatory research; geriatric assessment; sarcopenia.

MeSH terms

Aged
Aged, 80 and over
Australia
Female
Frailty* / diagnosis
Frailty* / therapy
Humans
New Zealand
Quality of Life
Sarcopenia* / diagnosis
Sarcopenia* / therapy

Abstract

MeSH terms

Grants and funding