1.South Asian Working Action Group on SARCOpenia (SWAG-SARCO) e A consensus document
Minakshi DHAR ; Nitin KAPOOR ; Ketut SUASTIKA ; Mohammad E. KHAMSEH ; Shahjada SELIM ; Vijay KUMAR ; Syed Abbas RAZA ; Umal AZMAT ; Monika PATHANIA ; Yovan Parikshat Rai MAHADEB ; Sunny SINGHAL ; Mohammad Wali NASERI ; IGP Suka ARYANA ; Subarna Dhoj THAPA ; Jubbin JACOB ; Noel SOMASUNDARAM ; Ali LATHEEF ; Guru Prasad DHAKAL ; Sanjay KALRA
Osteoporosis and Sarcopenia 2022;8(2):35-57
The South Asian population is rapidly ageing and sarcopenia is likely to become a huge burden in this region if proper action is not taken in time. Several sarcopenia guidelines are available, from the western world and from East Asia. However, these guidelines are not fully relevant for the South Asian healthcare ecosystem. South Asia is ethnically, culturally, and phenotypically unique. Additionally, the region is seeing an increase in non-communicable lifestyle disease and obesity. Both these conditions can lead to sarcopenia. However, secondary sarcopenia and sarcopenic obesity are either not dealt with in detail or are missing in other guidelines. Hence, we present a consensus on the screening, diagnosis and management of sarcopenia, which addresses the gaps in the current guidelines. This South Asian consensus gives equal importance to muscle function, muscle strength, and muscle mass; provides cost-effective clinical and easy to implement solutions; highlights secondary sarcopenia and sarcopenic obesity; lists commonly used biomarkers; reminds us that osteo-arthro-muscular triad should be seen as a single entity to address sarcopenia; stresses on prevention over treatment; and prioritizes nonpharmacological over pharmacological management. As literature is scarce from this region, the authors call for more South Asian research guided interventions.
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