Assessment of appendicular lean mass using basic demographic and anthropometric indices
N.V. Grygorieva, A.S. Musiienko, N.V. Zaverukha, N.M. Koshel, A.V. Pysaruk, D.Yu. Kurylo, A.V. Iniushyna
- State Institution “D.F. Chebotarev Institute of Gerontology National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz71.03.053

Abstract
With age, people experience a gradual loss of muscle mass and strength, known as sarcopenia (SP). The
essential criteria for confirming an SP are low appendicular lean mass (ALM) or its index (ALMI), most
commonly measured using dual-energy X-ray absorptiometry (DXA). The availability of DXA in Ukraine
remains limited, creating an urgent need for simple and accessible screening methods for low ALM. The
aim was to develop and cross-validate equations for estimating ALM based on the simple demographic
and anthropometric parameters in the Ukrainian population to enhance SP' s diagnostic efficiency. This
retrospective study analyzed data from 1,710 subjects (1,546 women and 164 men) aged 60 years or older.
Skeletal muscle mass was measured using DXA (DISCOVERY Wi, Hologic, Inc., USA). The stepwise multiple
linear regression method was used to develop the ALM equations, with ALM as the dependent variable
and anthropometric and demographic indices as independent variables. The most optimal formulas for
the Ukrainian population aged 60+ were the next: predicted ALM (men) = 0.191 × weight (kg) + 0.141 ×
height (cm) – 0.077 × age (years) – 9.406 (Coefficient of determination (R²) = 0.71, standard error of
estimate (SEE) = 2.5 kg); ALM (women) = 0.161 × weight (kg) + 0.089 × height (cm) – 0.013 × age (years) –
7.067 (R² = 0.71, SEE = 1.68 kg). The developed equations are simple and do not require complicated
measurements. They are highly informative and can be effectively used in primary healthcare settings for
SP screening to identify patients at risk.
Keywords:
appendicular lean mass; skeletal muscle mass; sarcopenia; prediction equation
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