Kalra Sanjay, Shaikh Irfan A, Shende Sachin, Kapoor Nitin, Unnikrishnan A G, Sharma O P, Tiwaskar Mangesh H, Vora Agam, Verma Suneet Kumar, Kantroo Viny, Mehta Prashant, Lovesley Daphnee, Sivakumar Nandakumar, Kukreja Bharat Bhushan, Kulkarni Kiran, Deora Ankita
Department of Endocrinology, Bharti Hospital, Karnal, Haryana, India.
Department of Medical Affairs & Research, Abbott Healthcare Pvt Ltd., Mumbai, Maharashtra, India.
Int J Gen Med. 2025 Mar 26;18:1731-1745. doi: 10.2147/IJGM.S510412. eCollection 2025.
The burden of sarcopenia in India continues to be of significant concern. Its diagnosis is challenging due to the lack of standardized cutoffs for assessing muscle strength, quantity, and function among Indians. This consensus aims to identify features of sarcopenia in Indians and provide culturally relevant recommendations for its management. An expert panel from diverse medical specialties across India arrived at a consensus using the modified Delphi method. The panel recommended that a baseline handgrip strength (HGS) cutoff value of <27.5 kg in males and 18.0 kg in females be defined as low muscle strength for the Indian population. All patients with comorbidities should be screened for sarcopenia. In people with sarcopenia, resistance exercise and nutrition with specialized nutrients such as protein, beta-hydroxy-beta-methylbutyrate (HMB), and micronutrients for at least 3 months were recommended as key interventions.
印度肌肉减少症的负担仍然令人高度关注。由于缺乏评估印度人肌肉力量、数量和功能的标准化临界值，其诊断具有挑战性。本共识旨在确定印度人肌肉减少症的特征，并为其管理提供符合文化背景的建议。来自印度不同医学专业的专家小组采用改良德尔菲法达成了共识。该小组建议，印度男性的基线握力（HGS）临界值<27.5千克、女性<18.0千克应定义为肌肉力量低下。所有合并症患者均应筛查肌肉减少症。对于肌肉减少症患者，建议进行至少3个月的抗阻运动，并摄入蛋白质、β-羟基-β-甲基丁酸（HMB）等特殊营养素和微量营养素，作为关键干预措施。
