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This study examined the predictive validity of musculoskeletal fitness tests for identifying sarcopenia in youth. The sample was 529 participants age 10 to 18 years. Indices included: total lean body mass (LBM) normalized for height (LBM index, LBMI, kg/m2), appendicular LBMI (aLBMI, kg/m[superscript 2]), and LBM to fat body mass (FBM) ratio (LBM/FBM). Lean and fat tissue were measured via DXA. The cutoff value for sarcopenia was -- 2.0 standard deviations [less than or equal to] mean for age and sex. Fitness was assessed using handgrip, plank, and vertical jump tests. Variables were standardized using the lambda-mu-sigma (LMS) method. By sex, analysis included the area under the curve (AUC), sensitivity (Se), and specificity (Sp). The ROC curves for aLBMI was highly accurate (AUCs [greater than or equal to] 0.90, Se and Sp = 86-88%) for vertical jump and moderately accurate for handgrip (AUCs = 0.87-0.88, Se and Sp = 71-75%). Fitness tests can be used to identify pediatric sarcopenia.

Healthy and active aging and age-friendly society frameworks attempt to address the well-documented challenges and opportunities of population aging. To meet the needs of an increasingly older society, there is a demand for professionals with appropriate age-related knowledge and skills. To this end, a master's in active aging is in development. This study reports on the consultation with prospective students, employers, older people and academics on the knowledge areas to be included in the course. An anonymous online survey gathered data from stakeholders in Ireland, Slovenia, Austria, Portugal, Finland, and Greece. Participants ranked the importance of 14 broad knowledge areas and linked topics. The influence of participant characteristics on decisions was examined using multivariate regression modeling. Across all stakeholder groups (total sample N = 757), health promotion was most often deemed very important (80%), followed by psychology (73%), and social inclusion and engagement (71%). Potential students from healthcare backgrounds were more interested than others in aging physiology, social aspects, and the physical environment. More western-located European countries overall showed more enthusiasm for the topics presented, additional to regional variations between topics. This learning needs analysis provides multi-stakeholder insights into priorities regarding learning in healthy and active aging and age-friendly society. [ABSTRACT FROM AUTHOR]

The purpose of this study was to analyse associations between lean soft tissue (LST), a surrogate of skeletal muscle mass and key fracture-related geometric characteristics of the proximal femur. Moreover, we examined the role that muscle played on the proximal femur geometry in response to physical activity (PA). Participants were 83 young adults. Leg LST (exposure) was assessed by dual energy X-ray absorptiometry (DXA). Proximal femur geometry was derived from a left hip DXA scan. Geometric variables (outcomes) included the femoral neck axis length (FNAL), the femoral neck width (FNW), the neck-shaft angle and FNW|FNAL (an index of robustness). PA was evaluated by accelerometry. Linear regression was used to analyse relationships. Additional exposure variables included body height and mass. In males, leg LST explained 17.4% of variation in FNAL (P < 0.001) and 15% in FNW (P = 0.015). In females, it explained 8.8% of the variance in FNAL (P = 0.020). Associations remained significant in males, but not in females, when vigorous PA was added to the models. These results suggest that public health approaches to promote PA may be particularly important in females since vigorous PA seems to convey advantages in femur geometry and consequently in bone strength. [ABSTRACT FROM AUTHOR]