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The population is rapidly aging worldwide, and there is an age-related decline in muscle mass. Therefore, it is important to examine the prevalence and associated factors of low appendicular skeletal muscle mass index ASMI in older adults. Gender-specific cut-off values of calf circumference for low ASMI were determined. The prevalence of low ASMI in the overall cohort was The prevalence of low ASMI was Low ASMI was associated with risk of malnutrition odds ratio: 3.

Cut-off values of calf circumference for low ASMI for males was In conclusion, we found that low ASMI was highly prevalent among community-dwelling older adults at risk of malnutrition.

Other significant factors associated with low ASMI were age, smoking, drinking, calf circumference, and bone mass. Screening community-dwelling older adults for risk of malnutrition can prevent or delay onset of low ASMI. Aging is associated with physiological decline in skeletal muscle mass, which can escalate the tolls on overall health and function, and may ultimately increase risk of death 1 , 2 , 3. It is also known that women have lower muscle mass than men 9.

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