Large calf circumference indicates non-sarcopenia despite body mass

The purpose of this study is to evaluate the applicability of the calf circumference as a tool for screening sarcopenia.[Subjects and Methods] One hundred sixteen community-dwelling elderly females were enrolled.Calf circumference of the dominant leg was measured using a plastic measuring tape.Subjects were divided into 3 groups based on body mass index (BMI); subjects with the values for BMI <18.5 kg/m 2 ; those with BMI 18.5 to 25.0; those with BMI ≥25.0 kg/m 2 .Positive predictive value and negative predictive value of sarcopenia were calculated based on the obtained cut off values of calf circumference and the diagnosis of sarcopenia in each group.[Results] Prevalence rate of sarcopenia was 9.4% (n=10).Cut off value of the calf circumference was 32.8 cm (sensitivity: 73.0%, specificity: 80.0%, AUC: 0.792).Each BMI group showed high negative predictive value of sarcopenia based on the calf circumference cut off value of 32.8 cm.[Conclusion] These results suggested that to identify non-sarcopenia by larger calf circumference is more reasonable and useful than to identify sarcopenia due to the smaller calf circumference regardless of BMI.