Research Article

Evidence-Based Optimal Cutoff Values with the Validation of Criterion-Referenced Standards for Sarcopenic Elderly Fitness Improvement

Table 2

Screened studies using various methods for measuring physical fitness.

AuthorsSubjectsTarget for criterion referenced standards (CRS)Methods of criterion-referenced standardsMiscellaneous

Amini et al. [11]American football players ()Waist circumference, quadriceps leak torque, systolic & diastolic BPROC curve analysis followed by logistic regression for predictionLessening cardiometabolic risk-like type 2 diabetes and cardiovascular disease
Jang [12]Pre & post 50 yrs men ()Muscle strength and metabolic syndrome (triglyceride, HDL cholesterol, glucose, systolic diastolic BP)ROC and 20% below −> low level and logistic regression (low muscle strength vs. metabolic syndrome)Low muscle strength: lowest age-specific 20th percentile (2.56 kg/kg body weight in pre 50 vs. 2.50 kg/kg body weight in post 50)
High muscle strength: highest age-specific 20th percentile
Ruiz et al. [15]69 pain treatment patientsLower pressure pain threshold (PPT, dependent), knee mechanics (independent)Univariable linear regression for lower PPT and multiple variable linear regressionKnee mechanics are associated with PPT
Sénéchal et al. [17]Systematic review ()Moderate to vigorous physical activity, 6MWTLogistic regression for cutoff (accelerometry measured moderate to vigorous physical activity compared to sedentary in elderly) and Bland-Altman method used; however, the results are obscureSedentary ratio, activity difference, and exercise time reflect the results assessed by accelerometry
Hooten et al. [20]ReviewChanged evaluation trends shown from performance centered to health-related test and norm referenced to CR evaluation. Criterion-referenced standards vs. norm-referenced evaluation ROC introduced
Hanifah et al. [21]ReviewCriterion-referenced evaluation developed history. Advantages of CRS (absolute, diagnostic supportive), drawbacks of CRS (misclassification such as false mastery and false nonmastery, nonsufficient incentives etc.)

AuthorsSubjectsTarget for criterion-referenced standards (CRS)Methods of criterion-referenced standardsMiscellaneous
Gorman et al. [22]65~84 yrs both gender elderly ()Chair stands in 30 s, arm curls in 30 s, 6 min walk, 8 foot up and go (1)ROC for predicting independent physical function in later life and logistic regressionFor later life (~90 yrs), internet-based program recommended (https://www.fmh.ulisboa.pt/ehlab/calculator/)
Duncan et al. [23]Review (setting CRS transition history)Make participants get into HFZROC analysis, LMS (, , of variation), centileSingle cutoff (HFZ), needs improvement zone (NIZ) set for warning potential risk
Kawakami et al. [24]Systematic reviewSelected article had different methods, analyses, and results that prevented comparison between
Zhu et al. [25]55 yrs and older both gender elderly ()BMI, hand grip strengthROC for hand grip strength cut-points and impaired hand grip cut-points vs. mobility limitation by logistic regressionOptimal hand grip strength cut-points for mobility limitation and the cut-points discriminate BMI
Cureton and Warren [26]Systematic reviewFalse-positive/false-negative analysis, regression model, visual inspection