{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:49:46Z","timestamp":1791355786488,"version":"4.3.1"},"reference-count":48,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Recently, an expert panel developed an algorithm for the screening, diagnosis, and staging of diabetic sarcopenia, a clinically relevant condition in the progression of diabetes. Sarcopenia is associated with an increased risk of falls, physical disability, reduced quality of life, and increased mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study, with quantitative aspects, was conducted to assess medical specialists\u2019 opinions on the applicability of the proposed algorithm. Data was collected using a questionnaire that included information relating to user experience, a usability questionnaire, a survey of healthcare professionals\u2019 opinions and a consensus form administered using the Delphi method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The questionnaire was completed by 299 doctors (65.9% were women, mean age 39.1 (SD 8.5) years and with a mean of 10.4 (SD 8) years\u2019 experience). Most respondents indicated that screening for sarcopenia should be prioritised in patients with recent hospitalisations, major surgery, prolonged immobilisation and malignancies (Median 9, IQ0) and should be repeated annually in high-risk patients without a confirmed diagnosis (Median 8, IQ2). The algorithm was considered suitable for muscle assessment in people with diabetes. 90% of participants considered the tool to be easy to use, requiring no specialist staff (70%), and taking less than 7\u202fmin to apply (88%). For most respondents, use of the algorithm has changed the approach to decision-making regarding sarcopenia in patients with type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings highlight the importance of systematic screening, diagnosis, and staging of diabetic sarcopenia, and demonstrate high levels of perceived applicability and usability of the proposed algorithm in routine clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1906664","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:52:08Z","timestamp":1791352328000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Diabetic sarcopenia in clinical practice: expert consensus and usability evaluation of a novel screening and diagnostic algorithm"],"prefix":"10.3389","volume":"13","author":[{"given":"Alejandro","family":"Sanz-Paris","sequence":"first","affiliation":[{"name":"Endocrinology Department, University Hospital Miguel Servet","place":["Zaragoza, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco Jos\u00e9","family":"Tarazona-Santabalbina","sequence":"additional","affiliation":[{"name":"Geriatrics Department, Hospital La Pedrera","place":["D\u00e9nia, Spain"]},{"name":"FRAGIVAL Associated Clinical Group to CIBER de Fragilidad y Envejecimiento Saludable (CIBERFES) ISCIII","place":["Madrid, Spain"]},{"name":"Medical School, Universidad Cat\u00f3lica de Valencia San Vicente M\u00e1rtir","place":["Valencia, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juana Carretero","family":"G\u00f3mez","sequence":"additional","affiliation":[{"name":"Internal Medicine Department, University Hospital of Badajoz","place":["Badajoz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"de Luis Rom\u00e1n","sequence":"additional","affiliation":[{"name":"Endocrinology and Nutrition Service, Hospital Cl\u00ednico Universitario de Valladolid and Valladolid Health Research Institute (IBioVALL)","place":["Valladolid, Spain"]},{"name":"Endocrinology and Nutrition Research Centre Faculty of Medicine University of Valladolid","place":["Valladolid, Spain"]},{"name":"Center for Biomedical Research Network (CIBEROBN) of Obesity and Nutrition, Instituto de Salud Carlos III","place":["Madrid, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Manuel","family":"Garc\u00eda-Almeida","sequence":"additional","affiliation":[{"name":"Clinical Management Unit of Endocrinology and Nutrition, Virgen de la Victoria Clinical Hospital","place":["M\u00e1laga, Spain"]},{"name":"Endocrinology and Nutrition Department, Hospital Virgen de la Victoria de Malaga, Malaga Biomedical 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