{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:28:06Z","timestamp":1790792886825,"version":"4.1.0"},"reference-count":49,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T00:00:00Z","timestamp":1675382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/00447\/2020"],"award-info":[{"award-number":["UIDB\/00447\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["447"],"award-info":[{"award-number":["447"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/50009\/2020"],"award-info":[{"award-number":["UIDB\/50009\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"CIPER\u2014Centro Interdisciplinar para o Estudo da Performance Humana","award":["UIDB\/00447\/2020"],"award-info":[{"award-number":["UIDB\/00447\/2020"]}]},{"name":"CIPER\u2014Centro Interdisciplinar para o Estudo da Performance Humana","award":["447"],"award-info":[{"award-number":["447"]}]},{"name":"CIPER\u2014Centro Interdisciplinar para o Estudo da Performance Humana","award":["UIDB\/50009\/2020"],"award-info":[{"award-number":["UIDB\/50009\/2020"]}]},{"name":"LARSyS\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia (FCT)","award":["UIDB\/00447\/2020"],"award-info":[{"award-number":["UIDB\/00447\/2020"]}]},{"name":"LARSyS\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia (FCT)","award":["447"],"award-info":[{"award-number":["447"]}]},{"name":"LARSyS\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia (FCT)","award":["UIDB\/50009\/2020"],"award-info":[{"award-number":["UIDB\/50009\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Introduction: Physical fitness concerns a set of attributes related to the ability to perform physical activity that may justify the symptoms reported by the elderly in the context of sarcopenia. Objective: This study aimed to investigate the relationship between the perception (symptomatology) of physical functioning (what the person thinks they are capable of) and the capacity itself for physical functioning in elderly people in northern Brazil. Methods: Cross-sectional study that analyzed 312 elderly people (72.6 \u00b1 7.8 years) from the city of Novo Aripuan\u00e3, Amazonas, Brazil. Sarcopenia symptomatology was assessed using the SARC-F, a 5-item questionnaire designed for screening sarcopenia in older individuals in five domains: strength, walking aids, difficulty getting up from a chair, difficulty climbing stairs, and falls. Physical fitness was assessed by the Senior Fitness Test (SFT) battery including balance evaluated with the short version of the Fullerton Advanced Balance scale (FAB). Results: ROC curve analysis revealed that the tests with the greatest ability to discriminate participants with significant symptoms for sarcopenia (\u22654 points on SARC-F) were arm curl and 6 min walk: the probability of suspected sarcopenia increased exponentially with an arm curl &lt; 11.5 reps for men (se = 71%; sp = 69%; AUC = 0.706, 95% CI: 0.612\u20130.788; p = 0.013) and women (se = 81%; sp = 51%; AUC = 0.671, 95% CI: 0.601\u20130.735; p \u2264 0.001) or with a 6-min walk &lt;408.5 m for men (se = 71%; sp = 63%; AUC = 0.720, 95% CI: 0.628\u20130.690; p = 0.001) and &lt;366.0 m for women (se = 69%; sp = 58%; AUC = 0.692, 95% CI: 0.623\u20130.755; p = 0.0001). Conclusions: Physical fitness assessed through the senior fitness test, particularly the 30-s-arm curl test and the 6-min walk test, can discriminate for suspected symptoms of sarcopenia.<\/jats:p>","DOI":"10.3390\/ijerph20032711","type":"journal-article","created":{"date-parts":[[2023,2,3]],"date-time":"2023-02-03T02:05:28Z","timestamp":1675389928000},"page":"2711","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Symptoms of Sarcopenia and Physical Fitness through the Senior Fitness Test"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6623-5839","authenticated-orcid":false,"given":"Alex Barreto de","family":"Lima","sequence":"first","affiliation":[{"name":"CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz-Quebrada, Portugal"},{"name":"Course of Physical Education, Universidade do Estado do Amazonas, Manaus 69065-001, AM, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0214-5401","authenticated-orcid":false,"given":"F\u00e1tima","family":"Baptista","sequence":"additional","affiliation":[{"name":"CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1499-002 Cruz-Quebrada, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3780-6545","authenticated-orcid":false,"given":"Duarte","family":"Henrinques-Neto","sequence":"additional","affiliation":[{"name":"Research Center in Sports Sciences, Health Sciences and Human Development, Maia University, 4475-690 Maia, Portugal"},{"name":"School of Higher Education, Polytechnic Institute of Porto, 4200-465 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7931-3987","authenticated-orcid":false,"given":"Andr\u00e9 de Ara\u00fajo","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Physical Education, Universidade Estadual de Roraima, UERR, Boa Vista 69306-530, RR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-692X","authenticated-orcid":false,"given":"Elvio R\u00fabio","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport, University of Madeira, 9000-072 Funchal, Portugal"},{"name":"LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1093\/ageing\/afq034","article-title":"Sarcopenia: European consensus on definition and diagnosisReport of the European Working Group on Sarcopenia in Older People","volume":"39","author":"Baeyens","year":"2010","journal-title":"Age Ageing"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1093\/ageing\/afy169","article-title":"Sarcopenia: Revised European consensus on definition and diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1007\/s12603-018-1067-8","article-title":"Performance of SARC-F in regard to sarcopenia definitions, muscle mass and functional measures","volume":"22","author":"Bahat","year":"2018","journal-title":"J. Nutr. Health Aging"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2002","DOI":"10.1016\/j.clnu.2019.04.012","article-title":"Low muscle mass and strength in pediatrics patients: Why should we care?","volume":"38","author":"Orsso","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1080\/1091367X.2021.1987242","article-title":"Predictive validity of handgrip strength, vertical jump power, and plank time in the identification of pediatric sarcopenia","volume":"26","author":"Baptista","year":"2021","journal-title":"Meas. Phys. Educ. Exerc. Sci."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.clnesp.2022.01.027","article-title":"Screening, Diagnosis and Monitoring of Sarcopenia: When to use which tool?","volume":"48","author":"Ackermans","year":"2022","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1007\/s12603-018-1139-9","article-title":"International clinical practice guidelines for sarcopenia (ICFSR): Screening, diagnosis and management","volume":"22","author":"Dent","year":"2018","journal-title":"J. Nutr. Health Aging"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1007\/s12603-020-1332-5","article-title":"Sarcopenia, obesity and sarcopenia obesity in comparison: Prevalence, metabolic profile, and key differences: Results from WCHAT study","volume":"24","author":"Liu","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1038\/s43587-021-00136-1","article-title":"Toward the recognition and management of sarcopenia in routine clinical care","volume":"1","author":"Dent","year":"2021","journal-title":"Nat. Aging"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s41999-017-0003-5","article-title":"Cross-cultural adaptation and validation of the SARC-F to assess sarcopenia: Methodological report from European Union Geriatric Medicine Society Sarcopenia Special Interest Group","volume":"9","author":"Bahat","year":"2018","journal-title":"Eur. Geriatr. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2636","DOI":"10.1016\/S0140-6736(19)31138-9","article-title":"Sarcopenia","volume":"393","author":"Sayer","year":"2019","journal-title":"Lancet"},{"key":"ref_12","first-page":"55","article-title":"Sarcopenia: The target population","volume":"2","author":"Malmstrom","year":"2013","journal-title":"J. Frailty Aging"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1016\/j.jamda.2013.05.018","article-title":"SARC-F: A simple questionnaire to rapidly diagnose sarcopenia","volume":"14","author":"Malmstrom","year":"2013","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e11726","DOI":"10.1097\/MD.0000000000011726","article-title":"SARC-F for sarcopenia screening in community-dwelling older adults: Are 3 items enough?","volume":"97","author":"Yang","year":"2018","journal-title":"Medicine"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/j.jamda.2014.04.021","article-title":"Validating the SARC-F: A suitable community screening tool for sarcopenia?","volume":"15","author":"Woo","year":"2014","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1007\/s40520-016-0668-5","article-title":"Development of a Japanese version of the SARC-F for diabetic patients: An examination of reliability and validity","volume":"29","author":"Ida","year":"2017","journal-title":"Aging Clin. Exp. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s11556-020-00255-5","article-title":"Performance on sit-to-stand tests in relation to measures of functional fitness and sarcopenia diagnosis in community-dwelling older adults","volume":"18","author":"Yee","year":"2021","journal-title":"Eur. Rev. Aging Phys. Act."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Rodrigues, F., Domingos, C., Monteiro, D., and Morouco, P. (2022). A Review on Aging, Sarcopenia, Falls, and Resistance Training in Community-Dwelling Older Adults. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19020874"},{"key":"ref_19","first-page":"141","article-title":"Physical Functional Assessment in Older Adults","volume":"10","author":"Patrizio","year":"2021","journal-title":"J. Frailty Aging"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"7639842","DOI":"10.1155\/2016\/7639842","article-title":"A 12-week vigorous exercise protocol in a healthy group of persons over 65: Study of physical function by means of the Senior Fitness Test","volume":"2016","author":"Todde","year":"2016","journal-title":"BioMed Res. Int."},{"key":"ref_21","first-page":"195","article-title":"Senior fitness test no risco de queda em idosos: Um estudo prospectivo","volume":"34","author":"Menezes","year":"2020","journal-title":"Rev. Bras. Educ. F\u00edsica Esporte"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"472","DOI":"10.5007\/1980-0037.2015v17n4p472","article-title":"Functional fitness in older women from southern brazil: Normative scores and comparison with different countries","volume":"17","author":"Vagetti","year":"2015","journal-title":"Rev. Bras. Cineantropometria Desempenho Hum."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Chen, H.-H., Chen, H.-L., Lin, Y.-T., Lin, C.-W., Ho, C.-C., Lin, H.-Y., and Lee, P.-F. (2021). The associations between functional fitness test performance and abdominal obesity in healthy elderly people: Results from the National Physical Fitness Examination Survey in Taiwan. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18010264"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"10367","DOI":"10.1038\/s41598-020-67251-8","article-title":"Muscle strength and gait speed rather than lean mass are better indicators for poor cognitive function in older men","volume":"10","author":"Sui","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_25","unstructured":"Rikli, R.E., and Jones, C.J. (2013). Senior Fitness Test Manual, Human Kinetics."},{"key":"ref_26","first-page":"CD011145","article-title":"Mini-Mental State Examination (MMSE) for the detection of dementia in clinically unevaluated people aged 65 and over in community and primary care populations","volume":"2016","author":"Creavin","year":"2016","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.jamda.2016.08.004","article-title":"Enhancing SARC-F: Improving sarcopenia screening in the clinical practice","volume":"17","author":"Menezes","year":"2016","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1123\/japa.7.2.162","article-title":"Functional fitness normative scores for community-residing older adults, ages 60\u201394","volume":"7","author":"Rikli","year":"1999","journal-title":"J. Aging Phys. Act."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/pri.1594","article-title":"Reliability of the senior fitness test in Community-dwelling older people with cognitive impairment","volume":"20","author":"Hesseberg","year":"2015","journal-title":"Physiother. Res. Int."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1478","DOI":"10.1016\/j.apmr.2006.07.263","article-title":"Development of a multidimensional balance scale for use with functionally independent older adults","volume":"87","author":"Rose","year":"2006","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_31","unstructured":"Rose, D.J. (2010). Fallproof!: A Comprehensive Balance and Mobility Training Program, Human Kinetics."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1093\/geront\/gns071","article-title":"Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years","volume":"53","author":"Rikli","year":"2013","journal-title":"Gerontologist"},{"key":"ref_33","unstructured":"Liguori, G., and Medicine, A.C.o.S. (2020). ACSM\u2019s Guidelines for Exercise Testing and Prescription, Lippincott Williams & Wilkins."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.archger.2019.02.011","article-title":"Further understanding of the Senior Fitness Test: Evidence from community-dwelling high function older adults in Hong Kong","volume":"82","author":"Liu","year":"2019","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_35","first-page":"549","article-title":"Age-related decrease in physical activity and functional fitness among elderly men and women","volume":"8","author":"James","year":"2013","journal-title":"Clin. Interv. Aging"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1519\/JPT.0000000000000072","article-title":"Relationship of Sit-to-Stand Lower-Body Power With Functional Fitness Measures Among Older Adults With and Without Sarcopenia","volume":"40","author":"Glenn","year":"2017","journal-title":"J. Geriatr. Phys. Ther."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e271","DOI":"10.1016\/j.jamda.2017.12.016","article-title":"Screening sarcopenia in community-dwelling older adults: SARC-F vs. SARC-F combined with calf circumference (SARC-CalF)","volume":"19","author":"Yang","year":"2018","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"567","DOI":"10.2147\/CIA.S245074","article-title":"Polish translation and validation of the SARC-F tool for the assessment of sarcopenia","volume":"15","author":"Zasadzka","year":"2020","journal-title":"Clin. Interv. Aging"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.jamda.2019.12.011","article-title":"German version of SARC-F: Translation, adaption, and validation","volume":"21","author":"Drey","year":"2020","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_40","first-page":"216","article-title":"Romanian Translation and Validation of the SARC-F Questionnaire","volume":"16","author":"Gasparik","year":"2020","journal-title":"Acta Endocrinol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1007\/s12603-020-1453-x","article-title":"Validation of the Danish SARC-F in hospitalized, geriatric medical patients","volume":"24","author":"Gade","year":"2020","journal-title":"J. Nutr. Health Aging"},{"key":"ref_42","first-page":"505","article-title":"Cross-cultural adaptation and validation of the Greek Version of the SARC-F for evaluating sarcopenia in Greek older adults","volume":"20","author":"Tsekoura","year":"2020","journal-title":"J. Musculoskelet. Neuronal Interact."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1016\/j.jamda.2016.07.029","article-title":"Sarcopenia screened with SARC-F questionnaire is associated with quality of life and 4-year mortality","volume":"17","author":"Wu","year":"2016","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/jcsm.12048","article-title":"SARC-F: A symptom score to predict persons with sarcopenia at risk for poor functional outcomes","volume":"7","author":"Malmstrom","year":"2016","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.jamda.2018.04.001","article-title":"SARC-F for screening of sarcopenia among older adults: A meta-analysis of screening test accuracy","volume":"19","author":"Ida","year":"2018","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1864","DOI":"10.1016\/j.jamda.2021.05.011","article-title":"Reliability and concurrent validity of the SARC-F and its modified versions: A systematic review and meta-analysis","volume":"22","author":"Voelker","year":"2021","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s12603-020-1471-8","article-title":"Screening accuracy of SARC-F for sarcopenia in the elderly: A diagnostic meta-analysis","volume":"25","author":"Lu","year":"2021","journal-title":"J. Nutr. Health Aging"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"103959","DOI":"10.1016\/j.archger.2019.103959","article-title":"Limitations of SARC-F in the diagnosis of sarcopenia in community-dwelling older adults","volume":"87","author":"Kera","year":"2020","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Yi, Y., Baek, J.Y., Lee, E., Jung, H.-W., and Jang, I.-Y. (2022). A Comparative Study of High-Frequency Bioelectrical Impedance Analysis and Dual-Energy X-ray Absorptiometry for Estimating Body Composition. 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