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1 EMCR COMMITTEE CHAIR’S WELCOME On behalf of the organising committee, it is my pleasure to welcome you to the ANZSSFR World Sarcopenia Day Symposium presented by the Early- and Mid-Career Researchers and clinicians (EMCR) committee. The 4th of July is World Sarcopenia Day and therefore we dedicated this symposium to highlight this special day. We have an exciting online program including presentations from EMCRs across the world and the outcomes of the Delphi Process on Sarcopenia Diagnosis and Management, led by EMCRs David Scott and Jesse Zanker. The aim of the EMCR Committee is to promote, support and engage with as many EMCRs as possible to shape the future generation of sarcopenia and frailty research. Therefore, we have 12 short presentations by EMCRs showcasing their research. We have asked the presenters to include their contact details on their slides to encourage the audience to contact the presenters to learn more about their research and encourage networking and collaboration opportunities. Please take this opportunity to be in contact with the next generation! The Sarcopenia and Diagnosis Management Task Force was established by the EMCRs David Scott and Jesse Zanker. During this symposium, the outcomes of the Delphi process will be shared for the first time. This is an important step to standardise sarcopenia diagnosis and management across Australia and New Zealand. We hope to see experts and consumers attending this symposium who participated in this Delphi process, as their input was valuable to the outcomes. We also hope that the outcomes can be implemented into research and clinical practice in Australia and New Zealand. Lastly, I would like to thank our organising committee for their time and effort in organising this event. Enjoy the World Sarcopenia Day Symposium! On behalf of the EMCR Committee, Dr. Esmee M. Reijnierse Contact details for the EMCR Committee: [email protected] https://anzssfr.org/emcr 2 ORGANISING COMMITTEE Dr Esmee M. Reijnierse Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences Dr Jack Dalla Via Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University Dr Ben Kirk Department of Medicine-Western Health, University of Melbourne Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, VIC, Australia Dr Jackson Fyfe Institute for Physical Activity and Nutrition (IPAN),Deakin University 3 Dr Marc Sim Institute for Nutrition Research, School of Medical and Health Sciences, Edith Cowan University Medical School, The University of Western Australia A/Prof David Scott Institute for Physical Activity and Nutrition (IPAN), Deakin University School of Clinical Sciences at Monash Health, Monash University MSc MSc Lara Vlietstra Department of Medicine and School of Physiotherapy, University of Otago Dr Jesse Zanker Department of Medicine-Western Health, University of Melbourne Australian Institute for Musculoskeletal Science (AIMSS), University of Melbourne and Western Health, VIC, Australia Institute for Health Transformation, Deakin University, Waterfront Campus, Geelong, VIC, Australia 4 PROGRAM All times are AEST Time Title Presenter 3:00 PM EMCRC Committee Chair’s Welcome Dr Esmee Reijnierse EMCRC Research Presentations Chairs: Ben Kirk and Jack Dalla Via 3:10 PM Association between malnutrition and stages of sarcopenia in geriatric Laure rehabilitation inpatients: RESORT Verstraeten 3:17 PM Dietary protein intake and physical activity levels as determinants of Isobel sarcopenia risk Stoodley 3:24 PM Exploring the feasibility of voice-controlled intelligent personal assistants Paul Jansons for delivery of home-based exercise snacking in older adults living alone: single-arm pilot trial 3:31 PM Validating the ability of subjective global assessment to predict adverse Suzie Ferrie outcomes in the critically ill 3:38 PM Low population-specific values for skeletal muscle parameters and indices Sophia Sui of poor health 3:45 PM The effect of dose, frequency and timing of protein supplementation, on Jeewanadee muscle mass in older adults by population: A systematic review and meta- Hettiarachchi analysis 3:52 PM Differing effects of younger and older human plasma on C2C12 myocytes Bradley Elliott in vitro 3:59 PM Associations between socioeconomic status and obesity, sarcopenia, and Anoohya sarcopenic obesity in community-dwelling older adults Gandham 4:06 PM The relationship between sarcopenia, functional capacity and protein Emily James intake in patients with coronary heart disease referred to long-term cardiac rehabilitation: Preliminary findings from a cross-sectional analysis 4:13 PM Prevalence of sarcopenia and its association with anti-rheumatic drugs in Thang Dao middle-aged and older adults with rheumatoid arthritis: A systematic review and meta-analysis 4:20 PM Sarcopenia is associated with three-month and one-year mortality in Jane Xu geriatric rehabilitation inpatients: RESORT 4:27 PM Osteocalcin, muscle function and 15-year falls-related hospitalisations in Cassandra older women: the perth longitudinal study of ageing women Smith 4:35 PM EMCRC Symposium Audience Votes on Best Presentation Outcomes of the 2021 ANZSSFR Delphi Process on Sarcopenia Diagnosis and Management Chairs: Lara Vlietstra and Jackson Fyfe 4:40 PM The ANZSSFR Delphi Process – Background David Scott 4:50 PM The ANZSSFR Delphi Process – Methods and Outcomes Jesse Zanker 5:10 PM Discussion of ANZSSFR Delphi Process Outcomes 5:20 PM ANZSSFR President’s Closing Remarks and Awards Professor Andrea Maier 5 EMCR RESEARCH PRESENTATIONS - ABSTRACTS Association between malnutrition and stages of sarcopenia in geriatric rehabilitation inpatients: RESORT LMG Verstraeten1, JP van Wijngaarden2, J Pacifico3, EM Reijnierse3,4, CGM Meskers4, AB Maier1,3,5,6 Corresponding author: [email protected] 1. Department of Human Movement Sciences, @AgeAmsterdam, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands 2. Danone Nutricia Research, Uppsalalaan 12, 3584 CT, Utrecht, the Netherlands 3. Department of Medicine and Aged Care, @AgeMelbourne, The Royal Melbourne Hospital, The University of Melbourne, Parkville, Victoria, Australia 4. Department of Rehabilitation Medicine, Amsterdam University Medical Center, Amsterdam Movement Sciences, Amsterdam, the Netherlands 5. Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 6. Centre for Healthy Longevity, National University Health System, Singapore Background: Malnutrition and sarcopenia coexist in older adults, yet they remain largely undiagnosed and untreated, despite available interventions. This study aimed to assess the prevalence, the coexistence of, and the association between malnutrition and sarcopenia in geriatric rehabilitation inpatients. Methods: REStORing health of acutely unwell adulTs (RESORT) is an observational, longitudinal cohort of geriatric rehabilitation inpatients. The association between malnutrition, diagnosed according to the Global Leadership Initiative on Malnutrition (GLIM) criteria and sarcopenia according to the revised definition of the European Working Group on Sarcopenia in Older People (EWGSOP2) (no sarcopenia, probable sarcopenia, confirmed sarcopenia and severe sarcopenia) was determined using multinomial logistic regression analyses, adjusted for age, sex, comorbidities and cognitive impairment. Results: Out of 506 geriatric rehabilitation inpatients, 51% were malnourished, 49% had probable sarcopenia, 0.4% had confirmed sarcopenia (non-severe) and 19% had severe sarcopenia. 6 Malnutrition and probable sarcopenia and malnutrition and confirmed/severe sarcopenia coexisted in 23% and 13% of the 506 patients respectively. Malnutrition was not associated with probable sarcopenia (OR = 0.91, 95% CI = 0.58-1.42, p = 0.674) but with severe sarcopenia (OR = 2.07, 95% CI = 1.13-3.81, p = 0.019). Conclusion: The prevalence, coexistence of, and the association between malnutrition and severe sarcopenia in geriatric rehabilitation inpatients warrant diagnosis at admission. Further research into feasible and effective interventions to counteract both conditions to improve geriatric rehabilitation outcomes is needed. 7 Dietary protein intake and physical activity levels as determinants of sarcopenia risk IL Stoodley1,2, BS Berthon1,2, HA Scott1,2, PJ Baines1,2, H Knox1,2, B Paradzayi1,2, LG Wood1,2 Corresponding author: [email protected] 1. Priority Research Centre for Healthy Lungs, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia 2. School of Biomedical Sciences and Pharmacy, University of Newcastle, Callaghan, New South Wales, Australia Background: Sarcopenia is associated with an increased risk of falls, hospitalisation and mortality but can be difficult to identify in the community. Current screening measures require specialist equipment including dual energy x-ray absorptiometry (DEXA) scans and grip strength dynamometers. New criteria, which identify older adults at-risk of developing sarcopenia, may assist in correctly targeting those who would benefit from early intervention, without access to this equipment. The aim of this cross-sectional study was to determine if screening community-dwelling older adults on usual protein intake and physical activity