Spondyloarthritis & psoriatic arthritis

Association between SARC-F as a self-report screening tool for sarcopenia and muscle strength, physical performance, daily activity, patient-reported outcomes and body composition in patients with spondyloarthritis

RMD OpenPublished Cross-sectional study

Authors' conclusion

SARC-F was significantly associated with disease activity, muscle strength and physical performance, but showed limited ability to identify DXA-defined sarcopenia.

Study context

Population
Patients with SpA (axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA))65.7% axSpA, 34.3% PsA
Participants
213 patients
Exposure
SARC-F score ≥4 vs <4
  • SARC-F ≥4n = 54
Outcome
Association of SARC-F with muscle strength, physical performance, daily activity, PROs and body composition (DXA)
Methodological detailslinear regression adjusted for age and sex
  • Linear regression adjusted for age and sex

Main finding

As reported in the abstract

SARC-F score ≥4 (prevalence)

SARC-F score ≥4

54 of 213

24.4%

Observational data: associations, not effects.

Further findings

Accuracy of SARC-F ≥4 for DXA-defined sarcopenia
76% · specificity · sensitivity 50% · NPV 97%

DXA-defined sarcopenia and sarcopenic obesity

Patients

Sarcopenia (DXA)
4 (7.7%)
Sarcopenic obesity (DXA)
4 (7.7%)

Original publication

Association between SARC-F as a self-report screening tool for sarcopenia and muscle strength, physical performance, daily activity, patient-reported outcomes and body composition in patients with spondyloarthritis. RMD Open. Published 13 March 2026. doi:10.1136/rmdopen-2025-006649

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