Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Physical Activity Scale for the Elderly (PASE) Score Is Related to Sarcopenia in Noninstitutionalized Older Adults

Curcio, Francesco MD1; Liguori, Ilaria MD1; Cellulare, Michele MD1; Sasso, Giuseppe MD1; Della-Morte, David MD, PhD2,3; Gargiulo, Gaetano MD4; Testa, Gianluca MD, PhD1,5; Cacciatore, Francesco MD, PhD1,6; Bonaduce, Domenico MD1; Abete, Pasquale MD, PhD1

Journal of Geriatric Physical Therapy: July/September 2019 - Volume 42 - Issue 3 - p 130–135
doi: 10.1519/JPT.0000000000000139
Research Reports

Background and Purpose: Sarcopenia, a loss of muscle mass and strength accompanying aging, is common in older adults who are not physically active. Nevertheless, the association between physical activity and sarcopenia has not been extensively studied. Therefore, we examined the relationship of both muscle mass and muscle strength with physical activity as quantified using the Physical Activity Scale for Elderly (PASE).

Methods: PASE score, muscle mass by bioimpendiometry, and muscle strength by handgrip were evaluated in a cohort study of 420 older adult participants (mean age 82.4 [5.9] years), admitted to the Comprehensive Geriatric Assessment Center. Sarcopenia was assessed as indicated in the European Working Group on Sarcopenia in Older People (EWGSOP) consensus.

Results: PASE score was lower in sarcopenic (40.2 [89.0]) than in non-sarcopenic (92.0 [52.4]) older adults (P < .001). Curvilinear regression analysis demonstrated that PASE score is related with muscle mass (R2 = 0.63; P < .001) and strength (R2 = 0.51; P < .001).

Conclusions: The present study indicates that PASE score is curvilinearly related to muscle mass and strength and that low PASE score identifies sarcopenic noninstitutionalized older adults. This evidence suggests that PASE score evaluated together with muscle mass and strength may identify older adults at high risk of sarcopenia.

1Department of Translational Medical Sciences, University of Naples “Federico II,” Naples, Italy.

2Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

3San Raffaele Roma Open University, Rome, Italy.

4Division of Internal Medicine, AOU San Giovanni di Dio e Ruggi di Aragona, Salerno, Italy.

5Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy.

6Azienda Ospedaliera dei Colli, Monaldi Hospital, Heart Transplantation Unit, Naples, Italy.

Address correspondence to: Pasquale Abete, MD, PhD, Dipartimento di Scienze Mediche Traslazionali, Università di Napoli Federico II, Via S. Pansini, 80131 Naples, Italy (

Supported by Progetto AIFA COD, FARM7K7XZB and Fondazione Roma NCDS-2013-00000331—Sarcopenia and Insulin Resistance in the Elderly; Age-Associated Inflammation as a Shared Pathogenic Mechanism and Potential Therapeutical Target (They contributed to the purchase of materials utilized in the study.)

The authors declare no conflicts of interest.

Richard Bohannon was the Decision Editor.

© 2019 Academy of Geriatric Physical Therapy, APTA
You currently do not have access to this article

To access this article:

Note: If your society membership provides full-access, you may need to login on your society website