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"It's just ageing" is not a diagnosis.

Weakness is a measurable, recognised condition: sarcopenia. Muscle is the body's largest protein reserve and a major site of glucose disposal, so its decline is often the earliest detectable sign of wider decline.

1 in 3over-60s have clinically significant muscle loss1
2–3×higher fall risk with sarcopenia2
  1. Muscle decline
  2. Weakness
  3. Falls
  4. Hospitalisation
  5. Loss of independence
  6. Mortality

Clinical pearl. Good muscle mass on CT or DXA does not guarantee function. Guidelines combine strength, mass and physical performance, because mass alone cannot reveal function or fall risk.

In the clinic

No accessible, automated tool

No fast way to identify sarcopenia as the cause of weakness, or to track progress.

For the doctor

Hard to explain, hard to prove progress

Hard to explain the cause, target interventions and compare with age-, sex- and ethnicity-matched norms. Patients get generic advice.

Why it matters

Weakness is not inevitable

Unrecognised sarcopenia leads to falls, hospital stays and lost independence.