Purpose To describe current practice in diagnosis and management of sarcopenia in older people in the United Kingdom (UK). Methods Healthcare professionals from UK organisations were invited to complete an online survey about sarcopenia diagnosis and management. Results One hundred and one responses were analysed. Respondents represented a range of professional groups across 62 organisations from secondary care, primary care, community providers and private practitioners. Sarcopenia was identified in only 32/62 (52%) organisations. Within these organisations, 17/32 (53%) did not use a recognised algorithm for diagnosis, although 31/32 (97%) of organisations assessed muscle strength. Twenty-nine (91%) organisations reported offering interventions to people diagnosed with sarcopenia, but resistance training was offered by only 19 (59%). Conclusion This survey has shown that just over 50% of respondent organisations in the UK are identifying sarcopenia in older people as part of clinical practice, highlighting the need for ongoing work to achieve further improvement.

Background Although exercise is strongly recommended to prevent falls in older adults (exercise that challenges balance, performed three hours per week on an ongoing basis), few community-based programs meet these recommendations. Aims Assess the proportion of participants meeting fall prevention exercise recommendations in a community-based program and explore how adherence varies by individual characteristics and participation mode (in-person, tele-exercise, or hybrid). Methods A cross-sectional analysis of Zoomers in Balance participants who completed an online questionnaire about their demographic data, mode of participation, and their perceived balance intensity in a 12-week series using the Balance Intensity Scale (1-no effort at all to 5-maximal effort). Weekly attendance was self-reported after each 12-week series, and ongoing participation was assessed using registration data over one year. Results The average perceived balance intensity was 3.2 ± 0.7 (range 1–5), the average attendance was 1.3 ± 0.6 h/week (range 0.2–4.2), and participants attended an average of 3.4 ± 0.6 series/year (range 2–4). None of the participants met all three guidelines. The most fulfilled recommendation was ongoing participation (43%), which was greater in the hybrid (B = 2.68; p < 0.001) and tele-exercise (B = 1.28; p < 0.001) groups compared with the in-person mode. In addition, the mode of participation was associated with meeting one or more guidelines (χ2 = 23.05; p < 0.001), without any significant difference between modes. Discussion Offering hybrid participation options could lead to greater adherence to evidence-based guidelines, thereby reducing the risk of falls. Conclusion The proportion of participants meeting fall prevention guidelines in a community-based program is low, with a trend indicating that hybrid options are more effective.

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