{
  "abstract": "Aims: The aim of this study was to develop a self-reported risk-assessment scale for pre-sarcopenia-related behavioral and functional risk in sedentary young adults with type 2 diabetes mellitus (T2DM) and to assess its psychometric properties.\n\nMethods: Following COSMIN guidelines, an initial item pool was generated via literature review and semi-structured interviews, then refined through two Delphi rounds and a pilot survey. A convenience sample of 435 patients (June 2024–February 2025) was recruited; 215 participated in exploratory factor analysis (EFA) and 220 in confirmatory factor analysis (CFA). Reliability and validity were evaluated.\n\nResults: The final 18-item scale comprises four dimensions: behavioral risk perception, muscle function monitoring, sedentary behavior characteristics, and intervention intention. EFA extracted four factors explaining 81.25% of the total variance. CFA demonstrated good model fit ( χ ² /df = 1.583, RMSEA = 0.076, SRMR = 0.038, CFI = 0.965, GFI = 0.917). The scale-level content validity index was 0.92; Cronbach’s α was 0.894 and split-half reliability 0.792.\n\nConclusion: The newly developed scale showed satisfactory preliminary reliability and construct validity. It should be regarded as a self-reported risk-assessment instrument for pre-sarcopenia-related behavioral and functional risk, rather than a diagnostic or case-finding tool for pre-sarcopenia. Positive risk identification should be confirmed by objective measures such as handgrip strength, muscle mass, and physical performance.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Endocrinology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Chen-Xia Zhang"
    },
    {
      "affs": [
        0
      ],
      "name": "Cong-Cong Jin"
    },
    {
      "affs": [
        0
      ],
      "name": "Shi-Wei Liu"
    },
    {
      "affs": [
        0
      ],
      "name": "Xiao-Fang Wei"
    },
    {
      "affs": [
        0
      ],
      "name": "Jiao-Jun Mu"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/071fktfraavq4.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1960222",
  "fulltext_url": null,
  "id": "071fktfraavq4",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1960222/full",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/071fktfraavq4.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1960222",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1960222/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:2296-2565",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Development and psychometric evaluation of a pre-sarcopenia risk assessment scale for sedentary young adults with type 2 diabetes mellitus",
  "title_text": "Development and psychometric evaluation of a pre-sarcopenia risk assessment scale for sedentary young adults with type 2 diabetes mellitus",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T00:21:06Z",
  "url": "https://research.draconitic.com/paper/071fktfraavq4",
  "venue": "Frontiers in Public Health",
  "versions": []
}