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Malay language translation, cultural adaptation and pilot testing of the SARC-F questionnaire for screening sarcopenia among the Malaysian population

Mohd Aris, Muhammad Akmal Hakimi and Mohd Sufian, Mohamad Sayyidil Irfan and Zahiruddin, Haziq and Wan Omar, Wan Fatein Nabeila and Mohd. Radzuan, Hazulin and Mustapa, Nurul Amirah and Gan, Wei Xin and Mat Salleh, Nur Munirah and Rosdi, Muhammad Harith and Mohamad Zahir, Mohd Zulkifli and Suhaimi, Mohamad Suhaizi and Zubir, Nazira and Eydel, Hanifah and Zainul Abidin, Nur Fazlen (2026) Malay language translation, cultural adaptation and pilot testing of the SARC-F questionnaire for screening sarcopenia among the Malaysian population. Malaysian Journal of Medical Sciences, 33 (3). pp. 131-142. ISSN 1394-195X E-ISSN 2180-4303

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Abstract

Background: Sarcopenia is an increasing concern among ageing populations as it contributes to frailty, falls, and reduced quality of life. Early screening is critical to prevent this disorder. The SARC-F questionnaire is known as a simple tool that can be used to screen for sarcopenia. It has been translated and validated in multiple languages. However, no validated Malay version currently exists, creating a critical gap for sarcopenia screening among Malayspeaking adults who primarily communicate in the Malay language. This study aimed to translate and culturally adapt the SARC-F questionnaire into a Malay version and to validate it preliminarily. Methods: The questionnaire was subjected to forward–backward translation, followed by expert panel evaluation (n = 8). Face validity was carried out among 25 Malay-speaking community-dwelling adults to assess the clarity and comprehensibility of the Malay SARC-F questionnaire using the Face Validity Index (FVI). Reliability was assessed using internal consistency (Cronbach’s α) and test–retest reliability (Intraclass Correlation Coefficient, ICC). Results: A translated Malay SARC-F was agreed after the forward translation. The backward translation of the Malay SARC-F showed minimal discrepancy from the original version. Expert panels agreed to revise certain phrases and terms to better suit the Malaysian context to optimise clarity and comprehension. Face validity was also excellent (I-FVI = 1.00; S-FVI = 1.00). Internal consistency was acceptable (Cronbach’s α = 0.78), and test–retest reliability was excellent (ICC = 0.88; 95% CI: 0.83, 0.92). Conclusion: The Malay SARC-F demonstrates preliminary evidence of reliability as a culturally appropriate screening instrument for sarcopenia among Malaysian adults. Although this study establishes its preliminary psychometric soundness, larger studies are warranted to confirm construct and criterion validity.

Item Type: Article (Journal)
Uncontrolled Keywords: sarcopenia, muscular atrophy, health surveys, geriatric assessment, reliability, validity
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Centre for Foundation Studies
Centre for Languages and Pre-University Academic Development (CELPAD) > English Language Division
Kulliyyah of Allied Health Sciences > Department of Physical Rehabilitation Sciences
Kulliyyah of Medicine > Department of Basic Medical
Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Kulliyyah of Medicine > Department of Internal Medicine
Kulliyyah of Sustainable Tourism and Contemporary Languages
Centre for Languages and Pre-University Academic Development (CELPAD)
Kulliyyah of Allied Health Sciences
Kulliyyah of Medicine
Depositing User: Dr Wan Fatein Nabeila Wan Omar
Date Deposited: 27 Jul 2026 16:33
Last Update: 27 Jul 2026 16:33
Queue Number: 2026-07-Q4336
URI: http://irep.iium.edu.my/id/eprint/128331

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