Arabic Translation & Validation of Strength, Ambulation, Rising from A Chair, Stair Climbing and History of Falling Scale (SARC-F)

Shaima A Alothman,1 Alaa A AlMasud,2 Arwa S Altalhi,1 Doaa S Aljasser,3 Lama Alrasheed,4 Madawi Alotaibi,5 Samiah Alqabbani,5 Wafa Alahmari,5 Afrah Almuwais,5 Abdullah F Alghannam1 1Lifestyle and Health Research, Natural and Health Sciences Research Center, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia; 2Tissue Biobank Section, Research Department, Natural and Health Sciences Research Center, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia; 3Epidemiology and Biostatistics Section, Natural and Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia; 4Scientific and Statistical Studies, National Livestock and Fisheries Development Program, Riyadh, Saudi Arabia; 5Department of Rehabilitation Sciences, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi ArabiaCorrespondence: Shaima A Alothman, Email [email protected]: Sarcopenia, characterized by a progressive decline in muscle mass and function associated with aging, impacts around 10% of older adults worldwide and leads to heightened morbidity, increased hospitalization, and escalating healthcare costs. Early detection is crucial for timely intervention. The SARC-F questionnaire is a brief and validated screening tool utilized globally to identify individuals at risk of sarcopenia. Nevertheless, a validated Arabic version is currently unavailable.Methods: The SARC-F questionnaire was translated into Arabic employing a forward-backward translation method, followed by cultural adaptation, including the conversion of metric units. Content validity was evaluated by two domain experts using a 4-point relevance scale. Face validity was assessed through cognitive interviews conducted in a sample of 15 Arabic-speaking participants (range = 25– 40). Internal consistency was measured using Cronbach’s alpha in a sample of 120 adults (31.76 years (SD = 10.43, range = 20– 68)). Test-retest reliability was analyzed utilizing the Intraclass Correlation Coefficient (ICC) in a sample of 86 participants over an interval of 10 to 14 days. Inter-item associations were examined using Spearman’s rank-order correlations.Results: Following an expert review and gender-inclusive modifications, the content validity index improved from 2.0 to 4.0. Face validity testing demonstrated high clarity and acceptability across all items. The internal consistency analysis yielded a Cronbach’s alpha of 0.648, indicating moderate reliability. Furthermore, the test-retest reliability displayed a commendable ICC value of 0.767 (95% CI: 0.663– 0.841). The strongest inter-item correlation was found between assistance in walking and stair climbing (ρ = 0.419, p < 0.001).Conclusion: The Arabic version of the SARC-F exhibits acceptable content and face validity, moderate internal consistency, and good test-retest reliability. This tool is poised to enhance the early detection of sarcopenia in Arabic-speaking populations and support clinical decision-making for preventative strategies.Keywords: sarcopenia, aging, SARC-F, arabic translation, screening tool, reliability, validity