Yubi Wakka Finger Ring Test

Original Editor - Candace Goh
Top Contributors - Candace Goh and Lucinda hampton

Purpose[edit | edit source]

Frail individual

The“Yubi-wakka" (finger-ring) test is a simple self-screening tool developed by the Japanese to check for sarcopenia among community-dwelling older adults.[1]

Technique[edit | edit source]

Conduct self-test in a seated position, no instrument required.

  1. Make a ring with the index fingers and thumbs of both hands
  2. Gently circle the thickest part of the non-dominant calf of the leg which is bent at a 90° angle
  3. Check whether or not the non-dominant calf circumference is“bigger,”“just fits”or“smaller” as compared with the finger-ring circumference.

Evidence[edit | edit source]

The "Yubi-wakka" assessment represents a highly useful approach for pinpointing older individuals who are vulnerable to sarcopenia, disability, and the risk of mortality.

  • This test has the potential to enhance proactive measures in preventing sarcopenia by acting as an early warning for older adults to guard against developing this condition.[1][2]
  • Given the generally robust health and longevity of the Japanese population, addressing sarcopenia becomes particularly crucial, particularly for individuals aged over 75 years.
  • The existence of metabolic syndrome, as identified through the Yubi-wakka test, might constitute a potential risk factor for sarcopenia and subsequent frailty. This warrants heightened vigilance, particularly in the case of women[3].

Resources[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Tanaka T, Takahashi K, Akishita M, Tsuji T, Iijima K. “Yubi‐wakka”(finger‐ring) test: A practical self‐screening method for sarcopenia, and a predictor of disability and mortality among Japanese community‐dwelling older adults. Geriatrics & gerontology international. 2018 Feb;18(2):224-32.
  2. Fujii H, Kodani E, Kaneko T, Nakamura H, Sasabe H, Tamura Y. “Yubi-wakka”(finger-ring) test: a tool to detect prefrailty in elderly populations, a pilot study. Journal of Clinical Medicine Research. 2019 Sep;11(9):623.
  3. Fujii H, Kodani E, Kaneko T, Nakamura H, Sasabe H, Tamura Y. Sarcopenia and coexistent risk factors detected using the ‘Yubi-wakka’(finger-ring) test in adults aged over 65 years in the public annual health check-up in Tama City, Tokyo: a cross-sectional study. BMJ open. 2022 Dec 1;12(12):e061613.