Evidence map›Paper›PMID 33997305›Full record

ArticleOsteoporosis and sarcopenia2021

Sarcopenia and mortality in different clinical conditions: A meta-analysis.

Grace Koon-Yee Lee, Philip Chun-Ming Au, Gloria Hoi-Yee Li, Marcus Chan, Hang-Long Li, Bernard Man-Yung Cheung, Ian Chi-Kei Wong, Victor Ho-Fun Lee, James Mok, Benjamin Hon-Kei Yip and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Osteoporosis and sarcopenia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  3. Protein Intake and Sarcopenia in Older Adults: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
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  7. Effectiveness of digital health exercise interventions on muscle function and physical performance in older adults with possible, confirmed, or severe sarcopenia: a systematic review and meta-analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Review
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  18. The Intersection of Sarcopenia and Musculoskeletal Pain: Addressing Interconnected Challenges in Aging Care.International journal of environmental research and public health · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Grace Koon-Yee LeeDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
Philip Chun-Ming AuDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
Gloria Hoi-Yee LiDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
Marcus ChanLi Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Hang-Long LiLi Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Bernard Man-Yung CheungDepartment of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Ian Chi-Kei WongDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
Victor Ho-Fun LeeDepartment of Clinical Oncology, The University of Hong Kong, Pokfulam, Hong Kong.
James MokLi Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
Benjamin Hon-Kei YipJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong.
Kenneth King-Yip ChengDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Chih-Hsing WuDepartment of Family Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Ching-Lung CheungDepartment of Pharmacology and Pharmacy, The University of Hong Kong, Pokfulam, Hong Kong.
University of Hong Kong · HKChinese University of Hong Kong · HKHong Kong Polytechnic University · HKNational Cheng Kung University Hospital · TWQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSarcopenia is recognized to be a health problem which is as serious as obesity, but its relevance to mortality is unclear. We conducted a meta-analysis of cohort studies on lean mass and mortality in populations with different health conditions.

methodsIn this study, a systematic search of PubMed, Cochrane Library and Embase was performed for cohort studies published before Dec 20, 2017 which examined the relationship between lean mass and mortality. We included studies reporting lean mass measurement by dual-energy X-ray absorptiometry, bioimpedance analysis or computed tomography, as continuous (per standard deviation [SD] decrease) or binary variables (using sarcopenia cutoffs). We excluded studies which used muscle mass surrogates, anthropometric measurement of muscle, rate of change in muscle mass, and sarcopenia defined by composite criteria. The primary study outcome was all-cause mortality. Pooled hazard ratio estimates were calculated using a random effects model.

resultsA total of 9602 articles were identified from the systematic search, and 188 studies with 98 468 participants from 34 countries were included in the meta-analysis. Of the 68 studies included in the present meta-analysis, the pooled HR was 1.36 and 1.74 for every SD decrease in lean mass and in people with low lean mass (cutoffs), respectively. Significant associations were also observed in elderly and all disease subgroups, irrespective of the measurement modalities.

conclusionsLower lean mass is robustly associated with increased mortality, regardless of health conditions and lean mass measurement modalities. This meta-analysis highlighted low lean mass as a key public health issue.

Indexed as

Chronic diseasesMeta-analysisMortalitySarcopeniaSystematic review

Identifiers

PMID33997305
PMCPMC8088992
OpenAlexW3134239840

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.