Evidence map›Paper›PMID 34264024›Full record

ArticleJournal of cachexia, sarcopenia and muscle2021

Association of sarcopenia with incident osteoporosis: a prospective study of 168,682 UK biobank participants.

Fanny Petermann-Rocha, Lyn D Ferguson, Stuart R Gray, Irene Rodríguez-Gómez, Naveed Sattar, Stefan Siebert, Frederick K Ho, Jill P Pell, Carlos Celis-Morales

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
5.3field-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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  12. Bone-muscle interactions.Osteoporosis and sarcopenia · 2025
    Review
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  20. Crosstalk between muscle and bone.Journal of bone and mineral metabolism · 2024
    Review
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

9 authors at 5 institutions in 5 countries.

Fanny Petermann-RochaInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-4384-4962
Lyn D FergusonBritish Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-6136-8349
Stuart R GrayBritish Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0001-8969-9636
Irene Rodríguez-GómezGENUD Toledo Research Group, Universidad de Castilla-La Mancha, Toledo, Spain.ORCID 0000-0002-1622-7109
Naveed SattarBritish Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1604-2593
Stefan SiebertInstitute of Infection, Immunity & Inflammation, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1802-7311
Frederick K HoInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-7190-9025
Jill P PellInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-8898-7035
Carlos Celis-MoralesBritish Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.ORCID 0000-0003-2612-3917
British Heart Foundation · GBZero to Three · USCentro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable · ESUniversidad Mayor · CLWellcome Centre for Molecular Parasitology · GB

Funding

British Heart FoundationDepartment of HealthMedical Research Council MC_PC_17228Medical Research Council MC_QA137853Wellcome Trust
6 · The paper itself

Abstract

backgroundSarcopenia often co-occurs with osteoporosis in cross-sectional studies. However, this association has rarely been studied in prospective studies. This study aimed to investigate the association between sarcopenia categories-along with its individual components-and incident osteoporosis in both middle-aged and older men and women from the UK Biobank study.

methodsA total of 168,682 participants (48.8% women, aged 37 to 70 years at baseline) were included in this prospective study. Categories of sarcopenia (pre-sarcopenia and sarcopenia), and its individual components, were defined according to the EWGSOP2 criteria (2019). Associations with incident osteoporosis by sex were investigated using Cox-proportional hazard models adjusted for socio-demographic, lifestyle and health-related factors, and morbidity count. Associations between categories of sarcopenia and incident osteoporosis were also investigated by age-groups and subtype of osteoporosis (with and without pathological fractures).

resultsAfter a median follow-up of 7.4 years, 6296 participants were diagnosed with osteoporosis. When the analyses were adjusted for a range of relevant confounding factors, pre-sarcopenia was associated with 1.3-times higher risk of osteoporosis in men (HR: 1.30 [95% CI: 1.03 to 1.63]) but not in women, and sarcopenia was associated with 1.66-times increased osteoporosis risk in women (HR: 1.66 [95% CI: 1.33 to 2.08]) but not in men compared with people without sarcopenia or pre-sarcopenia. A similar magnitude of associations was found in osteoporosis without pathological fractures but weaker for those with pathological fractures. Within the individual components, low muscle mass (HR

conclusionsOur findings demonstrated that pre-sarcopenic men and sarcopenic women had a higher risk of developing osteoporosis even after adjustment for a large range of potential confounders. Considering that sarcopenia could be prevented, health interventions to improve physical capability may delay or prevent the onset of osteoporosis.

Indexed as

OsteoporosisSarcopeniaAgedBiological Specimen BanksCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesUnited KingdomMuscle strengthOsteoporosisPhysical capabilitySarcopenia

Identifiers

PMID34264024
PMCPMC8517357
OpenAlexW3183106751

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.