Evidence map›Paper›PMID 39568327›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Sarcopenia Seems to Be Common in Older Patients With Restless Legs Syndrome.

Açelya Gokdeniz Yildirim, Derya Kaya, Fatma Sena Dost, Mehmet Selman Ontan, Ahmet Turan Isik

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Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Açelya Gokdeniz YildirimDepartment of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID 0000-0003-2932-3797
Derya KayaDepartment of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Fatma Sena DostDepartment of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Mehmet Selman OntanDepartment of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Ahmet Turan IsikDepartment of Geriatric Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.ORCID 0000-0001-5867-6503

Funding

Scientific and Technological Research Council of Turkey
6 · The paper itself

Abstract

backgroundRestless legs syndrome (RLS) is a disorder characterized by nocturnally exacerbating pain that leads to significant sleep disturbances. The hormonal and metabolic changes caused by sleep disruption may increase the incidence of muscle-related diseases like sarcopenia in older adults, which is defined by a progressive loss of muscle strength and mass. This study aimed to investigate the relationship between RLS and sarcopenia, which may affect each other through common pathophysiological pathways in older adults.

methodsThis was a cross-sectional study including 109 patients with RLS and 220 without RLS who applied to the geriatric clinic. RLS was assessed using the Turkish version of the International Restless Legs Syndrome Study Group (IRLSSG). Sarcopenia was diagnosed according to the European Working Group on Sarcopenia in Older People-2 criteria. All the demographics, comorbid conditions, medications and findings of comprehensive geriatric assessments were recorded. The association between RLS and sarcopenia was examined by logistic regression.

resultsThe mean age was 75 ± 7.4 and 73.8 ± 7 years for the RLS and the control groups, respectively (p > 0.05) and the ratio of females was higher in the RLS group (69.7% vs. 57.9%) (p = 0.035). The frequencies of coronary artery disease (CAD), hypertension (HT) and peripheral artery disease (PAD) were significantly higher in RLS patients (p = 0.020, p = 0.047, p = 0.010, respectively), while the prevalence of anaemia was 41% and 25-OH Vitamin D levels (25[OH]D) were higher than in the control group (p < 0.001). The frequency of probable sarcopenia and sarcopenia was higher in patients with RLS than in controls (20% vs. 11%, p = 0.037 and 8% vs. 2.3%, p = 0.047, respectively). A significant association between RLS and an increased likelihood of probable sarcopenia, sarcopenia and slow gait speed (odds ratio [OR]: 2.621, 95% confidence interval [CI] [1.265, 5.431]; OR: 4.542, 95% CI [1.284, 16.071]; OR: 2.663, 95% CI [1.432, 4.951], respectively) was found after adjusting for factors such as gender, HT, CAD, PAD, serum 25(OH)D levels, anaemia, chronic kidney disease (CKD) and nutritional status. However, the significance of low muscle mass disappeared (p > 0.05).

conclusionThis study demonstrated that sarcopenia is prevalent among older patients with RLS, which seems to be associated with low muscle strength and slow gait speed. Given the negative health outcomes related to sarcopenia, interventions aimed at preventing its development could be significantly beneficial for patients with RLS in older adults as well.

Indexed as

Restless Legs SyndromeSarcopeniaAgedAged, 80 and overComorbidityCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleTurkeylow muscle strengthrestless legs syndromesarcopeniaslow gait speed

Identifiers

PMID39568327
PMCPMC11670161

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