Evidence map›Paper›PMID 40407980›Full record

SynthesisEuropean geriatric medicine2025

The association between muscle mass and change in physical functioning in older adults: a systematic review and meta-analysis of prospective studies.

Marjolein Visser, Katri Sääksjärvi, George L Burchell, Laura A Schaap

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European geriatric medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

4 authors.

Marjolein VisserDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Van der Boechorststraat 3, 1081 BT, Amsterdam, The Netherlands. m.visser@vu.nl.ORCID http://orcid.org/0000-0002-5136-298X
Katri SääksjärviDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Van der Boechorststraat 3, 1081 BT, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-5061-4911
George L BurchellMedical Library, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-6281-4179
Laura A SchaapDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Van der Boechorststraat 3, 1081 BT, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9703-4570

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this review is to investigate the prospective association between muscle mass and physical functioning in older adults, and to explore sources of variability in this association.

methodsThree databases were searched for prospective, observational studies investigating any assessment of muscle mass and functional decline in older adults (mean age 65 + years). 72 studies were included. Meta-analyses using results of the most adjusted statistical models were performed using Review Manager version 5.3.5.

resultsMost studies were conducted in the community setting (n = 64) and used incident ADL limitations/disability as outcome (n = 44). Across studies, 6 body composition methods and 34 different parameters of muscle mass were used, including ratios. Average follow-up time was 46 months. For low versus higher muscle mass (n = 25), the overall odds ratio (OR) for functional decline was 1.23 (95% CI 1.10-1.37, I

conclusionIn contrast to earlier reviews, this updated review shows that lower muscle mass is associated with higher risk of functional decline in older adults. Earlier observed variability in this association is explained by body composition method, body size adjustment, and type of physical functioning outcome.

Indexed as

Activities of Daily LivingMuscle, SkeletalSarcopeniaAgedBody CompositionGeriatric AssessmentHumansMuscle StrengthPhysical Functional PerformanceProspective StudiesAgingFunctional declineSarcopenia

Identifiers

PMID40407980
PMCPMC12528211

What OpenQuestion holds

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Registered trials

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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.