Evidence map›Paper›PMID 40917423›Full record

SynthesisFrontiers in public health2025

Exercise interventions and serum IGF-1 levels in older adults with frailty and/or sarcopenia: a systematic review and meta analysis.

Rui Chu, Mingming Li, Yeshou Xie, Yinuo Du, Tao Ni

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Effects of Heat-KilledNutrients · 2026
    Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
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

5 authors.

Rui Chu *Anhui Polytechnic University, Wuhu, Anhui, China.
Mingming Li *Hefei Preschool Education College, Hefei, Anhui, China.
Yeshou XieAnhui Polytechnic University, Wuhu, Anhui, China.
Yinuo DuAnhui Polytechnic University, Wuhu, Anhui, China.
Tao NiChangzhou University, Changzhou, Jiangsu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Insulin-like growth factor-1 (IGF-1) is thought to play an important role in regulating skeletal muscle mass and function, with its decline potentially linked to age-related frailty and sarcopenia. Given the limitations of pharmacological and nutritional interventions, exercise may serve as a potential non-pharmacological strategy to modulate IGF-1 levels. The purpose of this study is to systematically evaluates the effects of exercise interventions on serum IGF-1 levels in older adults with frailty and/or sarcopenia using a meta-analysis approach. Methods: A systematic search was conducted in PubMed, Web of Science, Cochrane Library, EMBASE and Scopus (from inception to July 2025) to identify randomized controlled trials (RCTs) investigating the impact of exercise interventions on serum IGF-1 levels in older adults with frailty and/or sarcopenia. Data were analyzed using RevMan 5.4 and Stata 15.1, with standardized mean differences (SMD) and 95% confidence intervals (95% CI) calculated via a random-effects model. The protocol was registered with PROSPERO (CRD420251085472). Results: A total of 11 studies (comprising 16 RCTs) were included, involving 604 participants (intervention group: 314; control group: 290), age range: 63.6 to 85.8 years old. Meta-analysis revealed that exercise interventions significantly increased serum IGF-1 levels in older adults with frailty and/or sarcopenia (SMD = 0.42, 95% CI: 0.23-0.60, Conclusion: Exercise intervention can effectively increase serum IGF-1 concentrations in older adults with frailty and/or sarcopenia. The research results may provide key evidence-based basis for clinical non-pharmacological interventions. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251085472.

Indexed as

ExerciseExercise TherapyFrail ElderlyFrailtyInsulin-Like Growth Factor ISarcopeniaAgedAged, 80 and overFemaleHumansMaleRandomized Controlled Trials as TopicIGF1 protein, humanInsulin-Like Growth Factor Iexercise interventionfrailtyinsulin-like growth factor-1meta-analysissarcopenia

Identifiers

PMID40917423
PMCPMC12408309

What OpenQuestion holds

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LicenceCC BY
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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.