Evidence map›Paper›PMID 41088473›Full record

ArticleDiabetology & metabolic syndrome2025

Sarcopenia (defined by low muscle mass) as a predictor of disease progression and mortality in cardiovascular-kidney-metabolic syndrome.

Diar Zooravar

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Article in Diabetology & metabolic syndrome, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing 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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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Diar ZooravarSchool of Medicine, Iran University of Medical Sciences, Tehran, Iran. diarzooravar@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesCardiovascular-Kidney-Metabolic (CKM) syndrome reflects the interconnected nature of cardiovascular, renal, and metabolic dysfunction. Sarcopenia, or the loss of skeletal muscle mass, is linked to adverse outcomes in chronic diseases, but its role within the CKM framework remains poorly defined. This study aimed to investigate the association between sarcopenia, CKM syndrome severity, and mortality risk.

methodsThis study analyzed data from 5,925 adults (aged ≥ 20 years) across eight NHANES cycles (1999-2006, 2011-2018). Sarcopenia was defined using FNIH criteria based on DXA-derived muscle mass. CKM syndrome staging followed the AHA classification. Multinomial and ordinal logistic regression examined the relationship between sarcopenia and CKM stage. Cox proportional hazards models evaluated the impact of sarcopenia on all-cause, cardiovascular (CVD), and non-CVD mortality. Sensitivity analysis was performed to confirm robustness.

resultsDuring a mean follow-up of 125.47 (0.94) months, 851 deaths occurred. Sarcopenia was significantly associated with increased odds of advanced CKM stages: (OR: 2.236, 95% CI: 1.594-3.135), stage 3 (OR: 3.332, 95% CI: 2.001-5.548) and stage 4 (OR: 3.495, 95% CI: 2.157-5.662), compared to Stage 1. Sarcopenia also predicted higher mortality risks in patients with CKM stage 1-4: all-cause mortality (HR: 1.527, 95% CI: 1.274-1.831), CVD mortality (HR: 1.903, 95% CI: 1.299-2.788) and non-CVD mortality (HR: 1.407, 95% CI: 1.124-1.762).

conclusionSarcopenia is strongly linked to CKM syndrome severity and is a predictor of mortality across CKM stages. These findings suggest that assessing and managing sarcopenia could offer a valuable strategy to mitigate disease progression and improve survival in individuals with CKM syndrome.

Indexed as

Cardiovascular-kidney-metabolic syndromeMuscle massSarcopenia

Identifiers

PMID41088473
PMCPMC12522270

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