Evidence map›Paper›PMID 41185019›Full record

SynthesisJournal of orthopaedic surgery and research2025

Serum parathyroid hormone and risk of sarcopenia: a meta-analysis.

Junyu Zhu, Liang Zhang, Mingjie Shao, Haochen Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

  1. Article
  2. Article
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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.

Junyu ZhuDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China.
Liang ZhangDepartmrnt of Orthopaedic Trauma, Chenzhou No 1 People's Hospital, Chenzhou, China.
Mingjie ShaoGeneral Surgery (Gastrointestinal Surgery), Xiangya Hospital, Central South University, Changsha, China.
Haochen WangDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China. hausenwong@csu.edu.cn.

Funding

Hunan Natural Science Foundation- -Outstanding Youth Foundation 2022JJ20099
6 · The paper itself

Abstract

backgroundParathyroid hormone plays a key role in muscle metabolism and function, yet its precise association with sarcopenia remains controversial. This meta-analysis evaluated the relationship between serum parathyroid hormone levels and the risk of sarcopenia.

methodsWe systematically searched PubMed, Embase, and Web of Science until April 2025 for observational studies on the link between parathyroid hormone levels and sarcopenia. Using random-effects models, we derived pooled odds ratios with 95% confidence intervals and conducted subgroup analyses. Sensitivity analyses were performed to ensure robustness by excluding small or low-quality studies. Study quality was assessed with modified Newcastle-Ottawa scales, and publication bias was checked using funnel plot symmetry.

resultsThis meta-analysis included 11 studies involving 4,759 participants, with mean ages ranging from 57.5 to 76.4 years and 50.37% of participants being female. Our meta-analysis showed a positive association between serum parathyroid hormone levels and the risk of sarcopenia (odds ratios = 1.10, 95% confidence intervals 1.03-1.17, P < 0.001). Subgroup analyses indicated a consistently positive association across diagnostic definitions and study settings, although the effect size was greater in studies using alternative diagnostic criteria (OR = 1.94, 95% confidence intervals 1.21-3.13) and in hospital-based populations (OR = 2.19, 95% confidence intervals 1.27-3.77). Sensitivity analysis confirmed the stability of these findings, with no publication bias detected.

conclusionsThis meta-analysis suggests a potential positive association between elevated parathyroid hormone levels and sarcopenia risk. However, given the substantial heterogeneity and the observational nature of the included studies, these findings should be interpreted with caution. Further large-scale, prospective investigations are warranted to clarify the causal relationship and to explore whether targeting parathyroid hormone could contribute to sarcopenia prevention or management.

Indexed as

Parathyroid HormoneSarcopeniaAgedFemaleHumansMaleMiddle AgedObservational Studies as TopicRisk FactorsParathyroid HormoneMeta-analysisParathyroid hormoneSarcopenia

Identifiers

PMID41185019
PMCPMC12581253

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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.