Evidence map›Paper›PMID 41214538›Full record

ArticleBMC geriatrics2025

Association between subjective well-being and low muscle mass among Chinese older adults: a nationwide cross-sectional study.

Yuhan Liu, Fangyuan Qi, Tongxu Zhang, Xiaojie Pan, Min Li, Qingbin Song

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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

1 citing paper in PubMed.

  1. 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

6 authors.

Yuhan Liu *Department of Endocrinology and Metabolism, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0009-0006-3916-8304
Fangyuan Qi *Department of Endocrinology and Metabolism, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0009-0000-2469-1959
Tongxu ZhangDepartment of Endocrinology and Metabolism, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0009-0007-0561-3171
Xiaojie PanDepartment of Endocrinology and Metabolism, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0009-0003-5471-9344
Min LiDepartment of Endocrinology and Metabolism, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China. nancy_li_822@163.com.ORCID http://orcid.org/0000-0001-5269-6028
Qingbin SongDepartment of Vascular and Thyroid Surgery, The First Hospital of China Medical University, No. 155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China. sqb1966@163.com.ORCID http://orcid.org/0009-0009-9830-9690

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental health represents a significant global health issue, with emerging evidence suggesting a link between psychological well-being and physical health outcomes, including muscle health. Subjective well-being, a key component of mental health, may influence muscle mass through lifestyle factors (e.g., nutrition, sleep) and physiological mechanisms (e.g., neuroendocrine function, inflammation). However, its specific association with low muscle mass among older Chinese adults remains unclear.

methodsThis cross-sectional study utilized data from 11,345 participants in the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey. Subjective well-being was assessed using a validated and applied eight-item scale, comprising one life satisfaction item, four positive emotion items, and three negative emotion items. Low muscle mass was defined using anthropometric indicators with sex-specific thresholds for appendicular skeletal muscle mass/height². Logistic regression was employed to examine the associations between SWB and LMM, adjusting for demographic, socioeconomic, behavioral, and health-related covariates. To explore the potential nonlinear association, spline smoothing analysis and threshold effect analysis were employed. Subsequently, to ensure the robustness of the findings, several sensitivity analyses were conducted.

resultsAfter adjusting for confounding factors, participants with better subjective well-being exhibited a reduced likelihood of low muscle mass [OR = 0.82, 95% confidence interval (CI) 0.73-0.92, P value < 0.001]. Notably, this inverse association displayed nonlinear characteristics (P

conclusionOur findings suggest that subjective well-being is a nonlinear modifiable determinant of low muscle mass in older adults. These results indicate that interventions aimed at enhancing subjective well-being may complement conventional strategies for regulating muscle homeostasis.

Indexed as

Mental HealthMuscle, SkeletalPersonal SatisfactionSarcopeniaAgedAged, 80 and overChinaCross-Sectional StudiesEast Asian PeopleFemaleHumansLongitudinal StudiesMaleMiddle AgedChinese longitudinal healthy longevity surveyMuscle massOlder adultsSarcopeniaSubjective well-being

Identifiers

PMID41214538
PMCPMC12599055

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LicenceCC BY-NC-ND
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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.