Evidence map›Paper›PMID 41366336›Full record

SynthesisBMC geriatrics2025

Sex-stratified handgrip strength and adipose-derived inflammatory biomarkers in sarcopenia - a systematic review and meta-analysis.

Djandan Tadum Arthur Vithran, Mahamat Hassan Yacoub Hassan, Masoud Rahmati, Laurent Boyer, Awil Abdi Wehliye, Eguerei Oumar Mahamat, Wenfeng Xiao, Yongbing Xiao, Yusheng Li

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Djandan Tadum Arthur VithranDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China. arthurogenius@csu.edu.cn.
Mahamat Hassan Yacoub HassanDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Masoud RahmatiCEReSS-Health Service Research and Quality of Life Centre, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France.
Laurent BoyerCEReSS-Health Service Research and Quality of Life Centre, Assistance Publique-Hopitaux de Marseille, Aix-Marseille University, Marseille, France.
Awil Abdi WehliyeDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Eguerei Oumar MahamatDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Wenfeng XiaoDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yongbing XiaoDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China. xiaoyongbing5994@csu.edu.cn.
Yusheng LiDepartment of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China. liyusheng@csu.edu.cn.

Funding

Foundation for Innovative Research Groups of the National Natural Science Foundation of China 82272611, 82072506, 92268115Science and Technology Program of Hunan Province (Nos. 2023SK2024, 2021RC3025)
6 · The paper itself

Abstract

backgroundSarcopenia involves a progressive loss of muscle function, with inflammation regarded as a potential contributing factor. The sex-specific relationship between adipose-derived inflammatory biomarkers and muscle function outcomes remains unclear.

methodsWe searched PubMed, Embase, Web of Science, Scopus, and the Cochrane Library (2015-2024) with no language restrictions for observational studies reporting handgrip strength (HGS), gait speed (GS), and circulating TNF-α, IL-6, CRP, IL-8, or IL-10 in adults with and without sarcopenia. Random-effects models (R version 4.4.2, meta package) pooled mean differences for HGS and GS and standardised mean differences for biomarkers. Heterogeneity (I², τ², prediction intervals) was explored through subgroup analyses, meta-regression, sensitivity and influence diagnostics, and funnel/contour-enhanced plots. Certainty of evidence was assessed with GRADE.

resultsThirty-six studies (n ≈ 8,200; predominantly cross-sectional) were included. Sarcopenia was associated with lower HGS (MD - 3.97 kg; 95% CI - 6.95 to - 1.00; I² = 93%), while GS showed no significant difference (MD - 0.15 m/s; 95% CI - 0.41 to 0.11; I² = 97.9%). In sex-stratified analyses of HGS (exploratory; k = 2 per stratum), women and men each showed directionally lower strength, but estimates were imprecise and not statistically significant. Among circulating biomarkers, TNF-α was directionally higher in pooled analyses but did not reach statistical significance, and between-study heterogeneity was substantial (SMD 0.40; 95% CI - 0.35 to 1.15; I² = 98.5%). CRP, IL-6, IL-8, and IL-10 showed no consistent between-group differences.

conclusionsSex-stratified handgrip strength may aid sarcopenia screening and risk stratification, with larger deficits observed in women in cross-sectional data. Pooled analyses showed a slight, imprecise elevation of TNF-α in sarcopenia, while CRP, IL-6, IL-8 and IL-10 showed no consistent differences. These findings support sex-aware assessment but do not permit causal inferences or treatment recommendations.

Indexed as

Adipose TissueHand StrengthInflammationSarcopeniaBiomarkersCross-Sectional StudiesFemaleHumansMaleSex FactorsBiomarkersAdipose inflammationHandgrip strengthMuscle functionSarcopeniaSex differencesTNF-α

Identifiers

PMID41366336
PMCPMC12801484

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.