Evidence map›Paper›PMID 41580607›Full record

SynthesisBMC geriatrics2026

Association between osteosarcopenia and frailty in older adults: a systematic review and meta-analysis.

Yu Long, Hui Zhao, Dan Sun, Yuhang Wen, Yufeng Yu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC geriatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. The crossroads between osteosarcopenia and intrinsic capacity-a narrative review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Review
  4. Why Osteosarcopenia Matters: Clinical and Investigative Implications.European journal of clinical investigation · 2026
    Review
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.

Yu LongCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Hui ZhaoCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Dan SunCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yuhang WenCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yufeng YuCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China. 19902026@cdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteosarcopenia, the coexistence of sarcopenia and osteoporosis/osteopenia, is an emerging geriatric syndrome, but its relationship with frailty remains unclear.

methodsFollowing PRISMA guidelines, we searched six databases (PubMed, Web of Science, Cochrane Library, Scopus, CINAHL, Embase) from inception to September 6, 2025. Observational studies on the association between osteosarcopenia and frailty were included. Meta-analysis was conducted using STATA 17.0, and subgroup analysis, sensitivity analysis, and assessment of publication bias were also performed.

resultsA total of 11 studies involving 9939 participants were included. Meta-analysis showed that osteosarcopenia was significantly associated with higher odds of frailty (OR = 5.27, 95% CI: 3.75-7.39). Among individuals with osteoporosis/osteopenia, the presence of sarcopenia was associated with 3.78-fold higher odds of frailty (95% CI: 2.95-4.85). Among those with sarcopenia, the presence of osteoporosis/osteopenia was associated with 1.57-fold higher odds of frailty (95% CI: 1.23-2.01). Subgroup analysis revealed that the association between osteosarcopenia and frailty remained consistent and significant across studies from different regions, populations, study designs, and diagnostic criteria.

conclusionsOsteosarcopenia is significantly associated with higher odds of frailty in older adults. However, most included studies were cross-sectional, limiting causal inference. Prospective studies with standardized diagnostic criteria are needed to establish causality and inform prevention strategies.

Indexed as

Bone Diseases, MetabolicFrail ElderlyFrailtyOsteoporosisSarcopeniaAgedHumansFrailtyOlder adultsOsteoporosisOsteosarcopeniaSarcopenia

Identifiers

PMID41580607
PMCPMC13003619

What OpenQuestion holds

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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.