Evidence map›Paper›PMID 42820572›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2026

Sarcopenia, its components and fracture risk in people living with human immunodeficiency virus.

Edivaldo Cangussu Meira Junior, Jaine Alves Ximenez, Marcia Midori Shinzato, Maria Claudia Bernardes Spexoto

Abstract read
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Article in Revista da Associacao Medica Brasileira (1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Edivaldo Cangussu Meira JuniorUniversidade Federal da Grande Dourados, Faculty of Health Sciences - Dourados (MS), Brazil.ORCID http://orcid.org/0009-0000-8868-1397
Jaine Alves XimenezUniversidade Federal da Grande Dourados, Faculty of Health Sciences, Graduate Program in Food, Nutrition and Health - Dourados (MS), Brazil.ORCID http://orcid.org/0000-0002-4123-1492
Marcia Midori ShinzatoUniversidade Federal da Grande Dourados, Faculty of Health Sciences - Dourados (MS), Brazil.ORCID http://orcid.org/0000-0002-0199-8189
Maria Claudia Bernardes SpexotoUniversidade Federal da Grande Dourados, Faculty of Health Sciences, Graduate Program in Food, Nutrition and Health - Dourados (MS), Brazil.ORCID http://orcid.org/0000-0001-7681-1422

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the relationship between sarcopenia and its components with fracture risk in people living with human immunodeficiency virus, and to assess the association with sociodemographic and clinical characteristics.

methodsThis cross-sectional study was conducted with people living with human immunodeficiency virus undergoing antiretroviral therapy in the state of Mato Grosso do Sul, Brazil. Sarcopenia was defined according to the European Working Group on Sarcopenia in Older People criteria, assessing muscle strength (handgrip strength), skeletal muscle mass (skeletal muscle mass index), and physical performance (gait speed). The 10-year risk of major osteoporotic and hip fracture was estimated using the Brazilian version of the Fracture Risk Assessment Tool (FRAX®). Statistical analyses included chi-square tests, analysis of variance, and Spearman correlation (p<0.05).

resultsAmong 105 participants (44.6±13.5 years), the prevalence of confirmed or severe sarcopenia was 6.7%. No association was found between sarcopenia and the risk of major fracture (p=0.471) or hip fracture (p=0.254). However, handgrip strength was correlated with the risk of major fracture (ρ=-0.21; p=0.029) and hip fracture (ρ=-0.25; p=0.010). SMII showed moderate correlations with major fracture risk (ρ=-0.44; p<0.01) and hip fracture risk (ρ=-0.52; p<0.01). Gait speed was correlated only with hip fracture risk (ρ=-0.22; p=0.025). Older age (p<0.001) and lower body mass index (p=0.011) were significant risk factors.

conclusionSarcopenia as a categorical diagnosis was not associated with fracture risk, whereas lower handgrip strength and skeletal muscle mass index were associated with higher FRAX® estimates, and gait speed only with hip fracture risk. These findings support assessing sarcopenia-related parameters in people living with human immunodeficiency virus.

Indexed as

Hip FracturesHIV InfectionsOsteoporotic FracturesSarcopeniaAdultAgedBody Mass IndexBrazilCross-Sectional StudiesFemaleHand StrengthHumansMaleMiddle AgedMuscle StrengthPrevalence

Identifiers

PMID42820572
PMCPMC13623363

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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.