Evidence map›Paper›PMID 42880160›Full record

ArticleThe journal of nutrition, health & aging2026

Possible sarcopenia defined by the 2025 Asian Working Group for sarcopenia consensus and functional impairment among adults aged 50-64 years: a longitudinal cohort study.

Liang Cai, Shoujue Wang, Lidan Chen, Kangkang Chen, Ying Yao

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Article in The journal of nutrition, health & aging, 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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5 authors.

Liang CaiPublic Health Section, Shaoxing Seventh People's Hospital (Affiliated Mental Health Center, Medical College of Shaoxing University), Shaoxing, China.
Shoujue WangDepartment of General Affairs, Shaoxing Health Information Management Center, Shaoxing, China.
Lidan ChenDepartment of Non-Communicable Diseases Control and Prevention, Shaoxing Center for Disease Control and Prevention, Shaoxing, China.
Kangkang ChenDepartment of Non-Communicable Diseases Control and Prevention, Shaoxing Center for Disease Control and Prevention, Shaoxing, China. Electronic address: sxcdc_ck@163.com.
Ying YaoDepartment of Infectious Disease Prevention and Control (Emergency Office), Shangcheng District Center for Disease Control and Prevention, Hangzhou, China. Electronic address: 178875560@qq.com.

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6 · The paper itself

Abstract

backgroundThe Asian Working Group for Sarcopenia (AWGS) 2025 consensus simplified possible sarcopenia assessment and extended it to adults aged 50-64 years, but its association with activities of daily living (ADL)/instrumental activities of daily living (IADL) impairment in this age group remains unclear. We therefore conducted cross-sectional and longitudinal analyses to address this gap.

methodsUsing China Health and Retirement Longitudinal Study data, we included 6,904 adults aged 50-64 years for cross-sectional analyses. After excluding participants with baseline impairment, 5,730 and 5,423 were followed through 2020 for incident ADL and IADL impairment, respectively. Transition analyses included 3,569 and 3,200 participants, respectively. Possible sarcopenia was defined as low handgrip strength according to the AWGS 2025 criterion. Multivariable logistic regression and discrete-time complementary log-log models were used.

resultsIn cross-sectional analyses, possible sarcopenia was associated with higher odds of prevalent ADL (OR = 1.82, 95% CI = 1.53-2.17) and IADL (OR = 1.45, 95% CI = 1.23-1.71) impairment. Over up to 9 years, it was associated with increased hazards of incident ADL (HR = 1.42, 95% CI = 1.27-1.59) and IADL (HR = 1.36, 95% CI = 1.21-1.52) impairment. In transition analyses, progression to possible sarcopenia was associated with higher hazards of subsequent ADL (HR = 1.23, 95% CI = 1.01-1.49) and IADL (HR = 1.31, 95% CI = 1.07-1.61) impairment. Reversion to no possible sarcopenia was not significantly associated with ADL (HR = 0.84, 95% CI = 0.58-1.22) or IADL (HR = 0.77, 95% CI = 0.52-1.15) impairment.

conclusionsAWGS 2025-defined possible sarcopenia and progression to possible sarcopenia were associated with ADL/IADL impairment in adults aged 50-64 years, supporting early screening and repeated monitoring in late midlife.

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ADLAWGS 2025CHARLSIADLPossible sarcopenia

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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.