Evidence map›Paper›PMID 42919125›Full record

SynthesisBMC geriatrics2026

Sarcopenia as an independent associated factor for urinary incontinence in adults: a systematic review and meta-analysis of observational studies.

Zhenlang Guo, Lijuan Huang, Juan Chen, Zhaohui Wang, Guixing Tang, Yuan Li, Zunguang Bai, Jun Pan

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
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. Not yet cited in PubMed.

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

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zhenlang GuoDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Lijuan HuangDepartment of Urology, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Juan ChenDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zhaohui WangDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Guixing TangDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yuan LiDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Zunguang BaiDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jun PanDepartment of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China. panjungzy@163.com.ORCID http://orcid.org/0000-0001-6365-0420

Funding

Guizhou Provincial Administration of Traditional Chinese Medicine Project for Scientific Research on Traditional Chinese Medicine and Ethnic Medicine No. QZYY-2025-017
6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aimed to evaluate the association between sarcopenia and urinary incontinence (UI) in adults by synthesizing evidence from observational studies.

methodsA comprehensive literature search was conducted in MEDLINE, Cochrane Library, Embase, Web of Science, Scopus, and CINAHL from inception until April 20, 2026. Observational studies reporting the odds ratio (OR) with 95% confidence intervals (CI) for UI in adults with sarcopenia versus those without were included. Study selection, data extraction, and quality assessment were performed independently by two reviewers. Given anticipated clinical and methodological heterogeneity across the included studies (e.g., differences in sarcopenia diagnostic criteria, UI assessment tools, and study populations), we applied a random‑effects model. Subgroup analyses were conducted based on study design. Sensitivity and meta-regression analyses were performed to explore potential sources of heterogeneity.

resultsSeven observational studies involving 45,273 participants were included. The pooled analysis demonstrated that sarcopenia was significantly associated with an higher odds of UI (OR = 1.92, 95% CI: 1.41-2.60, p < 0.001). Significant heterogeneity was observed (I² = 63.1%, p = 0.012), which indicates moderate between‑study variation, suggesting that the pooled estimate should be interpreted with caution and that the strength of the association may differ across study settings. In subgroup analysis by study design, the association remained significant in cross‑sectional studies (OR = 2.00, 95% CI: 1.39-2.86, p < 0.001) but was not statistically significant in the single prospective cohort study (OR = 1.70, 95% CI: 0.998-2.90, p = 0.051). Sensitivity and meta-regression analyses did not identify clear sources of the observed heterogeneity.

conclusionSarcopenia is significantly associated with higher odds of urinary incontinence in adults. These findings highlight the potential importance of assessing and managing sarcopenia in individuals with or at risk for UI. Further high-quality prospective cohort studies are needed to strengthen causal inference.

Indexed as

Observational Studies as TopicSarcopeniaUrinary IncontinenceHumansRisk FactorsMeta-AnalysisObservational StudiesRisk FactorSarcopeniaUrinary Incontinence

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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.