The Evolving Landscape of Sarcopenia in Asia: A Systematic review and meta-analysis following the 2019 Asian working group for sarcopenia (AWGS) diagnostic criteria

被引:15
作者
Weng, Shao-En [1 ,2 ]
Huang, Yu-Wen [1 ]
Tseng, Yu-Chi [1 ]
Peng, Hong-Ru [1 ]
Lai, Hsi-Yu [1 ]
Akishita, Masahiro [3 ]
Arai, Hidenori [4 ]
Hsiao, Fei-Yuan [1 ,5 ,6 ]
Chen, Liang-Kung [7 ,8 ,9 ]
机构
[1] Natl Taiwan Univ, Grad Inst Clin Pharm, Coll Med, 33 Linsen S Rd, Taipei 10050, Taiwan
[2] Taipei City Hosp, Zhongxing Branch, Taipei, Taiwan
[3] Tokyo Metropolitan Inst Geriatr & Gerontol, Tokyo, Japan
[4] Natl Ctr Geriatr & Gerontol, Obu, Aichi, Japan
[5] Natl Taiwan Univ, Coll Med, Sch Pharm, Taipei, Taiwan
[6] Natl Taiwan Univ Hosp, Dept Pharm, Taipei, Taiwan
[7] Taipei Vet Gen Hosp, Ctr Geriatr & Gerontol, 201 Sec 2,Shih Pai Road, Taipei 11217, Taiwan
[8] Natl Yang Ming Chiao Tung Univ, Ctr Hlth Longev & Aging Sci, Taipei, Taiwan
[9] Taipei Vet Gen Hosp, Taipei Municipal Gan Dau Hosp, Taipei, Taiwan
关键词
Asian working group for sarcopenia (AWGS); Sarcopenia; Systematic review; Asia; BODY-FAT; CONSENSUS; PERCENTAGE; TOOLS; MASS;
D O I
10.1016/j.archger.2024.105596
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Sarcopenia, characterized by age-related loss of muscle mass and function, poses a significant public health concern, particularly in Asia's rapidly aging population. This systematic review and meta-analysis aimed to evaluate the current epidemiology of sarcopenia in Asia using the 2019 Asian Working Group for Sarcopenia (AWGS) diagnostic criteria. Methods: Databases including PubMed, Embase, Web of Science, and Cochrane were systematically searched for studies published until December 7, 2023, involving older adults aged >= 60 years diagnosed with sarcopenia using the 2019 AWGS criteria in Asia. Study quality was assessed, and meta-analyses were conducted to estimate the pooled prevalence of sarcopenia, possible sarcopenia, and severe sarcopenia. Results: A total of 140 studies, collectively involving 156,325 participants (67.1 % community-dwelling older adults with the minimum age for participant inclusion ranging from 60 to 80 years) from various Asian countries, were included. The overall prevalence of sarcopenia among community-dwelling older adults was 16.5 % (95 % CI: 14.7 %-18.4 %). Notably, the prevalence of possible sarcopenia was higher at 28.7 % (95 % CI: 22.0 %-36.5 %), while severe sarcopenia had a lower prevalence of 4.4% (95% CI: 3.3 %-5.8 %). Subgroup analyses revealed variations in sarcopenia prevalence based on diagnostic modalities, ranging from 7.5 % (95 % CI: 6.0 %-9.4 %) for assessments using bioelectrical impedance analysis, handgrip strength, gait speed, chair stand and short physical performance battery, to 20.8 % (95 % CI: 18.9 %-23.0 %) when using dual-energy X-ray absorptiometry coupled with muscle strength and physical performance measures. Conclusion: This comprehensive systematic review and meta-analysis highlights the substantial burden of sarcopenia among older adults in Asia, underscoring the need for early identification and intervention strategies to mitigate its adverse consequences on public health.
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页数:10
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