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Chronic obstructive pulmonary disease as a risk factor for sarcopenia: A systematic review and meta-analysis

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  • Zhenjie Yu
  • Jingchun He
  • Yawen Chen
  • Ziqi Zhou
  • Lan Wang

Abstract

Sarcopenia prevalence and its risk factors in chronic obstructive pulmonary disease (COPD) vary partly due to definition criteria. This systematic review aimed to identify the prevalence and risk factors of sarcopenia in COPD patients. This review was registered in PROSPERO (CRD42022310750). Nine electronic databases were searched from inception to September 1st, 2022, and studies related to sarcopenia and COPD were identified. Study quality was assessed using a validated scale matched to study designs, and a meta-analysis was performed to evaluate sarcopenia prevalence. COPD patients with sarcopenia were compared to those without sarcopenia for BMI, smoking, and mMRC. The current meta-analysis included 15 studies, with a total of 7,583 patients. The overall sarcopenia prevalence was 29% [95% CI: 22%–37%], and the OR of sarcopenia in COPD patients was 1.51 (95% CI: 1.19–1.92). The meta-analysis and systematic review showed that mMRC (OR = 2.02, P = 0.04) and age (OR = 1.15, P = 0.004) were significant risk factors for sarcopenia in COPD patients. In contrast, no significant relationship was observed between sarcopenia and smoking and BMI. Nursing researchers should pay more attention to the symptomatic management of COPD and encourage patients to participate in daily activities in the early stages of the disease.

Suggested Citation

  • Zhenjie Yu & Jingchun He & Yawen Chen & Ziqi Zhou & Lan Wang, 2024. "Chronic obstructive pulmonary disease as a risk factor for sarcopenia: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 19(4), pages 1-14, April.
    • Handle: RePEc:plo:pone00:0300730
    DOI: 10.1371/journal.pone.0300730
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    1. Tomoyuki Morisawa & Yota Kunieda & Shingo Koyama & Mizue Suzuki & Yuma Takahashi & Tomokazu Takakura & Yuta Kikuchi & Tadamitsu Matsuda & Yuji Fujino & Ryuichi Sawa & Akihiro Sakuyama & Masakazu Saito, 2021. "The Relationship between Sarcopenia and Respiratory Muscle Weakness in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(24), pages 1-9, December.
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