Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies

Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review of meta‐analyses of observational studies. Setting and Participants Patients with sarcopenia and controls without sarcopenia were included. M...

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Vydané v:Cancer medicine (Malden, MA) Ročník 9; číslo 21; s. 7964 - 7978
Hlavní autori: Xia, Lin, Zhao, Rui, Wan, Qianyi, Wu, Yutao, Zhou, Yong, Wang, Yong, Cui, Yaping, Shen, Xiaoding, Wu, Xiaoting
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: United States John Wiley & Sons, Inc 01.11.2020
John Wiley and Sons Inc
Wiley
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ISSN:2045-7634, 2045-7634
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Abstract Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review of meta‐analyses of observational studies. Setting and Participants Patients with sarcopenia and controls without sarcopenia were included. Measures The PubMed, Web of Science and Embase were searched for relevant systematic review and meta‐analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively. Results Totally 54 outcomes extracted from 30 meta‐analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age‐related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all‐cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases. Conclusions and Implications Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as “low” and “very low,” more prospective cohort studies are required in the future. Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Besides, associations between sarcopenia and risk of metabolic diseases, depression and albuminuria were also noticeable.
AbstractList Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Besides, associations between sarcopenia and risk of metabolic diseases, depression and albuminuria were also noticeable.
Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review of meta‐analyses of observational studies. Setting and Participants Patients with sarcopenia and controls without sarcopenia were included. Measures The PubMed, Web of Science and Embase were searched for relevant systematic review and meta‐analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively. Results Totally 54 outcomes extracted from 30 meta‐analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age‐related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all‐cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases. Conclusions and Implications Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as “low” and “very low,” more prospective cohort studies are required in the future. Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Besides, associations between sarcopenia and risk of metabolic diseases, depression and albuminuria were also noticeable.
Abstract Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review of meta‐analyses of observational studies. Setting and Participants Patients with sarcopenia and controls without sarcopenia were included. Measures The PubMed, Web of Science and Embase were searched for relevant systematic review and meta‐analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively. Results Totally 54 outcomes extracted from 30 meta‐analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age‐related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all‐cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases. Conclusions and Implications Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as “low” and “very low,” more prospective cohort studies are required in the future.
ObjectiveThe purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes.DesignAn umbrella review of meta‐analyses of observational studies.Setting and ParticipantsPatients with sarcopenia and controls without sarcopenia were included.MeasuresThe PubMed, Web of Science and Embase were searched for relevant systematic review and meta‐analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively.ResultsTotally 54 outcomes extracted from 30 meta‐analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age‐related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all‐cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases.Conclusions and ImplicationsSarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as “low” and “very low,” more prospective cohort studies are required in the future.
The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health-related outcomes.OBJECTIVEThe purpose of this umbrella review was to assess the associations between sarcopenia and adverse health-related outcomes.An umbrella review of meta-analyses of observational studies.DESIGNAn umbrella review of meta-analyses of observational studies.Patients with sarcopenia and controls without sarcopenia were included.SETTING AND PARTICIPANTSPatients with sarcopenia and controls without sarcopenia were included.The PubMed, Web of Science and Embase were searched for relevant systematic review and meta-analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively.MEASURESThe PubMed, Web of Science and Embase were searched for relevant systematic review and meta-analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively.Totally 54 outcomes extracted from 30 meta-analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age-related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all-cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases.RESULTSTotally 54 outcomes extracted from 30 meta-analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age-related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all-cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases.Sarcopenia significantly affected a wide range of adverse health-related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as "low" and "very low," more prospective cohort studies are required in the future.CONCLUSIONS AND IMPLICATIONSSarcopenia significantly affected a wide range of adverse health-related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as "low" and "very low," more prospective cohort studies are required in the future.
The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health-related outcomes. An umbrella review of meta-analyses of observational studies. Patients with sarcopenia and controls without sarcopenia were included. The PubMed, Web of Science and Embase were searched for relevant systematic review and meta-analysis. AMSTAR and GRADE system were used for methodological quality and evidence quality assessments, respectively. Totally 54 outcomes extracted from 30 meta-analyses were analyzed. Twenty out of 21 prognostic outcomes indicated that sarcopenia was significantly associated with poorer prognosis of gastric cancer, hepatocellular cancer, urothelial cancer, head and neck cancer, hematological malignancy, pancreatic cancer, breast cancer, colorectal cancer, lung cancer, esophageal cancer, and ovarian cancer. Besides, 10 out of 16 postoperative outcomes suggested that sarcopenia significantly increased the risk of multiple postoperative complications and prolonged the length of hospitalization of patients with digestive cancer. In age-related outcomes, sarcopenia significantly increased the risk of dysphagia, cognitive impairment, fractures, falls, hospitalization, and all-cause mortality of elderly populations. Moreover, sarcopenia was also associated with higher level of albuminuria, risk of depression, and several metabolic diseases. Sarcopenia significantly affected a wide range of adverse health-related outcomes, particularly in patients of tumor and elderly populations. Because evidences of most outcomes were rated as "low" and "very low," more prospective cohort studies are required in the future.
Author Wan, Qianyi
Wu, Yutao
Cui, Yaping
Xia, Lin
Zhou, Yong
Zhao, Rui
Shen, Xiaoding
Wang, Yong
Wu, Xiaoting
AuthorAffiliation 2 Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology Sichuan University Chengdu China
1 Department of Gastrointestinal Surgery West China Hospital Sichuan University Chengdu China
AuthorAffiliation_xml – name: 1 Department of Gastrointestinal Surgery West China Hospital Sichuan University Chengdu China
– name: 2 Department of Oral and Maxillofacial Surgery West China Hospital of Stomatology Sichuan University Chengdu China
Author_xml – sequence: 1
  givenname: Lin
  surname: Xia
  fullname: Xia, Lin
  organization: Sichuan University
– sequence: 2
  givenname: Rui
  surname: Zhao
  fullname: Zhao, Rui
  organization: Sichuan University
– sequence: 3
  givenname: Qianyi
  surname: Wan
  fullname: Wan, Qianyi
  organization: Sichuan University
– sequence: 4
  givenname: Yutao
  surname: Wu
  fullname: Wu, Yutao
  organization: Sichuan University
– sequence: 5
  givenname: Yong
  surname: Zhou
  fullname: Zhou, Yong
  organization: Sichuan University
– sequence: 6
  givenname: Yong
  surname: Wang
  fullname: Wang, Yong
  organization: Sichuan University
– sequence: 7
  givenname: Yaping
  surname: Cui
  fullname: Cui, Yaping
  organization: Sichuan University
– sequence: 8
  givenname: Xiaoding
  surname: Shen
  fullname: Shen, Xiaoding
  organization: Sichuan University
– sequence: 9
  givenname: Xiaoting
  orcidid: 0000-0002-3996-868X
  surname: Wu
  fullname: Wu, Xiaoting
  email: wxt1@medmail.com.cn
  organization: Sichuan University
BackLink https://www.ncbi.nlm.nih.gov/pubmed/32924316$$D View this record in MEDLINE/PubMed
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Keywords AMSTAR
GRADE
umbrella review
health-related outcomes
sarcopenia
Language English
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2020 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
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This work was supported by Sichuan Province Science and Technology Support Project (2018SZ0189).
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Snippet Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An umbrella review...
The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health-related outcomes. An umbrella review of meta-analyses...
ObjectiveThe purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes.DesignAn umbrella review of...
The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health-related outcomes.OBJECTIVEThe purpose of this umbrella...
Sarcopenia significantly affected a wide range of adverse health‐related outcomes, particularly in patients of tumor and elderly populations. Besides,...
Abstract Objective The purpose of this umbrella review was to assess the associations between sarcopenia and adverse health‐related outcomes. Design An...
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SubjectTerms Age Factors
Aged
AMSTAR
Bias
Bladder cancer
Breast cancer
Clinical Cancer Research
Cognitive ability
Colorectal cancer
Colorectal carcinoma
Comorbidity
Dysphagia
Esophageal cancer
Esophagus
Female
Gastric cancer
GRADE
Head & neck cancer
Health Status
health‐related outcomes
Humans
Liver cancer
Lung cancer
Male
Malignancy
Meta-Analysis as Topic
Metabolic disorders
Metabolism
Middle Aged
Mortality
Musculoskeletal system
Observational studies
Observational Studies as Topic
Older people
Original Research
Ovarian cancer
Pancreatic cancer
Prognosis
Risk Assessment
Risk Factors
Sarcopenia
Sarcopenia - diagnosis
Sarcopenia - epidemiology
Sarcopenia - mortality
Sarcopenia - therapy
Systematic review
Systematic Reviews as Topic
umbrella review
Urothelial cancer
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Title Sarcopenia and adverse health‐related outcomes: An umbrella review of meta‐analyses of observational studies
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