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Prevalence of sarcopenia in older Chinese adults: a systematic review and meta-analysis
Caihong Xin1, Xin Sun2,3, Li Lu3
1Department of Endocrinology and Metabolism, Fourth People's Hospital in Shenyang, Shenyang, Liaoning, China.
Objective:
This meta-analysis was conducted to estimate the overall prevalence of sarcopenia in older Chinese adults.
Design:
Systematic review and meta-analysis.
Participants:
A literature research was conducted using the PubMed, Web of Science, China National Knowledge Infrastructure, CQVIP and Wanfang databases. The following search terms in the abstract were used: "sarcopenia" in combination with the terms "prevalence," "epidemiology" and "China." All studies published from January 2010 to November 2020 were included. The random-effect model was used to estimate the prevalence of sarcopenia. The sex-specific prevalence of sarcopenia at a 95% CI was also calculated using different criteria for defining sarcopenia.
Primary Outcome Measures:
The overall prevalence of sarcopenia in older Chinese adults.
Results:
In total, 23 articles were included in this meta-analysis involving 21 564 participants. On the basis of the Asian Working Group for Sarcopenia criterion, the overall prevalence of sarcopenia among the elderly in China was 14% (95% CI 11% to 18%); the prevalence was higher in Chinese women than in men (15% vs 14%).
Conclusions:
This systematic review is the first estimation of the pooled prevalence of sarcopenia in older Chinese adults. Our results suggest that China has a large number of patients with sarcopenia. These findings would be useful for sarcopenia prevention in China. There is a high degree of heterogeneity, and although there are a large number of cases and could be an emerging public health issue, more research is required to make these claims.
Prospero Registration Number:
CRD42020223405.
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