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Prevalence of Stroke-Related Sarcopenia: A Systematic Review and Meta-Analysis
Lavinia Pereira Dos Santos1, Bruna Machado Staico1, Anna Balsamão Vaz1
1Faculdade de Ciências Mêdicas de Minas Gerais, Belo Horizonte, Brazil.
Summary
Post-stroke sarcopenia is highly prevalent, affecting nearly 40% of individuals. This meta-analysis highlights significant variability in diagnosis and screening methods, underscoring the need for standardized approaches to improve patient care.
Area of Science:
- Neurology
- Gerontology
- Rehabilitation Medicine
Background:
- Sarcopenia, a loss of muscle mass and strength, negatively impacts post-stroke functionality.
- Understanding the prevalence of sarcopenia after stroke is crucial for developing targeted interventions.
- This study addresses the need for an updated meta-analysis on post-stroke sarcopenia prevalence.
Purpose of the Study:
- To conduct an up-to-date meta-analysis to investigate the prevalence of sarcopenia in individuals following a stroke.
Main Methods:
- A systematic review of multiple databases (MEDLINE, SCIELO, EMBASE, LILACS, PEDro, EBSCOHOST, AMED) and gray literature was performed.
- No date or language restrictions were applied to the search.
- Thirty-one studies totaling 7357 post-stroke individuals were included.
Main Results:
- The overall prevalence of sarcopenia diagnoses was 37.2% (moderate-quality evidence).
- Prevalence varied significantly based on diagnostic and screening methods.
- Most included studies were conducted in Asia (80.6%) and utilized the Asian Working Group of Sarcopenia criteria (58%).
Conclusions:
- High prevalence rates of post-stroke sarcopenia were observed, accompanied by considerable variability.
- Lack of consensus on sarcopenia definition, diagnostic criteria, measurement tools, and sample heterogeneity impacts results.
- Standardization of diagnostic approaches is essential for accurate prevalence assessment and effective intervention planning.
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