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Frequently Reported Blood Biomarkers in Sarcopenia Clinical Trials: A Systematic Review and Meta-Analysis.
Emma Calluy1,2,3, Yveline Malrechauffé4, Emma Boretti4
1Public Health Aging Research & Epidemiology (PHARE) Group, Research Unit in Clinical Pharmacology and Toxicology (URPC), NAmur Research Institute for LIfe Sciences (NARILIS), Department of Biomedical Sciences-Faculty of Medicine, University of Namur, Namur, Belgium.
This review found few muscle-specific blood-based biomarkers (BBMs) in sarcopenia trials. Interventions showed limited impact on most BBMs, highlighting a need for standardized biomarker assessment in sarcopenia management.
Area of Science:
- Gerontology and Exercise Science
- Biomarker Discovery and Validation
- Clinical Trial Methodology
Background:
- Sarcopenia management research often lacks standardized assessment of blood-based biomarkers (BBMs).
- Identifying frequently reported BBMs and their response to interventions is crucial for advancing sarcopenia care.
- Current randomized controlled trials (RCTs) show variability in BBM assessment, hindering comparative analysis.
Purpose of the Study:
- To identify the most frequently reported BBMs in RCTs for sarcopenia management.
- To evaluate the impact of sarcopenia interventions on BBM concentrations.
- To highlight the need for standardized BBM assessment in future sarcopenia research.
Main Methods:
- Systematic review and meta-analysis of RCTs published until March 2024.
- Inclusion criteria: older adults with sarcopenia, consensus definition, pre- and post-intervention BBM values.
- Meta-analyses performed for BBMs reported in ≥2 RCTs using a random effects model (Standardized Mean Difference).
Main Results:
- Only 21 of 58 (36.2%) sarcopenia RCTs assessed BBMs; none involved pharmacological interventions.
- 47 distinct BBMs were identified; C-reactive protein, interleukin-6, and tumor necrosis factor-α were most frequent.
- Insulin-like Growth Factor 1 (IGF-1) showed a significant increase with interventions (SMD=0.46), but this was not significant when restricted to studies with improved sarcopenia measures.
Conclusions:
- Few muscle-specific BBMs are assessed in sarcopenia RCTs, and limited biomarkers respond to interventions.
- There is an urgent need for standardized recommendations on assessing muscle-specific BBMs in sarcopenia RCTs.
- Developing a standardized Core Outcome Set for sarcopenia intervention studies is essential for improving disease management.
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