Change in muscle strength and muscle mass in older hospitalized patients: A systematic review and meta-analysis
Open accessAbstract
Hospitalization may induce a decrease of muscle strength and muscle mass in older patients due to physical inactivity, malnutrition and diseases, negatively affecting health outcome. We aimed to examine the literature on change in muscle strength and muscle mass in older patients during hospitalization. A literature search was performed in major electronic databases from inception to March 2016. Studies including hospitalized patients with a mean age≥65years, describing change of hand grip strength and/or muscle mass were found eligible. Extracted data were divided in hand grip strength or muscle mass and stratified by elective or acute admission. Meta-analysis was conducted using Comprehensive Meta-analysis. Twenty-five studies were included, describing a total of 1789 patients with a mean age range of 65 to 85.8years and an overall median length of stay of 14.7days. Pooled hand grip strength and muscle mass were found to significantly decrease in electively admitted older patients during hospitalization (standardized mean difference (95% confidence interval): -0.42 (-0.66, -0.17) and -0.44 (-0.61, -0.27)), but not in acutely admitted older patients (standardized mean difference (95% confidence interval): 0.18 (-0.02, 0.37) and -0.25 (-0.58, 0.09)). In conclusion, decrease in muscle strength and muscle mass in older patients is dependent on the type of admission.
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Deconditioning is relevant when older adults are hospitalized, ill, or temporarily immobilized, thereby disrupting their physical activity.
“Deconditioning is also relevant when older adults are hospitalized, ill, or temporarily immobilized, thereby disrupting their PA [266,267].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [267]
Deconditioning is relevant when older adults are hospitalized, ill, or temporarily immobilized, thereby disrupting their PA.
“Deconditioning is also relevant when older adults are hospitalized, ill, or temporarily immobilized, thereby disrupting their PA [266,267].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [267]
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- Authors
- Van Ancum, J. M., Scheerman, K., Jonkman, N. H., Smeenk, H. E., Kruizinga, R. C., Meskers, C. G. M., & Maier, A. B.
- Affiliations
- Amsterdam Movement Sciences (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- The Royal Melbourne Hospital (AU)
- Corresponding author
- Maier, Andrea B.
- Venue
- Experimental Gerontology
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 92
- Pages
- 34-41
- ISSN
- 0531-5565 (ISSN-L)
- OpenAlex
- W2594250117
- Cited by
- 118
- References
- 61
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 16 · 2023: 10 · 2022: 19 · 2021: 18 · 2020: 19 · 2019: 13 · 2018: 6 · 2017: 6
- FWCI
- 1.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Experimental Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- European Commission (675003, 689238)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Keywords
- muscle strength, muscle mass, hospitalized older adults, grip strength, muscle atrophy, elective admissions, acute admissions, physical inactivity, malnutrition, length of hospital stay, sarcopenia
- MeSH terms
- Aged, Aged, 80 and over, Aging, Hospitalization, Humans, Exercise, Randomized Controlled Trials as Topic, Muscle, Skeletal, Hand Strength
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