Malnutrition as a strong predictor of the onset of sarcopenia
Open accessAbstract
This study aims to explore the association between malnutrition diagnosed according to both the Global Leadership Initiative of Malnutrition (GLIM) and the European Society of Clinical Nutrition and Metabolism (ESPEN) criteria and the onset of sarcopenia/severe sarcopenia, diagnosed according to the European Working Group on Sarcopenia in Older People 2 (EWGSOP2) criterion, in the sarcopenia and physical impairment with advancing age (SarcoPhAge) cohort during a four-year follow-up. Adjusted Cox-regression and Kaplan-Meier curves were performed. Among the 534 community-dwelling participants recruited in the SarcoPhAge study, 510 were free from sarcopenia at baseline, of whom 336 had complete data (186 women and 150 men, mean age of 72.5 ± 5.8 years) to apply the GLIM and ESPEN criteria. A significantly higher risk of developing sarcopenia/severe sarcopenia during the four-year follow-up based on the GLIM [sarcopenia: Adjusted hazard ratio (HR) = 3.23 (95% confidence interval (CI) 1.73–6.05); severe sarcopenia: Adjusted HR = 2.87 (95% CI 1.25–6.56)] and ESPEN [sarcopenia: Adjusted HR = 4.28 (95% CI 1.86–9.86); severe sarcopenia: Adjusted HR = 3.86 (95% CI 1.29–11.54)] criteria was observed. Kaplan-Meier curves confirmed this relationship (log rank p < 0.001 for all). These results highlighted the importance of malnutrition since it has been shown to be associated with an approximately fourfold higher risk of developing sarcopenia/severe sarcopenia during a four-year follow-up.
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Malnutrition is associated with sarcopenia in older adults with diabetes.
“Special attention should be paid to malnutrition or the risk of malnutrition in older adults with diabetes given its association with sarcopenia”
From 13. Older Adults: Standards of Care in Diabetes—2026 (2026) · cites this paper as [91]
The Results (section 3.2; page not available in our copy) report that malnourished older participants had a significantly higher incidence of sarcopenia over four years. The study examined community-dwelling older adults, not specifically older adults with diabetes, so it does not establish the association for that subgroup. (LLM, conf=0.88)
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- Authors
- Beaudart, C., Sanchez-Rodriguez, D., Locquet, M., Reginster, J.-Y., Lengelé, L., & Bruyère, O.
- Affiliations
- University of Liège (BE)
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Aging, Division of Public Health, Epidemiology and Health Economics, University of Liège, CHU—Sart Tilman, Quartier Hôpital, Avenue Hippocrate 13 (Bât. B23), 4000 Liège, Belgium
- Corresponding author
- Beaudart, Charlotte
- ORCID
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2019-11-27
- Volume
- 11
- Issue
- 12
- Pages
- 2883
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC6950107
- OpenAlex
- W2990196144
- Cited by
- 226
- References
- 53
- Citations by year
- 2026: 24 · 2025: 34 · 2024: 29 · 2023: 34 · 2022: 27 · 2021: 57 · 2020: 21
- FWCI
- 18.01
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- ORBi (University of Liège) (submittedVersion, other-oa)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (submittedVersion, cc-by)
- Funders
- Fonds De La Recherche Scientifique - FNRS
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- malnutrition, sarcopenia, severe sarcopenia, GLIM criteria, ESPEN criteria, EWGSOP2 criteria, older adults, community-dwelling older adults, risk prediction
- MeSH terms
- Aged, Aging, Female, Humans, Male, Prospective Studies, Risk Factors, Cohort Studies, Proportional Hazards Models, Malnutrition, Sarcopenia, Independent Living
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