Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Sarcopenia and the frailty progression among Chinese

A longitudinal study

Bibliographic Data

ID22080571
AuthorsXingyu Mu (Sichuan University), Xinyu Mu (Tianjin Medical University General Hospital), Xia Wang (0000-0002-5256-0611, Sichuan University), Qingyue Zeng (Tianjin Medical University General Hospital), Xijie Yu (0000-0002-3504-7664, Sichuan University, corresponding author), Shuangqing Li (0000-0001-7208-2015, Tianjin Medical University General Hospital, corresponding author)
Year2026
Volume13
Pages1551282-1551282
Publication date2026-01-05
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1551282
PMID41561850
OpenAlexW7118197547
LanguageEN
Citations received1
References cited36

Introduction Previous studies primarily focused on baseline sarcopenia status, neglecting changes over time. This study aims to explore the association between changes in sarcopenia status and frailty progression, hypothesizing that transitions to possible sarcopenia or sarcopenia increase frailty risk, while recovery to non-sarcopenia reduces this risk. Methods Using data from the China Health and Retirement Longitudinal Study (CHARLS), sarcopenia was evaluated at baseline and after 2 years using the AWGS 2019 criteria. Frailty was assessed with a 32-item frailty index. Cox regression and linear mixed models analyzed the association between sarcopenia transitions and frailty progression. Results Participants who developed possible sarcopenia or sarcopenia faced a 56% higher frailty risk (HR 1.56, 95% CI 1.21–2.01) and a faster frailty index increase ( β = 0.007/year, 95% CI 0.005–0.010) compared to those remaining non-sarcopenic. In contrast, those recovering from sarcopenia to non-sarcopenia or possible sarcopenia had a 46% lower frailty risk (HR 0.54, 95% CI 0.32–0.89) and a slower frailty index rise ( β = −0.008/year, 95% CI –0.015 to −0.002). Among individuals with possible sarcopenia at baseline, recovery to non-sarcopenia reduced frailty risk by 48% (HR 0.52, 95% CI 0.39–0.68), while progression to sarcopenia increased it by 77% (HR 1.77, 95% CI 1.07–2.94). Conclusion Transitions in sarcopenia status significantly affect frailty risk and progression. Worsening sarcopenia heightens frailty risk, whereas recovery diminishes it. These findings highlight the value of monitoring and addressing sarcopenia in middle-aged and older adults, offering potential to enhance quality of life and lower healthcare costs through targeted interventions

Longitudinal data · Longitudinal study · Older people · Sarcopenia · Body Composition Measurement Techniques · Frailty in Older Adults · Nutrition and Health in Aging

  • Longitudinal bidirectional associations among sarcopenia risk, social isolation, and frailty in Chinese older adults using an item response theory-derived frailty index

    Open Access•Hui-Qian Lin, Cai Lin et al.•Frontiers in Public Health•2026

  • Sarcopenia

    Open Access•Alfonso J Cruz‐Jentoft, Alfonso J Cruz-Jentoft et al.•The Lancet•2019

  • Physical activity and depression

    Open Access•Aaron Kandola, Garcia Ashdown‐frank et al.•Neuroscience & Biobehavioral…•2019

  • A standard procedure for creating a frailty index

    Open Access•Samuel D Searle, Arnold Mitnitski et al.•BMC Geriatrics•2008

  • Cohort Profile

    Yaohui Zhao, Yisong Hu et al.•International Journal of…•2014

  • The effects of cognitive leisure activities on frailty transitions in older adults in China

    Open Access•Kai Sheng, Hao Chen et al.•BMC Public Health•2024

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae