Evidence mapPaperPMID 41373947Full record

SynthesisNutrients2025

Bioactive Nutritional Components Within the Planetary Health Diet for Preventing Sarcopenic Obesity and Diabetic Sarcopenia: A Systematic Review.

Lia Elvina, Chiao-Ming Chen, Dang Hien Ngan Nguyen, Chun-Che Wei, Chien-Tien Su, Te-Chao Fang, Fandi Sutanto, Sing-Chung Li

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lia ElvinaSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.ORCID 0009-0001-7767-3735
Chiao-Ming ChenDepartment of Food Science, Nutrition, and Nutraceutical Biotechnology, Shih Chien University, Taipei 10462, Taiwan.ORCID 0000-0003-0706-750X
Dang Hien Ngan NguyenDepartment of Nutrition and Food Safety, Faculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho City 900000, Vietnam.
Chun-Che WeiSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.
Chien-Tien SuDepartment of Family Medicine, Taipei Medical University Hospital, Taipei 11031, Taiwan.ORCID 0000-0001-9060-709X
Te-Chao FangDivision of Nephrology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan.ORCID 0000-0002-5577-9280
Fandi SutantoDepartment of Pharmacy, Institut Bio Scientia Internasional Indonesia, Jakarta 13210, Indonesia.ORCID 0000-0002-7253-6379
Sing-Chung LiSchool of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.ORCID 0000-0003-4244-7911

Funding

Ministry of Health and Welfare, Taiwan B1121110National Science and Technology Council 114 NSTC International Internship Pilot Program (IIPP)National Science and Technology Council, Taiwan 113-2635-H-158-001-SSS
6 · The paper itself

Abstract

backgroundSarcopenic obesity (SO) and diabetic sarcopenia (DS) represent overlapping metabolic-musculoskeletal disorders characterized by the coexistence of excessive adiposity, insulin resistance, and progressive muscle wasting. The Planetary Health Diet (PHD), proposed by the EAT-Lancet Commission, emphasizes plant-forward, nutrient-dense, and environmentally sustainable food patterns that may concurrently address metabolic and muscle health. This review aimed to systematically evaluate dietary and bioactive nutritional interventions aligned with the PHD and their effects on muscle mass, strength, metabolism, and underlying mechanisms in SO and DS.

methodsFollowing PRISMA guidelines, studies published between 2015 and 2025 were identified across PubMed, Scopus, and Google Scholar. Eligible studies included dietary, nutritional, or supplement-based interventions reporting muscle-related outcomes in obesity- or diabetes-associated conditions.

resultsNinety-one eligible studies were categorized into plant-derived, animal/marine-based, microorganism/fermented, synthetic/pharmaceutical, and environmental interventions. Across diverse models, bioactive compounds such as D-pinitol, umbelliferone, resveratrol, GABA, ginseng, whey peptides, probiotics, and omega-3 fatty acids consistently improved muscle mass, strength, and mitochondrial function via AMPK-SIRT1-PGC-1α and Akt-mTOR signaling. These mechanisms promoted mitochondrial biogenesis, suppressed proteolysis (MuRF1, Atrogin-1), and enhanced insulin sensitivity, antioxidant capacity, and gut-muscle communication.

conclusionsPHD-aligned foods combining plant proteins, polyphenols, and fermented products strengthen nutrient sensing, mitochondrial efficiency, and cellular resilience, representing a sustainable nutritional framework for preventing and managing SO and DS.

Indexed as

Diabetes MellitusDiet, HealthyObesitySarcopeniaAnimalsHumansMuscle, SkeletalAkt–mTOR signalingAMPK–SIRT1–PGC-1αbioactive nutrientsdiabetic sarcopeniaplanetary health dietsarcopenic obesity

Identifiers

PMID41373947
PMCPMC12694159

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.