Evidence map›Paper›PMID 42359826›Full record

SynthesisJournal of global health2026

Habitual physical activity and sarcopenia: a systematic review and meta-analysis of prospective cohort studies.

Dacheng Dai, Fangfang Xie, Jiahe Cui, Siyu Wang, Junhao Cai, Guimao Wang, Fei Yao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Dacheng Dai *Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Fangfang Xie *Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jiahe CuiShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Siyu WangShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Junhao CaiShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Guimao WangShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Fei YaoShanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Habitual physical activity (HPA) has been associated with a lower risk of sarcopenia by enhancing skeletal muscle protein synthesis and suppressing systemic inflammation. However, the evidence for a long-term protective association remains inconclusive. Therefore, we conducted a systematic review and meta-analysis to quantify the association between HPA and sarcopenia. Methods: We searched PubMed, the Cochrane Library, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and the China National Knowledge Infrastructure for prospective cohort studies on the relationship between physical activity (PA) and sarcopenia. We selected English and Chinese-language literature published before 6 October 2025, and assessed study quality using the Newcastle-Ottawa Scale. Data were statistically synthesised by calculating pooled relative risks (RRs) and 95% confidence intervals (CIs) using a random-effects model with the generic inverse-variance method. Results: This meta-analysis included nine prospective cohort studies involving 21 265 participants. High levels of HPA were associated with a significantly lower risk of sarcopenia compared to the low levels (RR = 0.55; 95% CI = 0.44-0.67). This protective association remained consistent in subgroup analyses stratified by gender and by compliance with international PA guidelines. Furthermore, moderate HPA was also associated with a reduced risk compared to low HPA levels (RR = 0.73; 95% CI = 0.50-0.96). Conclusions: Our analysis indicates that moderate to high levels of HPA are independently associated with a lower risk of sarcopenia, serving as a significant protective factor. However, given the methodological heterogeneity in PA measurement, further high-quality prospective studies are needed to clarify the optimal PA dose while accounting for potential reverse causality. Registration: PROSPERO: CRD420251162529.

Indexed as

ExerciseSarcopeniaHumansProspective Studies

Identifiers

PMID42359826
PMCPMC13307538

What Socratic holds

Textmetadata
LicenceCC BY
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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.