Evidence map›Paper›PMID 42685253›Full record

ArticleAnnals of medicine2026

The multiple composite risk index estimates the risks of sarcopenia and comorbidities: unveiling the role of oxidative balance score.

Minghao Liu, Xiaohu Chu, Ding Zeng, Shuaifei Ji, Xin Miao

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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Minghao LiuDepartment of Vascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China.
Xiaohu ChuPLA Rocket Force Characteristic Medical Center, Beijing, China.
Ding ZengSenior Department of General Surgery, Chinese PLA General Hospital, Beijing, China.
Shuaifei JiPLA Rocket Force Characteristic Medical Center, Beijing, China.ORCID 0009-0001-1835-4670
Xin MiaoSenior Department of General Surgery, Chinese PLA General Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity, purine metabolism disorders, and dyslipidemia are recognized risk factors for sarcopenia, yet reliable biomarkers for risk stratification in this population are lacking. We integrated the uric acid to high-density lipoprotein cholesterol ratio (UHR) with the body roundness index (BRI) to construct a multiple composite risk index, UHR-BRI, and evaluated its associations with sarcopenia and its comorbidities.

methodsWe analyzed two nationally representative cohorts: the China Health and Retirement Longitudinal Study (CHARLS) and the National Health and Nutrition Examination Survey (NHANES). The association between UHR-BRI and sarcopenia was evaluated using weighted logistic regression. Subgroup and mediation analyses were performed to investigate the interactions across subgroups, and the mediating role of oxidative balance score (OBS).

resultsA total of 8,537 participants from CHARLS and 8,510 from NHANES were included, among whom 1,082 and 716 were diagnosed with sarcopenia. The area under the curve (AUC) value of the UHR-BRI index was higher than that of the other indices in both cohorts. In fully adjusted models, participants in the highest UHR-BRI quartile exhibited a significantly increased risk of sarcopenia (OR:3.01, 95% CI:2.45-3.72) compared to those in the lowest quartile in CHARLS. This finding was validated in NHANES (OR:17.14, 95% CI:11.55-26.60). Subgroup analyses further demonstrated robustness across different subgroups. Furthermore, UHR-BRI was also significantly associated with sarcopenia comorbidities. Mediation analyses confirmed that OBS mediated the associations between UHR-BRI and sarcopenia and its comorbidities.

conclusionUHR-BRI is significantly associated with sarcopenia and its common comorbidities, and OBS was identified as a potential mediator.

Indexed as

Cholesterol, HDLSarcopeniaAgedBiomarkersChinaComorbidityDyslipidemiasFemaleHumansLongitudinal StudiesMaleMiddle AgedNutrition SurveysObesityOxidative StressRisk AssessmentBiomarkersCholesterol, HDLUric Acidhyperuricemialipid metabolismobesityoxidative stressPurine metabolismsarcopenia

Identifiers

PMID42685253
PMCPMC13539785

What Socratic holds

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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.