Volume 22 Issue 4
Apr.  2024
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ZHAO Libo, CAI Weimeng, ZHAO Zhe, HE Zijun, FANG Fengfeng, LIU Lin, FAN Li. A meta-analysis of the prevalence of sarcopenia in patients with obstructive sleep apnea syndrome[J]. Chinese Journal of General Practice, 2024, 22(4): 566-570. doi: 10.16766/j.cnki.issn.1674-4152.003451
Citation: ZHAO Libo, CAI Weimeng, ZHAO Zhe, HE Zijun, FANG Fengfeng, LIU Lin, FAN Li. A meta-analysis of the prevalence of sarcopenia in patients with obstructive sleep apnea syndrome[J]. Chinese Journal of General Practice, 2024, 22(4): 566-570. doi: 10.16766/j.cnki.issn.1674-4152.003451

A meta-analysis of the prevalence of sarcopenia in patients with obstructive sleep apnea syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003451
Funds:

 23BJZ27

 22BJZ52

 LB20211A010013

  • Received Date: 2023-05-04
    Available Online: 2024-05-29
  •   Objective  To investigate the prevalence of sarcopenia in patients with obstructive sleep apnea syndrome (OSAS), to improve the awareness of the disease and aid in its prevention and treatment.  Methods  Relevant studies on OSAS and sarcopenia in patients were searched in the CNKI, Wanfang, PubMed, Web of Science and Cochrane databases from 1994 to January 28, 2023. Two researchers independently screened the literature, extracted data, and evaluated the quality of the included studies. Meta-analysis was performed using Stata 16.  Results  The analysis comprised nine studies, with a total of 2 815 patients diagnosed with OSAS, among whom 362 were diagnosed with sarcopenia. The meta-analysis revealed that the prevalence of sarcopenia in patients with OSAS was 31.58% (95% CI: 18.65% - 44.50%). The prevalence of sarcopenia in moderate to severe OSAS was 43.81% (95% CI: 12.66% - 74.95%), while the corresponding prevalence in mild to moderate to severe OSAS was 28.17% (95% CI: 13.80% - 42.54%). A subgroup analysis based on age revealed that the prevalence of sarcopenia was 17.89% (95% CI: 8.15% - 27.62%) in patients aged 40-60 years. The prevalence significantly increased in patients aged ≥ 60 years to 50.86% (95% CI: 42.46% - 59.25%).  Conclusion  The prevalence of sarcopenia was high in patients with OSAS, and this varied across different age groups. The prevalence of sarcopenia was higher in elderly patients aged 60 years or older. To effectively prevent and treat sarcopenia, it is important to focus on screening and treating sleep disorders. This will require increased attention to be paid to identifying and addressing sleep-related issues.

     

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  • [1]
    GOTTLIEB D J. Sleep apnea and cardiovascular disease[J]. Curr Diab Rep, 2021, 21(12): 64. doi: 10.1007/s11892-021-01426-z
    [2]
    BONSIGNORE M R. Obesity and obstructive sleep apnea[J]. Handb Exp Pharmacol, 2022, 274: 181-201.
    [3]
    XIA Y, YOU K, XIONG Y. Relationships between cardinal features of obstructive sleep apnea and blood pressure: a retrospective study[J]. Front Psychiatry, 2022, 13: 846275. DOI: 10.3389/fpsyt.2022.846275.
    [4]
    刘娟, 丁清清, 周白瑜, 等. 中国老年人肌少症诊疗专家共识[J]. 中华老年医学杂志, 2021, 40(8): 943-952. https://xuewen.cnki.net/CCND-BJSB202109230060.html

    LIU J, DING Q Q, ZHOU B Y, et al. Chinese expert consensus on diagnosis and treatment for elderly with sarcopenia(2021)[J]. Chinese Journal of Geriatrics, 2021, 40(8): 943-952. https://xuewen.cnki.net/CCND-BJSB202109230060.html
    [5]
    KAPUR V K, AUCKLEY D H, CHOWDHURI S, et al. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline[J]. J Clin Sleep Med, 2017, 13(3): 479-504. doi: 10.5664/jcsm.6506
    [6]
    PATEL D, TSANG J, SARIPELLA A, et al. Validation of the STOP questionnaire as a screening tool for OSA among different populations: a systematic review and meta-regression analysis[J]. J Clin Sleep Med, 2022, 18(5): 1441-1453. doi: 10.5664/jcsm.9820
    [7]
    STUDENSKY S A, PETERS K W, ALLEY D E, et al. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates[J]. J Gerontol A Biol Sci Med Sci, 2014, 69: 547-558. doi: 10.1093/gerona/glu010
    [8]
    CRUZ-JENTOFT A J, BAHAT G, BAUER J, et al. Sarcopenia: revised European consensus on definition and diagnosis[J]. Age Ageing, 2019, 48: 16-31. doi: 10.1093/ageing/afy169
    [9]
    杜亭亭, 苗雨阳, 刘欣, 等. 老年人阻塞性睡眠呼吸暂停与肌少症的相关性研究[J]. 中华老年医学杂志, 2019, 38(3): 233-236.

    DU T T, MIAO Y Y, LIU X, et al. Relationship between obstructive sleep apnea and sarcopenia in the elderly[J]. Chinese Journal of Geriatrics, 2019, 38(3): 233-236.
    [10]
    MONTI A, DOULAZMI M, BREINING A, et al. Sleep apnea, falls and sarcopenia in older adults: preliminary results from fall-aging-sleep study[J]. Innovation in Aging, 2017, 1(suppl_1): 371.
    [11]
    ITO N, YAMAMOTO K, YASUNOBE Y, et al. The association between obstructive sleep apnea severity and sarcopenia in the elderly[J]. Eur Geriatr Med, 2014(5): S189. DOI: 10.1093/geroni/igx004.1350.
    [12]
    MATSUMOTO T, TANIZAWA K, TACHIKAWA R, et al. Associations of obstructive sleep apnea with truncal skeletal muscle mass and density[J]. Scientific Reports, 2018, 8(1): 1-8.
    [13]
    MCFERRIN C A, MALMSTROM T K, MORLEY J E, et al. Sarcopenia, frailty, and cognitive dysfunction in adults with untreated sleep apnea[J]. Sleep, 2018, 41: A274. DOI: 10.1093/sleep/zsy061.737.
    [14]
    SOUZA H S, MIRANDA R E, SILVA B M, et al. 0718 sarcopenia increases the frequency of obstructive sleep apnea in the elderly[J]. Sleep, 2018, 41(suppl_1): A267. DOI: 10.1093/sleep/zsy061.717.
    [15]
    PIOVEZAN R D, IROTSU C, OIZINHO R, et al. Associations between sleep conditions and body composition states: results of the EPISONO study[J]. J Cachexia Sarcopenia Muscle, 2019, 10(5): 962-973. doi: 10.1002/jcsm.12445
    [16]
    SZLEJF C, SUEMOTO C K, DRAGER L F, et al. Association of sleep disturbances with sarcopenia and its defining components: the ELSA-Brasil study[J]. Braz J Med Biol Res, 2021, 54(12): e11539. DOI: 10.1590/1414-431X2021e11539.
    [17]
    FERNANDES J F R, BARRETO SILVA M I, LOIVOS C P, et al. Obstructive sleep apnea in non-dialyzed chronic kidney disease patients: association with body adiposity and sarcopenia[J]. Nutrition, 2019, 57: 282-289. doi: 10.1016/j.nut.2018.04.013
    [18]
    王文娟, 黄礼年, 许启霞, 等. 睡眠前后呼出气一氧化氮水平变化与OSAHS严重程度关系的临床研究[J]. 中华全科医学, 2021, 19(12): 1999-2002, 2092. doi: 10.16766/j.cnki.issn.1674-4152.002220

    WANG W J, HUANG L N, XU Q X, et al. Clinical study on the relationship between the changes of fractional exhaled nitric oxide and the severity of OSAHS before and after sleep[J]. Chinese Journal of General Practice, 2021, 19(12): 1999-2002, 2092. doi: 10.16766/j.cnki.issn.1674-4152.002220
    [19]
    江涛, 王新航, 张露艺, 等. 中国老年人肌少症患病率的Meta分析[J]. 海南医学, 2022, 33(1): 116-123. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN202201035.htm

    JIANG T, WANG X H, ZHANG L Y, et al. A meta-analysis of the prevalence of the elderly sarcopenia in China[J]. Hainan Medical Journal, 2022, 33(1): 116-123. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN202201035.htm
    [20]
    HAASE C B, BRODERSEN J B, BÜLOW J. Sarcopenia: early prevention or overdiagnosis?[J]. BMJ, 2022, 376: e052592. DOI: 10.1136/bmj-2019-052592.
    [21]
    WANG Y, WANG Y, LI G, et al. Associations of intermuscular adipose tissue and total muscle wasting score in PG-SGA with low muscle radiodensity and mass in nonmetastatic colorectal cancer: a two-center cohort study[J]. Front Nutr, 2022, 9: 967902. DOI: 10.3389/fnut.2022.967902.
    [22]
    MOHAMMADI H, REZAEI M, SHARAFKHANEH A, et al. Serum testosterone/cortisol ratio in people with obstructive sleep apnea[J]. J Clin Lab Anal, 2020, 34(1): e23011. DOI: 10.1002/jcla.23011.
    [23]
    XIAO D, CALDOW M, KIM H J, et al. Time-resolved phosphoproteome and proteome analysis reveals kinase signaling on master transcription factors during myogenesis[J]. iScience, 2022, 25(6): 104489. DOI: 10.1016/j.isci.2022.104489.
    [24]
    SEO H, LEE S H, PARK Y, et al. (-)-Epicatechin-enriched extract from Camellia sinensis improves regulation of muscle mass and function: results from a randomized controlled trial[J]. Antioxidants (Basel), 2021, 10(7). DOI: 10.3390/antiox10071026.
    [25]
    刘霖, 徐伟豪, 范利, 等. 体质量指数与老年阻塞性睡眠呼吸暂停低通气综合征严重程度的相关性[J]. 中华老年多器官疾病杂志, 2021, 20(4): 259-264. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202104003.htm

    LIU L, XU W H, FAN L, et al. Correlation between body mass index and severity of obstructive sleep apnea hypopnea syndrome in the elderly[J]. Chinese Journal of Multiple Organ Diseases in the Elderly, 2021, 20(4): 259-264. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202104003.htm
    [26]
    KHANAL P, WILLIAMS A G, HE L, et al. Sarcopenia, obesity, and sarcopenic obesity: relationship with skeletal muscle phenotypes and single nucleotide polymorphisms[J]. J Clin Med, 2021, 10(21): 4933.
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