Sarcopenia in COPD: a systematic review and meta-analysis.

Benz, Elizabeth; Trajanoska, Katerina; Lahousse, Lies; Schoufour, Josje D; Terzikhan, Natalie; De Roos, Emmely; de Jonge, Gerdien B; Williams, Ross; Franco, Oscar H; Brusselle, Guy; Rivadeneira, Fernando (2019). Sarcopenia in COPD: a systematic review and meta-analysis. European respiratory review, 28(154), p. 190049. European Respiratory Society 10.1183/16000617.0049-2019

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COPD is associated with a progressive loss of muscle mass and function. However, there is an unmet need to define and standardise methods to estimate the prevalence of sarcopenia in COPD patients.We performed a systematic review and meta-analysis of the prevalence of this extrapulmonary manifestation in COPD patients. We searched Embase, Medline (Ovid), CINAHL (EBSCO), Web of Science, Scopus and Google Scholar for studies published up to January 17, 2019, assessing sarcopenia in COPD patients based on low muscle mass and decreased muscle function. Interventional studies, in vitro experiments, protocols or reviews and meta-analyses were excluded. We estimated heterogeneity (I2) and assessed significance (Q) using a Chi-squared test for estimates obtained from random-effects models.4465 articles were initially identified. After removing the duplicates and applying the selection criteria, we reviewed 62 full-text articles. Finally, 10 articles (n=2565 COPD patients) were included in this systematic review and meta-analyses. Overall, the prevalence of sarcopenia in patients with COPD was 21.6% (95% CI 14.6-30.9%, I2=94%), ranging from 8% in population-based to 21% in clinic-based studies, and 63% in COPD patients residing in nursing homes.Sarcopenia is frequently observed in COPD patients, with varying prevalence across population settings. Sarcopenia in COPD should be assessed using standardised tests and cut-off points from sarcopenia consensus criteria for clinical practice and international comparisons.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Franco Duran, Oscar Horacio


600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services




European Respiratory Society




Andrea Flükiger-Flückiger

Date Deposited:

22 Nov 2019 11:32

Last Modified:

12 Dec 2019 15:18

Publisher DOI:


PubMed ID:





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