Li GHY, Lee GKY, Au PCM, Chan M, Li HL, Cheung BMY, Wong ICK, Lee VHF, Mok J, Yip BHK, Cheng KKY, Wu CH, Cheung CL. The effect of different measurement modalities in the association of lean mass with mortality: A systematic review and meta-analysis.
Osteoporos Sarcopenia 2021;
7:S13-S18. [PMID:
33997304 PMCID:
PMC8088995 DOI:
10.1016/j.afos.2021.02.004]
[Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/26/2020] [Accepted: 02/24/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES
Lean mass is commonly measured by 3 modalities, dual energy X-ray absorptiometry (DXA), bioelectrical impedance analysis (BIA), and computerized tomography (CT). CT is considered the most accurate, while lean mass measured by DXA and BIA often consists of non-muscle compartment, and hence considered less accurate when compared with CT. It remains unclear if the association of lean mass with mortality would differ using different measurement modalities.
METHODS
A systematic review and meta-analysis of lean mass and mortality was conducted. The analysis was stratified by different measurement modalities and health conditions. Pooled hazard ratios were estimated using a random effects model.
RESULTS
This meta-analysis included 188 studies with 98 468 participants. Reduced lean mass measured by BIA, DXA, and CT, was associated with increased risk of mortality with a hazard ratio (HR) of 1.35 (95% CI, 1.21-1.49), 1.18 (95% CI, 1.06-1.30), and 1.44 (95% CI, 1.32-1.57), respectively. Similarly, low lean mass defined by BIA-, DXA-, and CT-measurement was associated with increased risk of mortality, with an HR of 1.81 (95% CI, 1.56-2.10), 1.44 (95% CI, 1.29-1.60), and 1.78 (95% CI, 1.64-1.93).
CONCLUSIONS
Reduced and low lean mass were robustly associated with increased mortality in studies using different measurement modalities.
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