Quality of life in sarcopenia measured with the SarQoL questionnaire: A meta-analysis of individual patient data

Charlotte Beaudart*, Noémie Tilquin, Pawel Abramowicz, Fátima Baptista, Dao Juan Peng, Fabiana de Souza Orlandi, Michael Drey, Marta Dzhus, Raquel Fábrega-Cuadros, Julio Fernandez-Garrido, Lucas Fornari Laurindo, Andrea Ildiko Gasparik, Anton Geerinck, Gyulnaz Emin, Speranta Iacob, Justina Kilaite, Prabal Kumar, Shu Chun Lee, Vivian W.Q. Lou, Marzieh MahmoodiRadmila Matijevic, Mariia V. Matveeva, Blandine Merle, Beatriz Montero-Errasquín, Harjit Pal Bhattoa, Yuliya Safonova, Hilal Simsek, Eva Topinkova, Maria Tsekoura, Tugba Erdogan, Jun Il Yoo, Ruby Yu, Mickael Hiligsmann, Jean Yves Reginster, Olivier Bruyère

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

Abstract

Age-related sarcopenia, resulting from a gradual loss in skeletal muscle mass and strength, is pivotal to the increased prevalence of functional limitation among the older adult community. The purpose of this meta-analysis of individual patient data is to investigate the difference in health-related quality of life between sarcopenic individuals and those without the condition using the Sarcopenia Quality of Life (SarQoL) questionnaire. A protocol was published on PROSPERO. Multiple databases and the grey literature were searched until March 2023 for studies reporting quality of life assessed with the SarQoL for patients with and without sarcopenia. Two researchers conducted the systematic review independently. A two-stage meta-analysis was performed. First, crude (mean difference) and adjusted (beta coefficient) effect sizes were calculated within each database; then, a random effect meta-analysis was applied to pool them. Heterogeneity was measured using the Q-test and I2 value. Subgroup analyses were performed to investigate the source of potential heterogeneity. The strength of evidence of this association was assessed using GRADE. From the 413 studies identified, 32 were eventually included, of which 10 were unpublished data studies. Sarcopenic participants displayed significantly reduced health-related quality of life compared with non-sarcopenic individuals (mean difference = -12.32; 95 % CI = [-15.27; -9.37]). The model revealed significant heterogeneity. Subgroup analyses revealed a substantial impact of regions, clinical settings, and diagnostic criteria on the difference in health-related quality of life between sarcopenic and non-sarcopenic individuals. The level of evidence was moderate. This meta-analysis of individual patient data suggested that sarcopenia is associated with lower health-related quality of life measured with SarQoL.
Original languageEnglish
Article number107902
Number of pages13
JournalMaturitas
Volume180
DOIs
Publication statusPublished - 1 Feb 2024

Keywords

  • Health-related quality of life
  • Individual-patient data meta-analysis
  • Sarcopenia
  • SarQoL

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