{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T15:01:18Z","timestamp":1792508478855,"version":"4.5.0"},"reference-count":126,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T00:00:00Z","timestamp":1684540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC3600600"],"award-info":[{"award-number":["2022YFC3600600"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J cachexia sarcopenia muscle"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The relationship between muscle wasting and mortality risk in the general population remains unclear. Our study was conducted to examine and quantify the associations between muscle wasting and all\u2010cause and cause\u2010specific mortality risks. PubMed, Web of Science and Cochrane Library were searched until 22 March 2023 for main data sources and references of retrieved relevant articles. Prospective studies investigating the associations of muscle wasting with risks of all\u2010cause and cause\u2010specific mortality in the general population were eligible. A random\u2010effect model was used to calculate the pooled relative risk (RR) and 95% confidence intervals (CIs) for the lowest versus normal categories of muscle mass. Subgroup analyses and meta\u2010regression were performed to investigate the potential sources of heterogeneities among studies. Dose\u2013response analyses were conducted to evaluate the relationship between muscle mass and mortality risk. Forty\u2010nine prospective studies were included in the meta\u2010analysis. A total of 61\u00a0055 deaths were ascertained among 878\u00a0349 participants during the 2.5\u2010 to 32\u2010year follow\u2010up. Muscle wasting was associated with higher mortality risks of all causes (RR\u00a0=\u00a01.36, 95% CI, 1.28 to 1.44,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u00a0=\u00a094.9%, 49 studies), cardiovascular disease (CVD) (RR\u00a0=\u00a01.29, 95% CI, 1.05 to 1.58,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u00a0=\u00a088.1%, 8 studies), cancer (RR\u00a0=\u00a01.14, 95% CI, 1.02 to 1.27,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u00a0=\u00a038.7%, 3 studies) and respiratory disease (RR\u00a0=\u00a01.36, 95% CI, 1.11 to 1.67,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u00a0=\u00a062.8%, 3 studies). Subgroup analyses revealed that muscle wasting, regardless of muscle strength, was significantly associated with a higher all\u2010cause mortality risk. Meta\u2010regression showed that risks of muscle wasting\u2010related all\u2010cause mortality (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a00.06) and CVD mortality (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a00.09) were lower in studies with longer follow\u2010ups. An approximately inverse linear dose\u2013response relationship was observed between mid\u2010arm muscle circumference and all\u2010cause mortality risk (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0&lt;\u00a00.01 for non\u2010linearity). Muscle wasting was associated with higher mortality risks of all causes, CVD, cancer and respiratory disease in the general population. Early detection and treatment for muscle wasting might be crucial for reducing mortality risk and promoting healthy longevity.\n                  <\/jats:p>","DOI":"10.1002\/jcsm.13263","type":"journal-article","created":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T06:30:43Z","timestamp":1684564243000},"page":"1596-1612","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":69,"title":["Association of muscle wasting with mortality risk among adults: A systematic review and meta\u2010analysis of prospective studies"],"prefix":"10.1002","volume":"14","author":[{"given":"Huan\u2010Huan","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"},{"name":"Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxiao","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"},{"name":"Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhao","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"},{"name":"Department of Nutrition and Food Hygiene and MOE Key Lab of Environment and Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fang","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Public Health Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1973-5579","authenticated-orcid":false,"given":"Wei","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Food Hygiene, Hubei Key Laboratory of Food Nutrition and Safety, Tongji Medical College Huazhong University of Science and Technology  Wuhan China"},{"name":"Department 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