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Background:
Systematic Review

Diagnostic Criteria and Prognostic Relevance of Sarcopenia in Patients with Inflammatory Bowel Disease—A Systematic Review

by
Claudia-Gabriela Potcovaru
1,
Petruța Violeta Filip
2,
Oana-Maria Neagu
3,
Laura Sorina Diaconu
2,*,
Teodor Salmen
1,
Delia Cinteză
4,*,
Anca Pantea Stoian
5,
Florin Bobirca
6,
Mihai Berteanu
4,7 and
Corina Pop
2
1
Doctoral School of “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
2
Department of Gastroenterology and Internal Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
3
Department of Gastroenterology and Internal Medicine, Emergency University Hospital Bucharest, 050098 Bucharest, Romania
4
Department of Physical and Rehabilitation Medicine, “Carol Davila” University of Medicine and Pharmacy, 050451 Bucharest, Romania
5
Department of Diabetes, Nutrition and Metabolic Diseases, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, Romania
6
Dr I. Cantacuzino Clinical Hospital General Surgery Discipline, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
7
Department of Rehabilitation and Physical Medicine, University Emergency Hospital Elias, 011461 Bucharest, Romania
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(14), 4713; https://doi.org/10.3390/jcm12144713
Submission received: 22 May 2023 / Revised: 10 July 2023 / Accepted: 13 July 2023 / Published: 16 July 2023
(This article belongs to the Special Issue Established and Novel Approaches for Sarcopenia)
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Abstract

Background: Sarcopenia is a syndrome characteristic in elderly patients and is also associated with a significant proportion of chronic disorders such as inflammatory bowel disease (IBD). In this case, it can lead to a worse prognosis of the disease and a decreased quality of life. Study Aim: This study aims to identify the best ways to diagnose sarcopenia in patients with IBD, establish its impact on the course of the disease, and find preventive methods to counteract the effects of sarcopenia in the outcome of patients with IBD and, therefore, minimize disabilities and increase the health-related quality of life (HRQoL). Material and Methods: A systematic review with the Prospero registration number CRD42023398886 was performed in PubMed and Web of Science databases, evaluating all original articles published in the last 10 years (clinical trials and randomized control trials) that describe sarcopenia and IBD in the human adult population. Results: From the 16 articles that were included, 5 articles defined sarcopenia by the skeletal muscle index (SMI) and reported data regarding its correlation with body composition: BMI; visceral fat (VF); subcutaneous fat (SC); and VF/SC index. Other articles evaluated the link between sarcopenia and the total psoas muscle area, thigh circumference, calf circumference, subjective global assessment, hand grip strength, and appendicular SMI, alongside inflammatory markers such as IL-6 and C-reactive protein, level of disability, malnutrition, frailty, resistance training alone and in combination with whey protein, and infliximab treatment. Discussions and Conclusions: There is a great heterogeneity regarding the assessment criteria and methods used to diagnose sarcopenia due to the variability of population characteristics, both anthropometric and socio-cultural, alongside the high variability in the cut-offs. Therefore, any method which identifies sarcopenia in IBD patients, thus enabling intervention, may provide good results for patient quality of life and outcomes.
Keywords: sarcopenia; inflammatory bowel disease; malnutrition; frailty; quality of life sarcopenia; inflammatory bowel disease; malnutrition; frailty; quality of life

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MDPI and ACS Style

Potcovaru, C.-G.; Filip, P.V.; Neagu, O.-M.; Diaconu, L.S.; Salmen, T.; Cinteză, D.; Pantea Stoian, A.; Bobirca, F.; Berteanu, M.; Pop, C. Diagnostic Criteria and Prognostic Relevance of Sarcopenia in Patients with Inflammatory Bowel Disease—A Systematic Review. J. Clin. Med. 2023, 12, 4713. https://doi.org/10.3390/jcm12144713

AMA Style

Potcovaru C-G, Filip PV, Neagu O-M, Diaconu LS, Salmen T, Cinteză D, Pantea Stoian A, Bobirca F, Berteanu M, Pop C. Diagnostic Criteria and Prognostic Relevance of Sarcopenia in Patients with Inflammatory Bowel Disease—A Systematic Review. Journal of Clinical Medicine. 2023; 12(14):4713. https://doi.org/10.3390/jcm12144713

Chicago/Turabian Style

Potcovaru, Claudia-Gabriela, Petruța Violeta Filip, Oana-Maria Neagu, Laura Sorina Diaconu, Teodor Salmen, Delia Cinteză, Anca Pantea Stoian, Florin Bobirca, Mihai Berteanu, and Corina Pop. 2023. "Diagnostic Criteria and Prognostic Relevance of Sarcopenia in Patients with Inflammatory Bowel Disease—A Systematic Review" Journal of Clinical Medicine 12, no. 14: 4713. https://doi.org/10.3390/jcm12144713

APA Style

Potcovaru, C.-G., Filip, P. V., Neagu, O.-M., Diaconu, L. S., Salmen, T., Cinteză, D., Pantea Stoian, A., Bobirca, F., Berteanu, M., & Pop, C. (2023). Diagnostic Criteria and Prognostic Relevance of Sarcopenia in Patients with Inflammatory Bowel Disease—A Systematic Review. Journal of Clinical Medicine, 12(14), 4713. https://doi.org/10.3390/jcm12144713

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