The association between muscle mass and change in physical functioning in older adults: a systematic review and meta-analysis of prospective studies

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Abstract

Aim: To investigate the prospective association between lower muscle mass and physical functioning in older adults. Findings: Overall, lower muscle mass increases the risk of functional decline by about 25%. Earlier variability observed in this association can be explained by body composition method, body size adjustment, and type of physical functioning outcome. Message: In contrast to earlier reviews, this updated review clearly shows that lower muscle mass is associated with higher risk of functional decline in older adults.

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Visser, M., Sääksjärvi, K., Burchell, G. L., & Schaap, L. A. (2025). The association between muscle mass and change in physical functioning in older adults: a systematic review and meta-analysis of prospective studies. European Geriatric Medicine, 16(5), 1731–1748. https://doi.org/10.1007/s41999-025-01230-y

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