{"doi":"10.1007/s41999-023-00838-2","title":"Associations of sarcopenia with peak expiratory flow among community-dwelling elderly population: based on the China Health and Retirement Longitudinal Study (CHARLS)","abstract":"<jats:title>Abstract</jats:title><jats:sec>\n                <jats:title>Purpose</jats:title>\n                <jats:p>To cross-sectionally and longitudinally investigate the correlations of sarcopenia and its components with peak expiratory flow (PEF) among Chinese community-dwelling elderly people.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Methods</jats:title>\n                <jats:p>The data were extracted from the China Health and Retirement Longitudinal Study (CHARLS). A total of 4053 participants aged ≥ 60 years were enrolled from CHARLS 2011, and 2810 were followed up until 2015. Participants were classified into no-sarcopenia, non-severe sarcopenia, and severe sarcopenia groups based on skeletal muscle mass index (SMI), hand grip strength (HGS), and physical performance [gait speed, five-repetition chair stand test (5CST) and short physical performance battery (SPPB)]. Multivariate linear and logistic regression analyses were used to evaluate the associations of sarcopenia and its components with PEF cross-sectionally and longitudinally.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Results</jats:title>\n                <jats:p>In the cross-sectional analysis, the prevalence of non-severe sarcopenia was 14.6% and severe sarcopenia was 4.9%. The results of linear regression analysis revealed that sarcopenia and its components were all correlated with PEF and PEF%pred. In the longitudinal analysis, compared with non-sarcopenia, subjects with severe sarcopenia were associated with a higher risk of PEF (OR = 2.05, 95%CI = 1.30–3.26) and PEF%pred (OR = 1.83, 95%CI = 1.17–2.86) decline. The changes in physical performance were correlated with changes in PEF and PEF%pred. No associations were observed between changes in SMI and PEF as well as PEF%pred.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Conclusions</jats:title>\n                <jats:p>We demonstrated the associations of baseline sarcopenia status with PEF and longitudinal PEF decline. Also, the changes in physical performance were associated with changes in PEF during a 4-year follow-up. It indicates that improving sarcopenia, especially physical performance may increase PEF.</jats:p>\n              </jats:sec>","journal":"European Geriatric Medicine","year":2023,"id":626234,"datarank":0.40620753016533157,"base_score":2.70805020110221,"endowment":2.70805020110221,"self_citation_contribution":0.40620753016533157,"citation_network_contribution":0.0,"self_endowment_contribution":0.40620753016533157,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":14,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1619863,"name":"Mei-Ling Jin","orcid":null,"position":1,"is_corresponding":false},{"id":255352,"name":"Jing Chang","orcid":"0000-0002-1096-4394","position":2,"is_corresponding":false},{"id":1619864,"name":"Xiao-Juan Wang","orcid":null,"position":3,"is_corresponding":false},{"id":1619862,"name":"Yun-Yun He","orcid":null,"position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Associations of sarcopenia with peak expiratory flow among community-dwelling elderly population: based on the China Health and Retirement Longitudinal Study (CHARLS)","abstract":"<jats:title>Abstract</jats:title><jats:sec>\n                <jats:title>Purpose</jats:title>\n                <jats:p>To cross-sectionally and longitudinally investigate the correlations of sarcopenia and its components with peak expiratory flow (PEF) among Chinese community-dwelling elderly people.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Methods</jats:title>\n                <jats:p>The data were extracted from the China Health and Retirement Longitudinal Study (CHARLS). A total of 4053 participants aged ≥ 60 years were enrolled from CHARLS 2011, and 2810 were followed up until 2015. Participants were classified into no-sarcopenia, non-severe sarcopenia, and severe sarcopenia groups based on skeletal muscle mass index (SMI), hand grip strength (HGS), and physical performance [gait speed, five-repetition chair stand test (5CST) and short physical performance battery (SPPB)]. Multivariate linear and logistic regression analyses were used to evaluate the associations of sarcopenia and its components with PEF cross-sectionally and longitudinally.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Results</jats:title>\n                <jats:p>In the cross-sectional analysis, the prevalence of non-severe sarcopenia was 14.6% and severe sarcopenia was 4.9%. The results of linear regression analysis revealed that sarcopenia and its components were all correlated with PEF and PEF%pred. In the longitudinal analysis, compared with non-sarcopenia, subjects with severe sarcopenia were associated with a higher risk of PEF (OR = 2.05, 95%CI = 1.30–3.26) and PEF%pred (OR = 1.83, 95%CI = 1.17–2.86) decline. The changes in physical performance were correlated with changes in PEF and PEF%pred. No associations were observed between changes in SMI and PEF as well as PEF%pred.</jats:p>\n              </jats:sec><jats:sec>\n                <jats:title>Conclusions</jats:title>\n                <jats:p>We demonstrated the associations of baseline sarcopenia status with PEF and longitudinal PEF decline. Also, the changes in physical performance were associated with changes in PEF during a 4-year follow-up. It indicates that improving sarcopenia, especially physical performance may increase PEF.</jats:p>\n              </jats:sec>","is_dataset_classified":null,"base_score":2.70805020110221,"endowment":2.70805020110221,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"37466901","pmcid":"PMC10876815","openalex_id":"https://openalex.org/W4384664117","authors":[],"funders":[{"funder_name":"National Key R & D Program of China","grant_id":"2020YFC2006205","title":null},{"funder_name":"National Key R & D Program of China","grant_id":"2020YFC2006202","title":null},{"funder_name":"National Key R & D Program of China","grant_id":"2020YFC2004803","title":null},{"funder_name":"Capital General Practice Research Project","grant_id":"12100102","title":null}],"total_grants":4,"fwci":2.0003,"citation_percentile":0.87043533,"influential_citations":0,"citation_trend":[{"year":2023,"count":2},{"year":2024,"count":3},{"year":2025,"count":6},{"year":2026,"count":3}],"oa_status":"hybrid","license":"cc-by","oa_locations":[{"url":"https://link.springer.com/content/pdf/10.1007/s41999-023-00838-2.pdf","host_type":"journal"},{"url":"https://link.springer.com/content/pdf/10.1007/s41999-023-00838-2.pdf","host_type":"publisher"},{"url":"https://link.springer.com/article/10.1007/s41999-023-00838-2/fulltext.html","host_type":"publisher"},{"url":"https://doi.org/10.1007/s41999-023-00838-2","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/37466901","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10876815","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10876815/pdf/41999_2023_Article_838.pdf","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC10876815","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC10876815?pdf=render","host_type":"Europe_PMC"}],"fields_of_study":["Nutrition and Health in Aging","Body Composition Measurement Techniques","Dysphagia Assessment and Management","Humans","Aged","Sarcopenia","Longitudinal Studies","Hand Strength","Retirement","Independent Living","Cross-Sectional Studies","China"],"mesh_terms":["Aged","China","Cross-Sectional Studies","Humans","Longitudinal Studies","Retirement","Hand Strength","Sarcopenia","Independent Living"],"keywords":["Sarcopenia","Medicine","Longitudinal study","Grip strength","Logistic regression","Physical therapy","Gerontology","Cross-sectional study","Physical medicine and rehabilitation","Internal medicine","Physical performance","Peak Expiratory Flow","Skeletal Muscle Mass","Hand Grip Strength","Community-dwelling Elderly"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Good health and well-being"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T13:01:12.087197Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}