Prevalence of sarcopenia in heart failure and its association factors: A Systematic Review


  • Chitima Kulchanarat Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University
  • Kornanong Yuenyongchaiwat Department of Physical Therapy, Faculty of Allied Health Sciences, Thammasat University



Heart failure, Sarcopenia, Asian Working Group of Sarcopenia, uropean Working Group on Sarcopenia in Older People, Systematic review


Objective: Heart failure has been associated with sarcopenia; however, no systematic review was reported regarding the prevalence and the association of sarcopenia in heart failure. Therefore, the study aimed to systematically review the prevalence and factors associated with sarcopenia in heart failure.

Methods: The literature searched on both international databases e.g., The Cochrane Library, Science Direct, PubMed and Scopus from 2007 to October 2019 in English language journals. The inclusion criteria were cross sectional study or cohort studies. Participants were 18 years and older who had diagnosed heart failure and sarcopenia. Kappa score was used to measure the agreement of two independent reviewers and National institute of health was used to test the quality assessment of observational cohort and cross-sectional studies.

Results: A total of 258 studies, six studies were included in this review. A total number of the participants was 1,936. Most of the participants were > 65 years old (66.7%). The prevalence of sarcopenia in heart failure was 19.5%-36%. Age, male gender, lower body mass index and low physical activity were associated with sarcopenia in heart failure patients.

Conclusion: The high prevalence of sarcopenia was observed in patients with heart failure. However, gender, age, body mass index and physical activity were associated with sarcopenia.


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How to Cite

Kulchanarat, C., & Yuenyongchaiwat, K. (2020). Prevalence of sarcopenia in heart failure and its association factors: A Systematic Review. Vajira Medical Journal : Journal of Urban Medicine, 64(5), 333–344.



Original Articles