Sarcopenia in Indian Males Having Clinically Significant Liver Fibrosis in Type 2 Diabetes: A Tertiary-Centre Cross-Sectional Study to Estimate the Prevalence and Associated Factors

Original Article

J Frailty Sarcopenia Falls 2026 Sep; 11(3):172-183 Copied!

10.22540/JFSF-11-172 Copied!

Rajdeep Basu¹, Soumik Goswami¹, Nilanjan Sengupta¹, Kumar Swapnil¹, Arjun Baidya¹, Sunetra Mondal¹, Soumita Mandal¹, Joydip Datta²

Department of Endocrinology, Nil Ratan Sircar Medical College and Hospital, Kolkata, India
Department of Medicine, Midnapore Medical College and Hospital, Paschim Medinipur, India

Keywords:

Abstract

Objectives:

The study aimed to measure the prevalence of sarcopenia in male individuals with type 2 diabetes having clinically significant liver fibrosis and to identify the determinants of sarcopenia.

Methods:

A cross-sectional study was conducted among male individuals aged 18–65 years with type 2 diabetes and liver stiffness measurement (LSM) ≥8 kPa, as measured by transient elastography (FibroScan^®). Individuals were divided into sarcopenic and nonsarcopenic groups using the 2019 Asian Working Group for Sarcopenia criteria.

Results:

Among 131 males with significant liver fibrosis in type 2 diabetes, 43 (32.8%) had sarcopenia. Between the sarcopenic and non-sarcopenic groups, significant differences were observed in body weight (Kg) (62.6 vs 69.7, p < 0.001) the median duration of diabetes (months) (96 vs. 60, p = 0.008), glycated hemoglobin (HbA1c, 8.8% vs. 7.9%, p = 0.007), and liver fibrosis (LSM score, 10.3 kPa vs. 9.8 kPa, p = 0.028). The adjusted odds ratios (ORs) for liver fibrosis and body weight in the development of sarcopenia were 1.165 (95% CI, 1.051–1.292) and 0.933 (95% CI, 0.894–0.974), respectively.

Conclusion:

Individuals with sarcopenia had a longer duration of diabetes and poorer glycemic control; lower body weight and higher grades of liver fibrosis were independent factors contributing to the same.