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September 2, 2026LifeOpen Access

Sarcopenia in Inflammatory Bowel Disease: Prevalence, Mechanisms, Detection, Adverse Clinical Impact and Targetable Care Gaps—A Narrative Review Supported by a Structured Literature Search

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Authors

AVAlexandra-Ioana Vasilachi-LulachePFPetruța Violeta FilipCCCosmin Alexandru Ciora

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Overview

Narrative review reveals sarcopenia affects up to 50% of active IBD patients, indicating a critical need for integrated muscular assessment.

Key Points

  • To synthesize evidence on the prevalence, underlying mechanisms, detection modalities, and clinical consequences of sarcopenia in adults with inflammatory bowel disease.
  • Conducted a narrative review supported by a structured search across PubMed/MEDLINE and citation tracking for human studies published between January 1, 2010, and July 5, 2026.
  • Screened 133 unique records and assessed 66 full-text articles to include 54 eligible sources.
  • Synthesized data from 39 empirical studies, 5 systematic reviews or meta-analyses, 6 consensus documents, and 4 mechanistic reviews.
  • Sarcopenia prevalence varied based on diagnostic criteria, ranging from roughly 10% in stable outpatients assessed functionally to over 40% to 50% in active-disease or computed tomography-evaluated cohorts.
  • Pathophysiological drivers identified include chronic inflammation, malnutrition, dysbiosis, corticosteroid therapy, physical inactivity, and impaired anabolic signaling.
  • Sarcopenia correlated consistently with increased rates of hospitalization, abscess formation, postoperative complications, treatment failure, and physical disability.

Cite This Study

Vasilachi-Lulache et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2c5c562ede874ec71edhttps://doi.org/10.3390/life16091451
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Navigating the Intersection: Sarcopenia and Sarcopenic Obesity in Inflammatory Bowel Disease2024 · 24 citations
  2. 2P0560Sarcopenia and Clinical Outcomes in Inflammatory Bowel Disease: A Prospective Monocentric Study2026
  3. 3Ultrasound muscle assessment for sarcopenia detection in inflammatory bowel disease: A prospective study2024 · 24 citations
  4. 4Sarcopenia Is a Risk Factor for Postoperative Complications Among Older Adults With Inflammatory Bowel Disease2024 · 5 citations
  5. 5P1066Ultra-processed food intake independently predicts pre-sarcopenia in patients with inflammatory bowel disease in remission2026