Article ; Online: Hyponatremia and aging-related diseases: key player or innocent bystander? A systematic review.
2023 Volume 12, Issue 1, Page(s) 84
Abstract: Background: Hyponatremia is frequent in older age; whether it is a key player, a surrogate marker, or an innocent bystander in age-related diseases is still unclear.: Objective: To understand the role of hyponatremia in falls, osteoporosis, fractures, ...
Abstract | Background: Hyponatremia is frequent in older age; whether it is a key player, a surrogate marker, or an innocent bystander in age-related diseases is still unclear. Objective: To understand the role of hyponatremia in falls, osteoporosis, fractures, and cognitive impairment in old patients. Method: Eligibility criteria for study inclusions were: written in English, peer-reviewed observational and intervention studies, clinical trial, prospective and retrospective controlled cohort studies, and case-controlled studies without limitations regarding the date of publication. Information sources: Protocol available on the International Prospective Register of Systematic Reviews (PROSPERO, CRD42021218389). MEDLINE, Embase, and PsycINFO were searched. Final search done on August 8, 2021. Risk-of-bias assessment: Risk-of-Bias Assessment tool for Non-randomized Studies (RoBANS) and the Bradford Hill's criteria for causality. Results: Includes studies: One-hundred thirty-five articles retained for the revision. Synthesis of results - Falls: Eleven studies were included. Strong association between hyponatremia and falls in all the studies was found. Osteoporosis and fractures: nineteen articles were included. The association between hyponatremia and osteoporosis is unclear. Cognitive impairment: Five articles were included. No association between hyponatremia and cognitive impairment was found. Discussion: Interpretation: Falls, osteoporosis, and fractures are multifactorial. Hyponatremia is not temporally related with the outcomes; we suggest that hyponatremia may be regarded as a marker of unhealthy aging and a confounder instead of a causal factor or an innocent bystander for falls and fractures. Concerning cognitive impairment, there are no evidence supporting a real role of hyponatremia to be regarded as an innocent bystander in neurodegeneration. |
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MeSH term(s) | Humans ; Aging ; Fractures, Bone ; Hyponatremia/complications ; Osteoporosis ; Retrospective Studies |
Language | English |
Publishing date | 2023-05-13 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Systematic Review |
ZDB-ID | 2662257-9 |
ISSN | 2046-4053 ; 2046-4053 |
ISSN (online) | 2046-4053 |
ISSN | 2046-4053 |
DOI | 10.1186/s13643-023-02246-w |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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