International Journal of Clinical Research

Objective To investigate the distribution patterns of traditional Chinese medicine (TCM) constitutions in patients with sarcopenia and the correlation with body composition analysis parameters in postmenopausal women. Methods Hospitalized patients from the Department of Orthopedics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, between September 2023 and March 2025, were selected as study subjects. Body composition analysis was performed on all participants. Results Among the patients, Yang deficiency constitution had the highest incidence rate. In postmenopausal women, bone mineral density (BMD) showed a positive linear correlation with the percentage of bone mineral content, appendicular lean mass index, and lean mass index. Conversely, BMD demonstrated a negative correlation trend with fat mass-related parameters. The lean mass index in the osteoporosis group was lower than that in the normal group. Conclusion Yang deficiency is the predominant TCM constitution in patients with sarcopenia. In postmenopausal women, BMD is positively and linearly correlated with appendicular lean mass index and lean mass index, while fat mass index exhibits a negative influence trend on BMD. Patients with osteoporosis have lower lean mass index than normal individuals.

Sarcopenia; TCM constitution; Menopause; Correlation