Is muscle strength an overlooked parameter in patients affected by mild autonomous cortisol secretion? - Takeaways - MDSpire

Is muscle strength an overlooked parameter in patients affected by mild autonomous cortisol secretion?

  • By

  • Martina Romanisio

  • Chiara Mele

  • Sara Sturnia

  • Carola Ciamparini

  • Rosa Pitino

  • Alice Ferrero

  • Lorenza Scotti

  • Madalina Elena Iftimie

  • Gianluca Aimaretti

  • Paolo Marzullo

  • Flavia Prodam

  • Marina Caputo

  • April 30, 2026

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  • 1

    Patients with mild autonomous cortisol secretion (MACS) exhibited a higher prevalence of osteopenia and osteoporosis compared to non-functioning adrenal adenomas (NFAA) and controls.

  • 2

    Muscle strength assessments revealed significantly reduced scores for biceps and quadriceps in MACS patients compared to healthy controls.

  • 3

    No significant differences in fat-free mass, muscle mass, or fat mass were observed among the groups studied.

  • 4

    Quality of life scores showed a trend toward greater impairment in patients with MACS, indicating potential functional deterioration.

  • 5

    The study highlights the under-recognized musculoskeletal impact of mild hypercortisolism, emphasizing the need for further investigation into muscle strength.

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