Sarcopenia is referring to a progressive and generalized muscle disorder, characterized by wasted muscle strength, reduced muscle mass and declined physical performance [1]. Although this pathological entity has originally derived from geriatrics, mainly attributable to ageing process, mounting evidence has highlighted the clinical implication and prognostic value of sarcopenia among patients with cirrhosis at different stages by us and others [2–5]. The pathogenesis and precipitating factor of …