Evidence map›Paper›PMID 29551009›Full record

ArticleJournal of nephrology2018

Assessment of physical performance and body composition in male renal transplant patients.

Andrea Petronio Rossi, Gianluigi Zaza, Marina Zanardo, Francesco Pedelini, Laura Dalla Verde, Chiara Caletti, Alessia D'Introno, Antonio Lupo, Mauro Zamboni

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Article in Journal of nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea Petronio RossiDivision of Geriatrics, Department of Medicine, University of Verona, Verona, Italy.
Gianluigi ZazaRenal Unit, Department of Medicine, University of Verona, Verona, Italy. gianluigi.zaza@univr.it.ORCID 0000-0002-6004-6196
Marina ZanardoDivision of Geriatrics, Department of Medicine, University of Verona, Verona, Italy.
Francesco PedeliniDivision of Geriatrics, Department of Medicine, University of Verona, Verona, Italy.
Laura Dalla VerdeDivision of Geriatrics, Department of Medicine, University of Verona, Verona, Italy.
Chiara CalettiRenal Unit, Department of Medicine, University of Verona, Verona, Italy.
Alessia D'IntronoDivision of Geriatrics, Department of Medicine, University of Bari, Bari, Italy.
Antonio LupoRenal Unit, Department of Medicine, University of Verona, Verona, Italy.
Mauro ZamboniDivision of Geriatrics, Department of Medicine, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRenal transplant (RTX) recipients seem to experience a better quality of life compared to dialysis patients. However, the factors responsible for this positive effect are not completely defined. Conceivably, a change in the physical performance of these patients could play a role.

methodsTo assess this, we measured: (1) waist circumference, fat mass and appendicular fat-free mass (aFFM) by dual-energy X-ray densitometry, (2) physical performance with the Short Physical Performance Battery, and (3) muscle strength with the handgrip test, in 59 male RTX, 11 chronic kidney disease in conservative treatment (CKD) and 10 peritoneal dialysis (PD) patients.

resultsSurprisingly, anthropometric characteristics and body composition were similar among the three groups. However, despite a low aFFM, muscle strength was higher in stable RTX recipients > 5 years after transplantation than in dialyzed patients. Instead, CKD (wait-listed for RTX) had similar muscle strength to RTX patients. Waist circumference in RTX recipients showed a redistribution of body fat with increased central adipose tissue allocation compared to PD. At linear regression analysis, age, weight, height, aFFM, hemoglobin and transplant age were independent predictors of handgrip strength, explaining about 37% of the variance. Age and transplant age accounted for 18 and 12% of variance, respectively.

conclusionsOur study demonstrates, for the first time, that clinically stable RTX recipients have greater muscle strength than dialyzed patients and suggests that the handgrip test could be an effective and easy-to-perform tool to assess changes in physical performance in this large patient population.

Indexed as

Body CompositionHand StrengthKidney TransplantationAdiposityAdultAgedAge FactorsBody HeightBody WeightConservative TreatmentExercise TestHemoglobinsHumansIntra-Abdominal FatMaleMiddle AgedHemoglobinsBody compositionChronic kidney diseaseHandgrip strengthPhysical performanceRenal transplantation

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.