Evidence map›Paper›PMID 30544657›Full record

Observational studyNutrients2018

Prevalence and Correlates of Sarcopenia among Elderly CKD Outpatients on Tertiary Care.

Claudia D'Alessandro, Giorgina Barbara Piccoli, Massimiliano Barsotti, Serena Tassi, Domenico Giannese, Riccardo Morganti, Adamasco Cupisti

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.5field-weighted citation impact, top 11% of its field
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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Sarcopenia and blood albumin: A systematic review with meta-analysisBiomedica : revista del Instituto Nacional de Salud · 2021
    Pooled it
  4. Calf circumference predicts sarcopenia and all-cause mortality in older patients undergoing maintenance hemodialysis: A prospective cohort study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Observational
  5. Review
  6. Article
  7. Review
  8. Factors Associated with Sarcopenia in Patients with Chronic Kidney Disease: A Cross-Sectional Single-Center Study.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Review
  18. Article
  19. Article
  20. Accelerated Kidney Aging in Diabetes Mellitus.Oxidative medicine and cellular longevity · 2020
    Review
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

7 authors at 2 institutions in 2 countries.

Claudia D'AlessandroDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy. dalessandroclaudia@gmail.com.
Giorgina Barbara PiccoliDepartment of Clinical and Biological Sciences, University of Torino, 10124 Torino, Italy. gbpiccoli@yahoo.it.ORCID 0000-0002-2632-4009
Massimiliano BarsottiNephrology, Transplant and Dialysis Unit, AOUP, 35233 Pisa, Italy. m.barsotti63@gmail.com.
Serena TassiDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy. serenatassi@msn.com.
Domenico GianneseNephrology, Transplant and Dialysis Unit, AOUP, 35233 Pisa, Italy. d.giannese@ao-pisa.toscana.it.
Riccardo MorgantiSection of Statistics, AOUP, 56100 Pisa, Italy. morganti@ao-pisa.toscana.it.
Adamasco CupistiDepartment of Clinical and Experimental Medicine, University of Pisa, 56126 Pisa, Italy. adamasco.cupisti@med.unipi.it.ORCID 0000-0002-8995-936X
University of Pisa · ITCentre Hospitalier du Mans · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia is a widespread concern in chronic kidney disease (CKD) as well in elderly patients and is one of the main reasons why low-protein diets for this population are controversial. The aim of this study was to assess the prevalence and correlates of sarcopenia among elderly male patients affected by CKD followed up in an outpatient nephrology clinic, where moderate protein restriction (0.6⁻0.8 g/Kg/day) is routinely recommended to patients in CKD stage 3b-5 not on dialysis.

methodsThis observational study included 80 clinically-stable male out-patients aged >60, affected by stage 3b-4 CKD. Forty patients aged ≥75 (older seniors) were compared to the other forty patients aged 60⁻74 (younger seniors). All patients underwent a comprehensive nutritional and functional assessment.

resultsOlder seniors showed lower serum albumin, hand-grip strength, body mass index (BMI), skeletal muscle mass, and resting energy expenditure. Protein intake was significantly lower in older seniors whereas energy intake was similar. Average daily physical activity was lower in the older seniors than in the younger ones. Sarcopenia was more prevalent in older than in younger seniors. Among older seniors, sarcopenic and non-sarcopenic ones differed in age and performance on the Six-Minute Walk test, whereas the estimated glomerular filtration rate (eGFR), biochemistry, dietary protein, and energy intakes were similar.

conclusionsOlder senior CKD male patients have lower muscle mass, muscle strength, and physical capacity and activity levels, with a higher prevalence of sarcopenia than younger patients. This occurs at the same residual renal function and metabolic profile and protein intake. Energy intake was at the target in both subgroups. In this CKD cohort, sarcopenia was associated with age and physical capacity, but not with eGFR or dietary intakes.

Indexed as

AgedAged, 80 and overAgingEnergy MetabolismExerciseHumansMaleMiddle AgedRenal Insufficiency, ChronicSarcopeniaTertiary Health CareagingCKDfunctional capacityphysical performanceprotein restrictionsarcopenia

Identifiers

PMID30544657
PMCPMC6315502
OpenAlexW2904194789

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.