Evidence mapPaperPMID 40972944Full record

ReviewMolecular metabolism2025

Are we giving too much weight to lean mass loss?

Jeffery Bolte, Annie A Smelter, Luke Norton

Abstract readReview
In one paragraph

Review in Molecular metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

3 authors.

Jeffery BolteDiabetes Division, Department of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.
Annie A SmelterDiabetes Division, Department of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA.
Luke NortonDiabetes Division, Department of Medicine, University of Texas Health San Antonio, San Antonio, TX, USA; Department of Cell Systems and Anatomy, University of Texas Health San Antonio, San Antonio, TX, USA. Electronic address: nortonl@uthscsa.edu.

Funding

ZOLEDRONATE VS AREDIA IN MULTIPLE MYELOMA/BREAST CANCER W /BONE DISORDERSM01RR001346 · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · 1985 to 2005
$16.1M
SGLT2 Inhibitors, Ketogenesis, and KetoacidosisR01DK024092 · NIDDK · YALE UNIVERSITY · 1986 to 2025
$3.6M
The Regulation of Hepatic Metabolic Zonation by the Diabetes Gene TCF7L2R01DK128247 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2023 to 2025
$1.4M
South Texas Medical Scientist Training Program (STX-MSTP)T32GM145432 · NIGMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2023 to 2025
$1.1M
Targeting hepatic mitochondrial function in humans with NAFLD using insulin sensitizersR01DK129676 · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2025 to 2025
$682k
Ketones, Muscle Metabolism, and SGLT2 InhibitorsR01DK107680 · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · 2025 to 2025
$583k
Regulation of Hepatic and Peripheral Glucose MetabolismR56DK024092 · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · 2005 to 2005
$73k
CSRD VA I01 CX001389NCRR NIH HHS M01 RR001346NIDDK NIH HHS R01 DK024092NIDDK NIH HHS R01 DK103841NIDDK NIH HHS R01 DK107680NIDDK NIH HHS R01 DK128247NIDDK NIH HHS R01 DK129676NIDDK NIH HHS R44 DK085809NIDDK NIH HHS R56 DK024092NIDDK NIH HHS U01 DK085524NIGMS NIH HHS T32 GM145432
6 · The paper itself

Abstract

The global rise in obesity has underscored the critical importance of body composition, particularly the balance between fat mass and lean mass, in determining health outcomes. While excess fat mass is a well-established risk factor for numerous chronic diseases and reduced longevity, lean mass preservation has been widely considered essential for mitigating fall risk and maintaining functional independence. Recent advances in incretin-based weight loss therapies have shown remarkable efficacy in reducing body weight but have raised concerns about the concomitant loss of lean mass. However, emerging evidence suggests that muscle quality - rather than absolute muscle mass - is a more robust predictor of functional capacity and all-cause mortality. Intriguingly, these therapies may enhance muscle quality even while promoting lean mass loss, offering a nuanced perspective on their impact. This review aims to synthesize current evidence on body composition, muscle quality, and weight loss therapies to guide clinicians in tailoring weight loss strategies that optimize both metabolic health and patient outcomes.

Indexed as

ObesityWeight LossBody CompositionHumansIncretinsMuscle, SkeletalIncretinsAgingBody compositionGLP-1 receptor agonistMuscleObesitySarcopenia

Identifiers

PMID40972944
PMCPMC12506580

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.