Evidence map›Paper›PMID 41540714›Full record

Observational studyNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2026

Interrelationships among handgrip strength, body composition, physical activity, and quality of life in adults with cystic fibrosis: A cross-sectional study.

Benjamin H Crain, Carly Harris, Moriah P Bellissimo, Lucia A Gonzalez Ramirez, Elizabeth A Ivie, William R Hunt, Vin Tangpricha, Thomas R Ziegler, Ryan A Harris, Jessica A Alvarez

Abstract readObservational Study
In one paragraph

Observational study in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Interrelationships among handgrip strength, body composition, physical activity, and quality of life in adults with cystic fibrosis: A cross-sectional study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Observational
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

10 authors.

Benjamin H CrainDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Carly HarrisDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0009-0000-2928-2871
Moriah P BellissimoDivision of Cardiology, Department of Internal Medicine, Pauley Heart Center, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA.ORCID https://orcid.org/0000-0002-8998-4792
Lucia A Gonzalez RamirezDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-2735-2079
Elizabeth A IvieDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
William R HuntDivision of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Vin TangprichaDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Thomas R ZieglerDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
Ryan A HarrisGeorgia Prevention Institute, Augusta University, Augusta, Georgia, USA.
Jessica A AlvarezDivision of Endocrinology, Lipids and Metabolism, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-7612-1162

Funding

This study was funded by the Cystic Fibrosis Foundation (ALVARE19A0) and the National Institutes of Health (R03 DK117246, K01 DK102851, UL1 TR002378 Georgia Clinical and Translational Science Alliance, and P30 DK1250123 Georgia Cystic Fibrosis Research and Translation Core Center).
6 · The paper itself

Abstract

backgroundIn individuals with cystic fibrosis (CF), lean mass and muscle strength are important predictors of clinical outcomes. This study evaluated associations among body composition, handgrip strength, muscle quality, physical activity, and health-related quality of life in CF.

methodsThis observational, cross-sectional study included 27 adults with CF and 24 age-matched healthy controls. Body composition was assessed using dual-energy x-ray absorptiometry, physical activity by self-reported questionnaire, strength by handgrip dynamometry, and quality of life by the CF Quality of Life-Revised (CFQ-R) questionnaire. Muscle quality was defined as handgrip strength divided by appendicular lean mass. Analyses included t- tests and Pearson or Spearman correlations.

resultsDemographics, body composition, handgrip strength, and muscle quality were similar between those with CF and controls. Among those with CF, muscle quality was positively associated with total physical activity score (r = 0.49, P = 0.009). Handgrip strength was positively associated with lean mass (r = 0.86, P < 0.001) and bone mineral density (r = 0.64, P < 0.001). Regarding CFQ-R, lean mass was positively associated with body image and emotion (r = 0.41, P = 0.03), and body fat was associated with lower physical functioning (r = -0.63, P = 0.004), greater treatment burdens (r = -0.49, P = 0.01), and worse digestive health (r = -0.45, P = 0.02).

conclusionAs the CF population ages, these data support continued efforts to promote physical activity and improve body composition for enhanced quality of life while also highlighting the value of integrating accessible measures of muscle function and quality into routine clinical care.

Indexed as

Body CompositionCystic FibrosisExerciseHand StrengthQuality of LifeAbsorptiometry, PhotonAdultBone DensityCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleSurveys and QuestionnairesYoung Adultadultbody compositioncystic fibrosislife cyclenutritionnutrition assessmentresearch and diseases

Identifiers

PMID41540714
PMCPMC13193410

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.