Evidence map›Paper›PMID 25952923›Full record

ArticleBMC pulmonary medicine2015

Anemia and hemoglobin serum levels are associated with exercise capacity and quality of life in chronic obstructive pulmonary disease.

Marcello Ferrari, Lorenzo Manea, Kamel Anton, Paola Bruzzone, Mara Meneghello, Francesco Zamboni, Luigi Purgato, Lucia Cazzoletti, Pietro Ferrari, Renato Testi

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 68 citations in OpenAlex.

  1. The effect of ginseng extract on fatigue in cancer survivors: a randomized double-blind clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. The treatment of chronic anemia in heart failure: a global approach.Clinical research in cardiology : official journal of the German Cardiac Society · 2024
    Review
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  12. Extrapulmonary Comorbidities Associated with Chronic Obstructive Pulmonary Disease: A Review.International journal of chronic obstructive pulmonary disease · 2024
    Review
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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

10 authors at 2 institutions in 1 country.

Marcello FerrariUnit of Respiratory Diseases, Department of Medicine, University of Verona, Verona, Italy. marcello.ferrari@univr.it.
Lorenzo ManeaUnit of Respiratory Diseases, Department of Medicine, University of Verona, Verona, Italy. lorenzo.manea@gmail.com.
Kamel AntonSchool of Sports Medicine, University of Padova, Verona, Trieste and Udine, Italy. kamel.anton@gmail.com.
Paola BruzzoneSchool of Sports Medicine, University of Padova, Verona, Trieste and Udine, Italy. paolabruz@yahoo.it.
Mara MeneghelloSchool of Sports Medicine, University of Padova, Verona, Trieste and Udine, Italy. mara.84@alice.it.
Francesco ZamboniSchool of Sports Medicine, University of Padova, Verona, Trieste and Udine, Italy. zambo987@libero.it.
Luigi PurgatoUnit of Respiratory Diseases, Department of Medicine, University of Verona, Verona, Italy. xdarkcatx@gmail.com.
Lucia CazzolettiUnit of Epidemiology and Medical Statistics, Department of Public Health and Community Medicine, University of Verona, Verona, Italy. lucia.cazzoletti@univr.it.
Pietro FerrariSchool of Sports Medicine, University of Padova, Verona, Trieste and Udine, Italy. pietro.ferrari82@gmai.com.
Renato TestiUnit of Respiratory Diseases, Department of Medicine, University of Verona, Verona, Italy. rtesti@qubisoft.it.
University of Padua · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle is known about the relationship between hemoglobin concentrations, functional status and health related quality of life (HRQL) in chronic obstructive pulmonary disease (COPD). Our aim was to investigate the prevalence of anemia and the association of hemoglobin with shortness of breath, exercise capacity, muscle strength and HRQL, in COPD patients.

methodsA total of 105 COPD patients (77 males, 71.6 ± 9.2 years) were studied. Patients were classified as anemic and non anemic using the WHO criteria. We used the Medical Research Council Dyspnoea scale (MRCs) to measure shortness of breath. Exercise capacity was assessed using the six minute walking distance (6MWD) and the peak of VO2 during the maximal cycle ergometer test (VO2max). We used the Quadriceps and Handgrip strength assessment to determine muscle strength. The Saint George Respiratory Questionnaire was used to investigate HRQL. The physiological/functional characteristics of the two groups were compared. Regression models adjusting for confounders examined the independent association of anemia and of hemoglobin levels with clinical and functional outcomes.

resultsAnemic patients (12.3%) showed a significantly higher MRCs, a lower 6MWD, VO2max, and a worse quality of life. On the contrary, there was no difference in muscle strength between the two groups. In the regression models, hemoglobin was independently associated with reduced exercise capacity and HRQL.

conclusionsAnemia in COPD was a risk factor for poorer exercise capacity and quality of life, and these outcomes were linearly associated with hemoglobin. Our results should stimulate further research into exploring whether increasing hemoglobin has a beneficial effect on the outcomes in COPD.

Indexed as

Exercise ToleranceMuscle StrengthQuality of LifeAgedAged, 80 and overAnemiaDyspneaExercise TestFemaleForced Expiratory VolumeHand StrengthHemoglobinsHumansMaleOxygen ConsumptionPulmonary Disease, Chronic ObstructiveHemoglobins

Identifiers

PMID25952923
PMCPMC4426177
OpenAlexW2120707754

What OpenQuestion 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 OpenQuestion graph.