Evidence map›Paper›PMID 26482693›Full record

Trial reportThe journal of nutrition, health & aging2015

Effects of Changes in Regional Body Composition on Physical Function in Older Adults: A Pilot Randomized Controlled Trial.

A J Santanasto, A B Newman, E S Strotmeyer, R M Boudreau, B H Goodpaster, N W Glynn

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of nutrition, health & aging, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
2.1field-weighted citation impact, top 13% 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

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Obesity in old age and its importance for functionality and frailty].Zeitschrift fur Gerontologie und Geriatrie · 2016
    Pooled it
  4. Trial
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  13. Intermuscular adipose tissue in metabolic disease.Nature reviews. Endocrinology · 2023
    Review
  14. Thigh and Calf Myosteatosis are Strongly Associated with Muscle and Physical Function in African Caribbean Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  15. Article
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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

6 authors at 2 institutions in 1 country.

A J SantanastoNancy W. Glynn, PhD, 130 DeSoto Street, A531 Crabtree Hall Pittsburgh, PA 15261, 412.383.1309 (phone), 412.624.7397 (fax), glynnn@edc.pitt.edu.
A B Newman
E S Strotmeyer
R M Boudreau
B H Goodpaster
N W Glynn
University of Pittsburgh · USSanford Burnham Prebys Medical Discovery Institute · US

Funding

Health Promotion and Disease Prevention Research CenterU48DP000025 · DP · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEWMAN, ANNE B. · 2005 to 2008
$2.3M
NCCDPHP CDC HHS 1 U48 DP000025NCCDPHP CDC HHS U48 DP000025
6 · The paper itself

Abstract

BACKGROUND/

objectiveObesity exacerbates age-related physical disability; however, observational studies show that any weight loss in old age is associated with greater risk of mortality. Conversely, randomized controlled trials in older adults show that weight loss is beneficial. The discrepancy may be due to weight loss intention and differential changes to regional body composition. The purpose of this research was to evaluate the independent role of regional body composition remodeling in improving physical function.

designPilot Randomized Controlled Trial.

settingCommunity based research center.

participantsThirty-six community dwelling, overweight to moderately obese (BMI 28.0-39.9 kg/m2) older adults (age 70.6±6.1 yrs).

interventionPhysical activity plus weight loss (PA+WL, n=21) or PA plus successful aging (SA) education. PA consisted primary of treadmill walking supplemented with lower extremity resistance and balance training. The WL program was based on the Diabetes Prevention Project and aimed at achieving a 7% weight loss by cutting calories, specifically those from fat. MEASUREMENTS: At baseline, 6- and 12-months, body composition was measured using computerized tomography and dual x-ray absorptiometry. Abdominal visceral (VAT) and thigh intermuscular (IMAT) adipose tissue were quantified. Physical function was assessed using the short physical performance battery (SPPB).

resultsSeparate multivariable linear regression models with both groups combined demonstrated that decreases in IMAT and VAT were significantly associated with improvements in SPPB (P<0.05) independent of change in total fat mass. PA+WL improved SPPB scores from baseline (0.8±1.4, P<0.05), whereas PA+SA did not; however no intergroup difference was detected. Of note, these effects were mainly achieved during the intensive intervention phase.

conclusionDecreases in IMAT and VAT are important mechanisms underlying improved function following intentional weight loss plus physical activity.

Indexed as

Body CompositionHealth EducationPhysical FitnessWalkingWeight LossAbsorptiometry, PhotonActivities of Daily LivingAdipose TissueAgedAgingDiet, ReducingFemaleHumansIntra-Abdominal FatMaleMiddle Aged

Identifiers

PMID26482693
PMCPMC8889927
OpenAlexW2078477249

What OpenQuestion holds

Textmetadata
LicenceTDM
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.