Evidence map›Paper›PMID 28644887›Full record

ArticlePloS one2017

Sarcopenia is a predictive factor for intestinal resection in admitted patients with Crohn's disease.

Shigeki Bamba, Masaya Sasaki, Azusa Takaoka, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Mitsushige Sugimoto, Akira Andoh

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06550310 (Nutrition and Body Composition and Association With Clinical Outcomes in Inflammatory Bowel Disease), which is not on this map. Cited by 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 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.

NCT06550310 recruitingnot on this mapstarted 2024, after this paper: background citation

Nutrition and Body Composition and Association With Clinical Outcomes in Inflammatory Bowel Disease

TypeobservationalSponsorBarts & The London NHS TrustRan2024 to 2028Enrolled300ConditionsInflammatory Bowel Diseases, Crohn Disease, Ulcerative Colitis, Malnutrition
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. A Comprehensive Review of Geriatric Syndromes and Assessment in Older Adults With Inflammatory Bowel Diseases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
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  14. Sarcopenia-A Valuable Imaging Biomarker for Disease Progression in Patients With Primary Sclerosing Cholangitis (PSC)?Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
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  20. Sarcopenia and frailty in inflammatory bowel disease: Emerging concepts and evidence.JGH open : an open access journal of gastroenterology and hepatology · 2024
    Review

7 more citing papers are in PubMed but not listed here.

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

9 authors.

Shigeki BambaDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.ORCID http://orcid.org/0000-0002-4108-5894
Masaya SasakiDivision of Clinical Nutrition, Shiga University of Medical Science, Otsu, Shiga, Japan.
Azusa TakaokaDivision of Clinical Nutrition, Shiga University of Medical Science, Otsu, Shiga, Japan.
Kenichiro TakahashiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Hirotsugu ImaedaDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Atsushi NishidaDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Osamu InatomiDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Mitsushige SugimotoDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.
Akira AndohDepartment of Medicine, Shiga University of Medical Science, Otsu, Shiga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The relationship between skeletal muscle volume and the prognosis of patients with inflammatory bowel disease (IBD) remains undetermined. We conducted a retrospective study of 72 IBD patients who were admitted to the hospital due to disease exacerbation. We enrolled IBD patients who had undergone abdominal computed tomography and assessed the nutritional indices, such as the Onodera's prognostic nutritional index (O-PNI) and the controlling nutritional status (CONUT) index. The L3 skeletal muscle index (SMI), which is the ratio of the cross-sectional area of skeletal muscles at the level of the third lumbar (L3) vertebra to the height squared, was used to identify sarcopenia. Sarcopenia, defined as a low SMI, was observed in 42% of all IBD patients (37% with Crohn's disease (CD) and 48% with ulcerative colitis (UC)). In UC patients, the O-PNI and CONUT values, height, and albumin levels were significantly lower than in CD patients. The SMI strongly correlated with sex, body weight, albumin level, and O-PNI in IBD patients. Multivariate analysis using the Cox regression model demonstrated that the presence of sarcopenia (P = 0.015) and disease type (CD or UC) (P = 0.007) were significant factors predicting intestinal resection. The cumulative operation-free survival rate was significantly lower for sarcopenic patients than in all IBD patients (P = 0.003) and a stratified analysis of CD patients (P = 0.001) using the Kaplan-Meier method and log-rank test. The L3 skeletal muscle area is a prognostic factor for intestinal resection in patients with CD.

Indexed as

AdultAlbuminsColitis, UlcerativeCrohn DiseaseFemaleFollow-Up StudiesHospitalizationHumansIntestinesKaplan-Meier EstimateLumbar VertebraeMaleMiddle AgedMultivariate AnalysisMuscle, SkeletalOrgan SizeAlbumins

Identifiers

PMID28644887
PMCPMC5482469

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Registered trials

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.