Evidence map›Paper›PMID 29189738›Full record

ReviewNutrients2017

Aging Gut Microbiota at the Cross-Road between Nutrition, Physical Frailty, and Sarcopenia: Is There a Gut-Muscle Axis?

Andrea Ticinesi, Fulvio Lauretani, Christian Milani, Antonio Nouvenne, Claudio Tana, Daniele Del Rio, Marcello Maggio, Marco Ventura, Tiziana Meschi

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05209763 (Standard vs Intensive Rehabilitation and Nutrition Regimen for Inpatients at the Intensive Care Unit), which is not on this map. Cited by 229 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
229citing papers in PubMed, 8 pooled it
13.8field-weighted citation impact, top 1% 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.

NCT05209763 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Standard vs Intensive Rehabilitation and Nutrition Regimen for Inpatients at the Intensive Care Unit

TypeinterventionalSponsorUniversity Hospital OstravaRan2022 to 2025Enrolled500ConditionsNutrition DisordersArmsMore intensive rehabilitation, More intensive nutrition
3 · Its place in the literature

Who cites it

229 citing papers in PubMed, 8 syntheses or guidelines pooled it, 365 citations in OpenAlex.

  1. Pooled it
  2. Gut microbiome and bone health: update on mechanisms, clinical correlations, and possible treatment strategies.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  9. Heat-treatedJournal of microbiology and biotechnology · 2026
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  12. Efficacy ofNutrients · 2024
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169 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 at 1 institution in 1 country.

Andrea TicinesiMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. andrea.ticinesi@unipr.it.
Fulvio LauretaniDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126 Parma, Italy. flauretani@ao.pr.it.
Christian MilaniMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. christian.milani@unipr.it.
Antonio NouvenneMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. anouvenne@ao.pr.it.ORCID 0000-0002-2680-2242
Claudio TanaDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126 Parma, Italy. ctana@ao.pr.it.
Daniele Del RioMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. daniele.delrio@unipr.it.ORCID 0000-0001-5394-1259
Marcello MaggioDepartment of Medicine and Surgery, University of Parma, Via Antonio Gramsci 14, 43126 Parma, Italy. marcellomaggio2001@yahoo.it.
Marco VenturaMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. marco.ventura@unipr.it.
Tiziana MeschiMicrobiome Research Hub, University of Parma, Parco Area delle Scienze 11/A, 43124 Parma, Italy. tiziana.meschi@unipr.it.
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inadequate nutrition and physical inactivity are the mainstays of primary sarcopenia-physiopathology in older individuals. Gut microbiota composition is strongly dependent on both of these elements, and conversely, can also influence the host physiology by modulating systemic inflammation, anabolism, insulin sensitivity, and energy production. The bacterial metabolism of nutrients theoretically influences skeletal muscle cell functionality through producing mediators that drive all of these systemic effects. In this study, we review the scientific literature supporting the concept of the involvement of gut microbiota in primary sarcopenia physiopathology. First, we examine studies associating fecal microbiota alterations with physical frailty, i.e., the loss of muscle performance and normal muscle mass. Then, we consider studies exploring the effects of exercise on gut microbiota composition. Finally, we examine studies demonstrating the possible effects of mediators produced by gut microbiota on skeletal muscle, and intervention studies considering the effects of prebiotic or probiotic administration on muscle function. Even if there is no evidence of a distinct gut microbiota composition in older sarcopenic patients, we conclude that the literature supports the possible presence of a "gut-muscle axis", whereby gut microbiota may act as the mediator of the effects of nutrition on muscle cells.

Indexed as

FrailtyGastrointestinal MicrobiomeNutritional StatusSarcopeniaAgingHumansMuscle, Skeletaldietgeriatricsmetagenomicsphysical frailtyshort-chain fatty acids

Identifiers

PMID29189738
PMCPMC5748753
OpenAlexW2774437822

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.