Evidence map›Paper›PMID 30784237›Full record

ArticleJournal of cachexia, sarcopenia and muscle2019

Relative sarcopenia and mortality and the modifying effects of chronic kidney disease and adiposity.

Susan L Ziolkowski, Jin Long, Joshua F Baker, Glenn M Chertow, Mary B Leonard

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 45 citations in OpenAlex.

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  3. Corticosteroid, Parathyroid Hormone, and Body Composition Associations With Bone Density and Structure Following Kidney Transplantation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
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  20. Changes in Body Composition, Muscle Strength, and Fat Distribution Following Kidney Transplantation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
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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

5 authors at 3 institutions in 1 country.

Susan L ZiolkowskiDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Jin LongDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Joshua F BakerDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Glenn M ChertowDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Mary B LeonardDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Stanford Medicine · USStanford University · USUniversity of Pennsylvania · US

Funding

TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007357 · NIDDK · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW · 1986 to 2022
$4.8M
Patient Oriented Research in Vitamin D Deficiency in CKDK24DK076808 · NIDDK · STANFORD UNIVERSITY · PI LEONARD, MARY BETH · 2007 to 2016
$1.7M
Prevalence and Clinical Significance of Relative Sarcopenia and Excess Adiposity in Adults with Chronic Kidney DiseaseF32DK111083 · NIDDK · STANFORD UNIVERSITY · PI ZIOLKOWSKI, SUSAN · 2016 to 2018
$218k
NIDDK NIH HHS F32 DK111083NIDDK NIH HHS K24 DK076808NIH HHS F32 DK111083NIH HHS K24 DK076808
6 · The paper itself

Abstract

backgroundConventional definitions of sarcopenia based on lean mass may fail to capture low lean mass relative to higher fat mass, that is, relative sarcopenia. The objective of this study is to determine the associations of sarcopenia and relative sarcopenia with mortality independent of co-morbidities, and whether chronic kidney disease (CKD) and adiposity alter these associations.

methodsDual energy X-ray absorptiometry-derived appendicular lean mass index (ALMI, kg/m

resultsThree (3.0) per cent of National Health and Nutrition Examination Survey participants met criteria for sarcopenia and 8.7% met criteria for relative sarcopenia. Sarcopenia and relative sarcopenia were independently associated with mortality (HR sarcopenia 2.20, 95% CI 1.69 to 2.86; HR relative sarcopenia 1.60, 95% CI 1.31 to 1.96). The corresponding population attributable risks were 5.2% (95% CI 3.4% to 6.4%) and 8.4% (95% CI 4.8% to 11.2%), respectively. Relative sarcopenia remained significantly associated with mortality (HR 1.32, 95% CI 1.08 to 1.61) when limited to the subset who did not meet the criteria for sarcopenia. The risk of mortality associated with relative sarcopenia was attenuated among persons with higher FMI (P for interaction <0.01) and was not affected by CKD status for either sarcopenia or relative sarcopenia.

conclusionsSarcopenia and relative sarcopenia are significantly associated with mortality regardless of CKD status. Relative sarcopenia is nearly three-fold more prevalent amplifying its associated mortality risk at the population level. The association between relative sarcopenia and mortality is attenuated in persons with higher FMI.

Indexed as

AdiposityAdultBiomarkersBody CompositionComorbidityFemaleHumansKaplan-Meier EstimateKidney Function TestsMaleMiddle AgedPublic Health SurveillanceRenal Insufficiency, ChronicSarcopeniaYoung AdultBiomarkersChronic kidney diseaseObesityRelative sarcopeniaSarcopenia

Identifiers

PMID30784237
PMCPMC6463461
OpenAlexW2917601136

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.