Evidence map›Paper›PMID 30947558›Full record

ArticleIntegrative cancer therapies

Influence of Hemoglobin Level on Muscle and Physical Functions, Activities of Daily Living, and Quality of Life in Patients With Hematological Malignancies.

Takuya Fukushima, Jiro Nakano, Shun Ishii, Ayumi Natsuzako, Haruna Kawachi, Junya Sakamoto, Yasushi Miyazaki, Minoru Okita

Abstract read
In one paragraph

Article in Integrative cancer therapies. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Nutrition and Handgrip Strength Among Adults in Rural Matlab, Bangladesh.American journal of human biology : the official journal of the Human Biology Council · 2026
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  6. Anemia, as an adverse event during chemoradiotherapy for head and neck cancer, contributes to a reduction in swallowing muscle mass and leads to dysphagia.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  9. Correlates and predictors of sarcopenia among men with metastatic castrate-resistant prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
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  10. Article
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  12. Article
  13. Quality of life of patients with hematological malignancies and factors affecting health state utility values.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  14. Article
  15. Rehabilitation program combining physical exercise and heart rate variability biofeedback in hematologic patients: a feasibility study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  16. Article
  17. Article
  18. Article
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

8 authors.

Takuya Fukushima1 Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.ORCID 0000-0001-7075-9264
Jiro Nakano1 Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Shun Ishii2 Nagasaki University Hospital, Nagasaki, Japan.
Ayumi Natsuzako2 Nagasaki University Hospital, Nagasaki, Japan.
Haruna Kawachi3 Saga-ken Medical Center Koseikan, Saga, Japan.
Junya Sakamoto1 Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Yasushi Miyazaki4 Department of Hematology, Atomic Bomb Disease and Hibakusha Medicine Unit, NagasakiUniversity Graduate School of Biomedical Sciences, Nagasaki, Japan.
Minoru Okita1 Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with hematological malignancies often present with reduced muscle and physical functions, which are caused by the disease or related treatment. Moreover, patients with hematological malignancies rapidly develop low hemoglobin levels, and this may affect muscle and physical functions. This study aimed to identify the influence of hemoglobin levels on muscle and physical functions in patients with hematological malignancies.

methodsUsing a cross-sectional study design, this study included 60 patients with hematological malignancies (mean age = 68.0 ± 10.2 years, women 56.7%) who were hospitalized for chemotherapy- and radiotherapy-related side effects and underwent examination for skeletal muscle mass (SMM), muscle strength, physical function, activities of daily living (ADLs), psychological status, and quality-of-life (QOL), including physical symptoms. Participants were divided into 3 groups according to tertiles of hemoglobin levels: low (n = 19), middle (n = 20), and high (n = 21). Evaluation items were compared among the 3 groups.

resultsThere was no significant difference among the 3 groups in terms of SMM. The low hemoglobin group showed significantly higher values of fatigue and dyspnea and lower values of muscle strength, ADLs, and QOL than the high hemoglobin group.

conclusionsHemoglobin levels did not affect SMM; however, muscle weakness, decrease in physical function, physical symptoms such as fatigue and dyspnea, and decline in ADLs and QOL were observed in patients with low hemoglobin levels.

Indexed as

Activities of Daily LivingAgedCross-Sectional StudiesDyspneaExerciseFatigueFemaleHand StrengthHematologic NeoplasmsHemoglobinsHumansMaleMuscle, SkeletalMuscle StrengthQuality of LifeHemoglobinsanemiahematologic malignancyhemoglobin levelmuscle functionphysical function

Identifiers

PMID30947558
PMCPMC6452594

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Registered trials

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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.