Evidence map›Paper›PMID 31129793›Full record

ArticleClinical rheumatology2020

Malnutrition, associated clinical factors, and depression in systemic sclerosis: a cross-sectional study.

İpek Türk, Nihan Cüzdan, Volkan Çiftçi, Didem Arslan, Muharrem Cem Doğan, İlker Unal

Abstract read
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In one paragraph

Article in Clinical rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  14. Socialize, Eat More, and Feel Better: Communal Eating in Acute Neurological Care.American journal of physical medicine & rehabilitation · 2023
    Article
  15. Micronutrient Deficiencies in Systemic Sclerosis: A Scoping Review.Open access rheumatology : research and reviews · 2022
    Article
  16. Diet in Scleroderma: Is There a Need for Intervention?Diagnostics (Basel, Switzerland) · 2021
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

İpek TürkDepartment of Internal Medicine, Division of Rheumatology, Cukurova University School of Medicine, Adana, Turkey. sanlisoyturk@yahoo.com.
Nihan CüzdanDepartment of Physical Medicine and Rehabilitation, Division of Rheumatology, Cukurova University School of Medicine, Adana, Turkey.
Volkan ÇiftçiFaculty of Dentistry, Department of Pediatric Dentistry, Çukurova University, Adana, Turkey.
Didem ArslanDepartment of Internal Medicine, Division of Rheumatology, Cukurova University School of Medicine, Adana, Turkey.
Muharrem Cem DoğanFaculty of Dentistry, Department of Pediatric Dentistry, Çukurova University, Adana, Turkey.
İlker UnalDepartment of Biostatistics, Çukurova University, Adana, Turkey.
Cukurova University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this study was to evaluate the associations between malnutrition and the clinical features of the disease and depression in patients with systemic sclerosis (SSc).

methodPatients with SSc who were followed up in our clinic were enrolled in the study. Malnutrition risk was assessed using the Malnutrition Universal Screening Tool (MUST). Skin involvement was assessed using the modified Rodnan skin score (mRSS) and interincisal distance (ID) measurements were used to assess the maximal mouth opening capacity. The Beck Depression Inventory (BDI) was used for measuring the severity of depression.

resultsNinety-eight patients with SSc (84.7% women; mean age 52.67 ± 11.26 years) were included in the study. According to the MUST scores, 61.2%, 15.3%, and 23.5% of patients had low, medium, and high risk for malnutrition, respectively. The mRSS was significantly higher in the group with high malnutrition risk compared with low-risk group (p = 0.014). Malnutrition risk was associated with interstitial lung disease and bowel involvement (p = 0.044 and p = 0.021, respectively). Interincisal distance was lower in the group with high malnutrition risk compared with the low-risk group (p = 0.003). Malnutrition risk was higher in patients who had mild-to-severe depressive symptoms than in those without (p = 0.012). Interincisal distance and bowel involvement were the most relevant factors for malnutrition.

conclusionsThe risk of malnutrition is increased in patients with SSc. In our study, microstomia and bowel involvement were the most relevantly associated factors with malnutrition. KEY POINTS: • The risk of malnutrition is increased in patients with systemic sclerosis (SSc). • Microstomia and bowel involvement are found to be the most important factors associated with malnutrition. • Depressive symptoms are seen frequently among patients with SSc, and depression seems to be one of the etiologic factors or the result of malnourishment in SSc. • Assessment of nutritional status and the presence of depression should be a part of routine clinical visits of patients with SSc.

Indexed as

AdultCross-Sectional StudiesDepressionFemaleHumansLogistic ModelsMaleMalnutritionMiddle AgedNutritional StatusPsychiatric Status Rating ScalesRisk FactorsScleroderma, SystemicSeverity of Illness IndexDepressionGastrointestinal involvementInterincisal distanceMalnutritionSystemic sclerosis

Identifiers

PMID31129793
OpenAlexW2946155777

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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.