Evidence map›Paper›PMID 31418823›Full record

ArticleJournal of the American Geriatrics Society2019

Associations between Skeletal Muscle and Myocardium in Aging: A Syndrome of "Cardio-Sarcopenia"?

Bryan M H Keng, Fei Gao, Louis L Y Teo, Wee Shiong Lim, Ru San Tan, Wen Ruan, See Hooi Ewe, Woon-Puay Koh, Angela S Koh

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT05203406 active not recruitingnot on this mapstarted 2022, after this paper: background citation

The Cardio-Sarcopenia Study

TypeobservationalSponsorNational Heart Centre SingaporeRan2022 to 2051Enrolled200ConditionsCardiac Ageing, Physical Activity, Older Adults, Sarcopenia
NCT05946174 narecruitingnot on this mapstarted 2023, after this paper: background citation

Tackling Disruptions to Frailty Interventions: Developing Personalized Interventions Targeted for Older Persons With Cardiac Frailty

TypeinterventionalSponsorNational Heart Centre SingaporeRan2023 to 2028Enrolled500ConditionsCardiovascular DiseasesArmsIntervention Set A, Intervention Set B, Intervention Set C
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  10. Effects of two-year adapted physical exercise program and nutritional counselling on cardio-sarcopenia syndrome in older adults with low muscle function.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
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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

9 authors at 4 institutions in 1 country.

Bryan M H KengNational Heart Centre Singapore, Singapore, Singapore.
Fei GaoNational Heart Centre Singapore, Singapore, Singapore.
Louis L Y TeoNational Heart Centre Singapore, Singapore, Singapore.
Wee Shiong LimInstitute of Geriatrics and Active Aging, Tan Tock Seng Hospital, Singapore, Singapore.
Ru San TanNational Heart Centre Singapore, Singapore, Singapore.
Wen RuanNational Heart Centre Singapore, Singapore, Singapore.
See Hooi EweNational Heart Centre Singapore, Singapore, Singapore.
Woon-Puay KohDuke-NUS Medical School, Singapore, Singapore.
Angela S KohNational Heart Centre Singapore, Singapore, Singapore.ORCID 0000-0001-5629-9732
Duke-NUS Medical School · SGNational Heart Centre Singapore · SGNational University of Singapore · SGTan Tock Seng Hospital · SG

Funding

Prospective studies of cancer etiology and prevention in Shanghai and SingaporeR01CA144034 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2010 to 2014
$7.0M
DIETARY FACTORS IN THE ETIOLOGY OF CANCER IN SHANGHAIR01CA043092 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI YUAN, JIAN-MIN · 1987 to 2006
$5.8M
THE SINGAPORE COHORT STUDY OF DIET AND CANCERR01CA080205 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI YUAN, JIAN-MIN · 1999 to 2009
$5.3M
Cancer epidemiology cohorts in Shanghai and Singapore UM1CA182876 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2014 to 2018
$4.3M
The Singapore Chinese Health StudyU01CA182876 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2019 to 2019
$150k
National Medical Research Council MOH-000153National Medical Research Council NMRC/TA/0031/2015NCI NIH HHS R01 CA043092NCI NIH HHS R01 CA080205NCI NIH HHS R01 CA144034NCI NIH HHS U01 CA182876NCI NIH HHS UM1 CA182876NIH HHS NIH R01 CA144034NIH HHS UM1 CA182876
6 · The paper itself

Abstract

objectivesThe link between skeletal muscle and heart disease remains intriguing. It is unknown how skeletal muscle may be associated with aspects of myocardial structure and function, particularly in the presence of aging-related sarcopenia. We hypothesize that among aging adults with sarcopenia, alterations in myocardial structure and/or function may exist, resulting in a syndrome of "cardio-sarcopenia."

methodsParticipants derived from a community cohort study underwent same-day bioimpedance body composition analysis that measured skeletal muscle in sites such as the trunk, upper limb, and lower limb, and echocardiography for assessment of myocardial structure and function. Sarcopenia was diagnosed using the Asian Working Group for Sarcopenia criteria.

resultsWe studied a total of 378 participants, of whom 88 (23.3%) had sarcopenia. Participants with sarcopenia had smaller left ventricular (LV) sizes (lower LV internal diameter end diastole (4.1 ± .7 vs 4.5 ± .6 cm; P < .0001), lower LV internal diameter end systole (2.3 ± .5 vs 2.5 ± .4 cm; P = .010), lower LV posterior wall end diastole (.7 ± .1 vs .8 ± .1 cm; P = .0036), and lower LV posterior wall end systole (1.4 ± .3 vs 1.5 ± .2 cm; P = .0031). Sarcopenic participants also had lower LV mass (106 ± 35 vs 126 ± 53; P = .0014) and lower left atrial (LA) volume (33 ± 13 vs 36 ± 13; P = .033). Adjusting for age and diabetes mellitus, skeletal muscle mass was associated with LV diameter (β = .06; 95% confidence interval [CI] = .03-.09; P < .0001), LV mass (β = 4.04; 95% CI = 1.78-6.29; P = .001), LA diameter (β = .05; 95% CI = .01-.09; P = .007), and LA volume (β = 1.26; 95% CI = .38-2.13; P = .005). A positive linear correlation was observed between LV mass and handgrip strength (r = .25; P < .0001).

conclusionAmong a community sample of older adults with preserved heart function, sarcopenia is associated with reductions in LV and LA sizes. Skeletal muscle mass was independently associated with specific indices of myocardial structure. J Am Geriatr Soc 67:2568-2573, 2019.

Indexed as

MyocardiumAgedAgingCohort StudiesEchocardiographyFemaleHeart VentriclesHumansMaleMuscle, SkeletalSarcopeniaagingcardiovascularsarcopeniaskeletal muscle mass

Identifiers

PMID31418823
PMCPMC6898740
OpenAlexW2967243766

What OpenQuestion holds

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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.