Evidence map›Paper›PMID 33939328›Full record

Observational studyJournal of cachexia, sarcopenia and muscle2021

Prognostic impact of muscle and fat mass in patients with heart failure.

Masaaki Konishi, Eiichi Akiyama, Yasushi Matsuzawa, Ryosuke Sato, Shinnosuke Kikuchi, Hidefumi Nakahashi, Nobuhiko Maejima, Noriaki Iwahashi, Masami Kosuge, Toshiaki Ebina and 6 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of cachexia, sarcopenia and muscle, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
5.9field-weighted citation impact, top 3% 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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Are sarcopenia and its individual components linked to all-cause mortality in heart failure? A systematic review and meta-analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 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

16 authors at 4 institutions in 2 countries.

Masaaki KonishiDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.ORCID 0000-0002-3020-7526
Eiichi AkiyamaDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Yasushi MatsuzawaDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Ryosuke SatoDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Shinnosuke KikuchiDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Hidefumi NakahashiDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Nobuhiko MaejimaDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Noriaki IwahashiDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Masami KosugeDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Toshiaki EbinaDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Kiyoshi HibiDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Toshihiro MisumiDepartment of Biostatistics, Yokohama City University School of Medicine, Yokohama, Japan.
Stephan von HaehlingDepartment of Cardiology and Pneumology; German Center for Cardiovascular Research (DZHK), partner site Göttingen, University of Göttingen Medical Center, Göttingen, Germany.
Stefan D AnkerDepartment of Cardiology (CVK); and Berlin Institute of Health Center for Regenerative Therapies (BCRT); German Centre for Cardiovascular Research (DZHK) partner site Berlin, Charité Universitätsmedizin Berlin, Berlin, Germany.
Kouichi TamuraDepartment of Medical Science and Cardiorenal Medicine, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Kazuo KimuraDivision of Cardiology, Yokohama City University Medical Center, Yokohama, Japan.
Yokohama City University Medical Center · JPYokohama City University · JPBerlin-Brandenburger Centrum für Regenerative Therapien · DEGerman Centre for Cardiovascular Research · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCachexia, characterized by loss of muscle with or without loss of fat mass, is a poor prognostic factor in patients with heart failure (HF). However, there is limited investigation on the prognostic impact of muscle and fat mass separately in HF. We hypothesized that muscle and fat mass have different effects on the prognosis of HF.

methodsThis was an observational cohort study of 418 patients (59% were men) admitted with a diagnosis of HF (71 ± 13 years [mean ± standard deviation]), with left ventricular ejection fraction (LVEF) of 39 ± 16%, including 31.3%, 14.8%, and 53.8% of patients with preserved LVEF (LVEF ≥ 50%), mid-range LVEF (40-50%), and reduced (<40%) LVEF, respectively. Dual-energy X-ray absorptiometry was performed with the patients in the stable state after decongestion therapy.

resultsThe mean body mass index of patients was 22.1 ± 4.6 kg/m

conclusionsMore than half of the patients with HF showed reduced muscle mass. Lower values of both muscle and fat mass were associated with higher mortality in HF.

Indexed as

Heart FailureVentricular Function, LeftFemaleHumansMaleMuscle, SkeletalPrognosisStroke VolumeCachexiaFat massFrailtyHeart failureSarcopeniaSkeletal muscle

Identifiers

PMID33939328
PMCPMC8200420
OpenAlexW3158792979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.