Evidence map›Paper›PMID 34371911›Full record

Observational studyNutrients2021

Muscle Thickness and Echogenicity Measured by Ultrasound Could Detect Local Sarcopenia and Malnutrition in Older Patients Hospitalized for Hip Fracture.

Alejandro Sanz-Paris, Mikel González-Fernandez, Luis Enrique Hueso-Del Río, Eduardo Ferrer-Lahuerta, Alejandra Monge-Vazquez, Francisco Losfablos-Callau, Teresa Sanclemente-Hernández, Alejandro Sanz-Arque, Jose Miguel Arbones-Mainar

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.0field-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.

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

37 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Observational
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  4. Article
  5. Muscle Ultrasound Echo Intensity Detects Insulin Resistance Before Changes in HbAJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2026
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  7. Review
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  11. Muscle Ultrasound: A Novel Noninvasive Tool for Early Detection of Developing Insulin Resistance and Lower Muscle Mass in Obesity.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025
    Article
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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.

Alejandro Sanz-ParisDepartment of Endocrinology and Nutrition, Miguel Servet Hospital, 50009 Zaragoza, Spain.ORCID 0000-0002-7758-3588
Mikel González-FernandezDepartment of Endocrinology and Nutrition, Miguel Servet Hospital, 50009 Zaragoza, Spain.
Luis Enrique Hueso-Del RíoDepartment of Internal Medicine, Miguel Servet Hospital, 50009 Zaragoza, Spain.
Eduardo Ferrer-LahuertaDepartment of Radiology and Ultrasound, Miguel Servet Hospital, 50009 Zaragoza, Spain.
Alejandra Monge-VazquezDepartment of Traumatology and Orthopedics, Miguel Servet Hospital, 50009 Zaragoza, Spain.
Francisco Losfablos-CallauDepartment of Endocrinology and Nutrition, Miguel Servet Hospital, 50009 Zaragoza, Spain.
Teresa Sanclemente-HernándezNutrition Department, Zaragoza University, 5009 Zaragoza, Spain.
Alejandro Sanz-ArqueCentro de Salud Santa Ana, 31500 Tudela, Spain.
Jose Miguel Arbones-MainarCentro de Investigación Biomédica en Red Fisiopatología Obesidad y Nutricion (CIBERObn), Instituto Salud Carlos III, 28029 Madrid, Spain.ORCID 0000-0002-8982-3737
Hospital Universitario Miguel Servet · ESSpanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESDepartamento de Salud · ESUniversidad de Zaragoza · ES

Funding

Fundacion Miguel Servet. 12221
6 · The paper itself

Abstract

backgroundThe aim of this work was to assess whether the muscle thickness and echogenicity were associated with dysphagia, malnutrition, sarcopenia, and functional capacity in acute hospital admission for a hip fracture.

methodsObservational study that assessed nutritional status by Global Leadership Initiative on Malnutrition, risk of dysphagia and sarcopenia by European Working Group on Sarcopenia in Older People and Barthel functional index. We measured muscle thickness and echogenicity of masseter, bicipital, and quadriceps rectus femoris (RF) and vastus intermedius (VI) by ultrasound.

resultsOne hundred and one patients were included in the study (29.7% sarcopenia and 43.8% malnutrition). Logistic regression models adjusted for age, sex, and body mass index showed an inverse association of the masseter thickness with both sarcopenia (OR: 0.56) and malnutrition (OR: 0.38) and quadriceps with sarcopenia (OR: 0.74). In addition, patients at high risk of dysphagia had lower masseter thickness (

conclusionThickness of the masseter was associated with risk of dysphagia, biceps with the ability to self-feed, and that of the quadriceps RF-VI with mobility.

Indexed as

Body CompositionHospitalizationNutritional StatusUltrasonographyAgedAged, 80 and overAge FactorsCross-Sectional StudiesFemaleFunctional StatusHip FracturesHumansInpatientsMaleMalnutritionMuscle, Skeletalhip fracturemalnutritionregional sarcopeniaultrasound

Identifiers

PMID34371911
PMCPMC8308882
OpenAlexW3182703654

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.