Evidence map›Paper›PMID 34713982›Full record

ArticleJournal of cachexia, sarcopenia and muscle2021

Adverse muscle composition predicts all-cause mortality in the UK Biobank imaging study.

Jennifer Linge, Mikael Petersson, Mikael F Forsgren, Arun J Sanyal, Olof Dahlqvist Leinhard

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT05477277 (Adverse Outcomes and Mortality in Liver Transplant), which is not on this map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing 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.

NCT05477277 narecruitingnot on this mapstarted 2022, after this paper: background citation

Adverse Outcomes and Mortality in Liver Transplant

TypeinterventionalSponsorMayo ClinicRan2022 to 2027Enrolled100ConditionsEnd Stage Liver DIsease, Sarcopenia, Sarcopenic Obesity, CirrhosisArmsMAsS
3 · Its place in the literature

Who cites it

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

  1. Pooled it
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  10. Adverse Muscle Composition Is Associated with All-Cause Mortality in CKD: A UK Biobank Imaging Study.Clinical journal of the American Society of Nephrology : CJASN · 2026
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  18. "Muscle quality": rethinking an imprecise term.European geriatric medicine · 2026
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13 more citing papers are in PubMed but not listed here.

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

5 authors.

Jennifer LingeAMRA Medical, Linköping, Sweden.ORCID 0000-0001-7399-8375
Mikael PeterssonAMRA Medical, Linköping, Sweden.
Mikael F ForsgrenAMRA Medical, Linköping, Sweden.
Arun J SanyalDepartment of Internal Medicine and Division of Gastroenterology, Hepatology and Nutrition, Virginia Commonwealth University, Richmond, VA, USA.
Olof Dahlqvist LeinhardAMRA Medical, Linköping, Sweden.

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

backgroundAdverse muscle composition (MC) as measured by magnetic resonance imaging has previously been linked to poor function, comorbidity, and increased hospitalization. The aim of this study was to investigate if adverse MC predicts all-cause mortality using data from UK Biobank.

methodsThere were 40 178 participants scanned using a 6 min magnetic resonance imaging protocol. Images were analysed for thigh fat-tissue free muscle volume and muscle fat infiltration (MFI) using AMRA® Researcher (AMRA Medical, Linköping, Sweden). For each participant, a sex, weight, and height invariant muscle volume z-score was calculated. Participants were partitioned into four MC groups: (i) normal MC, (ii) only low muscle volume [<25th percentile for muscle volume z-score (population wide)], (iii) only high MFI [>75th percentile (population wide, sex-specific)], and (iv) adverse MC (low muscle volume z-score and high MFI). Association of MC groups with mortality was investigated using Cox proportional-hazard modelling with normal MC as referent (unadjusted and adjusted for low hand grip strength, sex, age, body mass index, previous diagnosis of disease (cancer, type 2 diabetes and coronary heart disease), lifestyle, and socioeconomic factors (smoking, alcohol consumption, physical activity, and Townsend deprivation index).

resultsMuscle composition measurements were complete for 39 804 participants [52% female, mean (SD) age 64.2 (7.6) years and body mass index 26.4 (4.4) kg/m

conclusionsAdverse MC was a strong and independent predictor of all-cause mortality. Sarcopenia guidelines can be strengthened by including cut-offs for myosteatosis enabling detection of adverse MC.

Indexed as

Diabetes Mellitus, Type 2Hand StrengthBiological Specimen BanksFemaleHumansMaleMiddle AgedMuscle, SkeletalUnited KingdomFrailtyMagnetic resonance imagingMuscle fat infiltrationMyosteatosisSarcopenia

Identifiers

PMID34713982
PMCPMC8718078

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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.