Evidence map›Paper›PMID 34743729›Full record

ArticleBMC pulmonary medicine2021

Disturbances in branched-chain amino acid profile and poor daily functioning in mildly depressed chronic obstructive pulmonary disease patients.

Marisa R Pinson, Nicolaas E P Deutz, Rajesh Harrykissoon, Anthony J Zachria, Mariëlle P K J Engelen

4 registry-linked trialsOpen access · goldAbstract readComparative Study
In one paragraph

Article in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT01787682 nacompletednot on this map

Metabolic and Functional Changes in Relation to Nutritional Status in Chronic Heart Failure and Chronic Obstructive Pulmonary Disorder

TypeinterventionalSponsorTexas A&M UniversityRan2012 to 2017Enrolled99ConditionsChronic Heart Failure, Chronic Obstructive Pulmonary DisorderArmsBOOST High Protein
NCT02770092 nacompletednot on this map

Anabolic Responsiveness to Protein Intake in Chronic Heart Failure and Chronic Obstructive Pulmonary Disorder

TypeinterventionalSponsorTexas A&M UniversityRan2016 to 2018Enrolled90ConditionsPulmonary Disease, Chronic Obstructive, Congestive Heart FailureArmssip feeding with stable isotope infusion
NCT02780219 nacompletednot on this map

The Effects of Acute Resistance Exercise on Protein and Amino Acid Metabolism in Chronic Obstructive Pulmonary Disease

TypeinterventionalSponsorTexas A&M UniversityRan2016 to 2020Enrolled57ConditionsPulmonary Disease, Chronic ObstructiveArmsstable amino acid infusion, acute exercise with amino acid infusion, 24-hour post exercise amino acid infusion
NCT03796455 nacompletednot on this map

Effects of Low Dose of Fish Oil (EPA+DHA) vs. Combined EPA+DHA and HMB Supplementation on Protein Metabolism, Muscle Mass and Functional Capacity in Moderate to Severe COPD

TypeinterventionalSponsorTexas A&M UniversityRan2018 to 2020Enrolled54ConditionsChronic Obstructive Pulmonary DiseaseArmsCapsule + Powder supplementation, stable tracer infusion
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Biological sex and age-associated changes in muscle and brain health in Chronic Obstructive Pulmonary Disease: A large cross-sectional study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Relationship between serum Th1/Th2 imbalance and depression in elderly patients with COPD and its clinical implications.Technology and health care : official journal of the European Society for Engineering and Medicine · 2023
    Article
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 at 2 institutions in 1 country.

Marisa R PinsonDepartment of Health and Kinesiology, Center for Translational Research in Aging and Longevity, Texas A&M University, College Station, TX, USA.
Nicolaas E P DeutzDepartment of Health and Kinesiology, Center for Translational Research in Aging and Longevity, Texas A&M University, College Station, TX, USA.
Rajesh HarrykissoonPulmonary, Critical Care and Sleep Medicine, Scott and White Medical Center, College Station, TX, USA.
Anthony J ZachriaPulmonary, Critical Care and Sleep Medicine, Scott and White Medical Center, College Station, TX, USA.
Mariëlle P K J EngelenDepartment of Health and Kinesiology, Center for Translational Research in Aging and Longevity, Texas A&M University, College Station, TX, USA. mpkj.engelen@ctral.org.
Texas A&M University · USTexas A&M Health Science Center · US

Funding

Nutritional modulation to minimize resistance exercise induced metabolic deregulations and improve training responsiveness in Chronic Obstructive Pulmonary DiseaseR56HL141744 · NHLBI · TEXAS A&M UNIVERSITY · PI DEUTZ, NICOLAAS E, ENGELEN, MARIELLE PKJ · 2019 to 2019
$757k
NHLBI NIH HHS R56 HL141744NHLBI NIH HHS R56HL141744
6 · The paper itself

Abstract

backgroundDepression is one of the most common and untreated comorbidities in chronic obstructive pulmonary disease (COPD), and is associated with poor health outcomes (e.g. increased hospitalization/exacerbation rates). Although metabolic disturbances have been suggested in depressed non-diseased conditions, comprehensive metabolic phenotyping has never been conducted in those with COPD. We examined whether depressed COPD patients have certain clinical/functional features and exhibit a specific amino acid phenotype which may guide the development of targeted (nutritional) therapies.

methodsSeventy-eight outpatients with moderate to severe COPD (GOLD II-IV) were stratified based on presence of depression using a validated questionnaire. Lung function, disease history, habitual physical activity and protein intake, body composition, cognitive and physical performance, and quality of life were measured. Comprehensive metabolic flux analysis was conducted by pulse stable amino acid isotope administration. We obtained blood samples to measure postabsorptive kinetics (production and clearance rates) and plasma concentrations of amino acids by LC-MS/MS. Data are expressed as mean [95% CI]. Stats were done by graphpad Prism 9.1.0. ɑ < 0.05.

resultsThe COPD depressed (CD, n = 27) patients on average had mild depression, were obese (BMI: 31.7 [28.4, 34.9] kg/m

conclusionMild depression in COPD is associated with poor daily performance and quality of life, and a set of metabolic changes in depressed COPD that include perturbation of large neutral amino acids, specifically the BCAAs. Trial registration clinicaltrials.gov: NCT01787682, 11 February 2013-Retrospectively registered; NCT02770092, 12 May 2016-Retrospectively registered; NCT02780219, 23 May 2016-Retrospectively registered; NCT03796455, 8 January 2019-Retrospectively registered.

Indexed as

AgedAmino Acids, Branched-ChainBody Mass IndexDepressionExerciseFemaleHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveQuality of LifeRandomized Controlled Trials as TopicRisk FactorsSurveys and QuestionnairesTexasAmino Acids, Branched-ChainBranched-chain amino acidsCOPDDepressionPhysical performance

Identifiers

PMID34743729
PMCPMC8573879
OpenAlexW3211694981

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.