Evidence map›Paper›PMID 34895316›Full record

ArticleSkeletal muscle2021

Evaluation of the mechanisms of sarcopenia in chronic inflammatory disease: protocol for a prospective cohort study.

Amritpal Dhaliwal, Felicity R Williams, Jonathan I Quinlan, Sophie L Allen, Carolyn Greig, Andrew Filer, Karim Raza, Subrata Ghosh, Gareth G Lavery, Philip N Newsome and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Skeletal 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 NCT04734496 (Evaluation of Mechanisms of Sarcopenia in Chronic Inflammatory Disease), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 30% 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.

NCT04734496 unknown statusnot on this map

Evaluation of Mechanisms of Sarcopenia in Chronic Inflammatory Disease (Chronic Liver Disease, Inflammatory Bowel Disease and Inflammatory Arthritis) Pre and Post Standard of Care Intervention; an Observational Study

TypeobservationalSponsorUniversity of BirminghamRan2019 to 2021Enrolled170ConditionsChronic Liver Disease, Rheumatoid Arthritis, Inflammatory Bowel DiseasesArmsNational Healthcare System Standard of care for each disease type (National Institute for Health and Care Excellence guidelines)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Observational
  2. Unravelling the Complexity of Sarcopenia Through a Systems Biology Approach.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. 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

15 authors at 5 institutions in 1 country.

Amritpal DhaliwalInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.ORCID 0000-0001-5919-6456
Felicity R WilliamsInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.
Jonathan I QuinlanInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.
Sophie L AllenNIHR Biomedical Research Centre (BRC), University Hospitals Birmingham and University of Birmingham, Birmingham, UK.
Carolyn GreigNIHR Biomedical Research Centre (BRC), University Hospitals Birmingham and University of Birmingham, Birmingham, UK.
Andrew FilerInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.
Karim RazaInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK.
Subrata GhoshUniversity of Hospitals of Birmingham NHS Trust, Birmingham, UK.
Gareth G LaveryNIHR Biomedical Research Centre (BRC), University Hospitals Birmingham and University of Birmingham, Birmingham, UK.
Philip N NewsomeUniversity of Hospitals of Birmingham NHS Trust, Birmingham, UK.
Surabhi ChoudharyNIHR Biomedical Research Centre (BRC), University Hospitals Birmingham and University of Birmingham, Birmingham, UK.
Leigh BreenSchool of Sport, Exercise and Rehabilitation Science, University of Birmingham, Birmingham, UK.
Matthew J ArmstrongUniversity of Hospitals of Birmingham NHS Trust, Birmingham, UK.
Ahmed M ElsharkawyUniversity of Hospitals of Birmingham NHS Trust, Birmingham, UK.
Janet M LordInstitute of Inflammation and Ageing, University of Birmingham, Birmingham, B15 2TT, UK. j.m.lord@bham.ac.uk.
University Hospitals Birmingham NHS Foundation Trust · GBArthritis UK · GBNIHR Birmingham Biomedical Research Centre · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBSandwell & West Birmingham Hospitals NHS Trust · GB

Funding

Medical Research Council MR/K00414X/1
6 · The paper itself

Abstract

backgroundSeveral chronic inflammatory diseases co-exist with and accelerate sarcopenia (reduction in muscle strength, function and mass) and negatively impact on both morbidity and mortality. There is currently limited research on the extent of sarcopenia in such conditions, how to accurately assess it and whether there are generic or disease-specific mechanisms driving sarcopenia. Therefore, this study aims to identify potential mechanisms driving sarcopenia within chronic inflammatory disease via a multi-modal approach; in an attempt to help define potential interventions for future use.

methodsThis prospective cohort study will consist of a multi-modal assessment of sarcopenia and its underlying mechanisms. Recruitment will target three chronic inflammatory diseases: chronic liver disease (CLD) (n=50), with a subset of NAFLD (n=20), inflammatory bowel disease (IBD) (n=50) and rheumatoid arthritis (RA) (n=50) both before and after therapeutic intervention. In addition, 20 age and sex matched healthy individuals will be recruited for comparison. Participants will undergo 4 assessment visits at weeks 0, 2, 12 and 24. Visits will consist of the following assessments: blood tests, anthropometrics, functional assessment, quadriceps muscle imaging, actigraphy, quality of life questionnaires, food diary collection and muscle biopsy of the vastus lateralis (at weeks 2 and 24 only). In addition, stool and urine samples will be collected for future microbiome and metabolomics analysis. DISCUSSION: This is the first study to use a multi-modal assessment model to phenotype sarcopenia in these chronic inflammatory diseases. We hope to identify generic as well as disease-specific mechanisms driving sarcopenia. We appreciate that these cohorts do require separate standards of care treatments which limit comparison between groups. ETHICS AND DISSEMINATION: The study is approved by the Health Research Authority - West Midlands Solihull Research Ethics Service Committee Authority (REC reference: 18/WM/0167). Recruitment commenced in January 2019 and will continue until July 2021. The study was halted in March 2020 and again in January 2021 with the COVID-19 pandemic. The findings will be disseminated through peer-reviewed publications and conference presentations. All data will be stored on a secure server.

trial registrationClinicalTrials.gov Identifier: NCT04734496.

Indexed as

AdultArthritis, RheumatoidCase-Control StudiesEnd Stage Liver DiseaseFemaleHumansInflammatory Bowel DiseasesMaleNon-alcoholic Fatty Liver DiseaseProspective StudiesSarcopeniaChronic liver diseaseInflammatory arthritisInflammatory bowel diseaseSarcopenia

Identifiers

PMID34895316
PMCPMC8665319
OpenAlexW4200446815

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.