Evidence map›Paper›PMID 37431714›Full record

Trial reportJournal of cachexia, sarcopenia and muscle2023

Short-term disuse does not affect postabsorptive or postprandial muscle protein fractional breakdown rates.

George F Pavis, Doaa R Abdelrahman, Andrew J Murton, Benjamin T Wall, Francis B Stephens, Marlou L Dirks

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cachexia, sarcopenia and muscle, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07690150 (A Novel Angle), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 7% 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.

NCT07690150 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Novel Angle: Manipulating Knee Position to Understand Muscle Deterioration During Leg Immobilization

TypeinterventionalSponsorWageningen UniversityRan2026 to 2028Enrolled30ConditionsMuscle Atrophy, Disuse Atrophy, ImmobilizationArmsKnee immobilization brace (0°) for 5 days, Knee immobilization brace (60°) for 5 days
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Anabolic Effects of Salbutamol Are Lost Upon Immobilization.Journal of cachexia, sarcopenia and muscle · 2025
    Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Review
  9. Skeletal muscle dysfunction with advancing age.Clinical science (London, England : 1979) · 2024
    Review
  10. Review
  11. Article
  12. 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

6 authors at 2 institutions in 3 countries.

George F PavisNutritional Physiology Research Group, Public Health & Sport Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Doaa R AbdelrahmanDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Andrew J MurtonDepartment of Surgery, University of Texas Medical Branch, Galveston, TX, USA.
Benjamin T WallNutritional Physiology Research Group, Public Health & Sport Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Francis B StephensNutritional Physiology Research Group, Public Health & Sport Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.
Marlou L DirksNutritional Physiology Research Group, Public Health & Sport Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, UK.ORCID 0000-0002-9189-1042
University of Exeter · GBThe University of Texas Medical Branch at Galveston · US

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
NIA NIH HHS P30 AG024832
6 · The paper itself

Abstract

backgroundThe decline in postabsorptive and postprandial muscle protein fractional synthesis rates (FSR) does not quantitatively account for muscle atrophy during uncomplicated, short-term disuse, when atrophy rates are the highest. We sought to determine whether 2 days of unilateral knee immobilization affects mixed muscle protein fractional breakdown rates (FBR) during postabsorptive and simulated postprandial conditions.

methodsTwenty-three healthy, male participants (age: 22 ± 1 year; height: 179 ± 1 cm; body mass: 73.4 ± 1.5 kg; body mass index 22.8 ± 0.5 kg·m

resultsAmino acid infusion rapidly increased plasma phenylalanine (59 ± 9%), leucine (76 ± 5%), isoleucine (109 ± 7%) and valine (42 ± 4%) concentrations in FED only (all P < 0.001), which was sustained for the remainder of infusion. Serum insulin concentrations peaked at 21.8 ± 2.2 mU·L

conclusionsWe conclude that merely 2 days of leg immobilization does not modulate postabsorptive and simulated postprandial muscle protein breakdown rates. Instead, under these conditions the muscle negative muscle protein balance associated with brief periods of experimental disuse is driven near exclusively by reduced basal muscle protein synthesis rates and anabolic resistance to amino acid administration.

Indexed as

Muscle ProteinsPostprandial PeriodAdultHumansImmobilizationMaleMuscle, SkeletalMuscular AtrophyYoung AdultMuscle ProteinsAmino acidsImmobilizationMuscle disuse atrophyMuscle protein breakdownProtein synthesis

Identifiers

PMID37431714
PMCPMC10570083
OpenAlexW4383872487

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.