Evidence map›Paper›PMID 37754965›Full record

ReviewJournal of functional morphology and kinesiology2023

Effects of Exercise, Rehabilitation, and Nutritional Approaches on Body Composition and Bone Density in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis.

Natascia Rinaldo, Alba Pasini, Sofia Straudi, Giovanni Piva, Anna Crepaldi, Andrea Baroni, Lorenzo Caruso, Fabio Manfredini, Nicola Lamberti

Open access · goldAbstract readReview
In one paragraph

Review in Journal of functional morphology and kinesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Trial
  2. 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

9 authors at 1 institution in 2 countries.

Natascia RinaldoDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0002-6972-3085
Alba PasiniDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0002-1658-7112
Sofia StraudiDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0002-2061-9922
Giovanni PivaDoctoral Program in Environmental Sustainability and Wellbeing, Department of Humanities, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0002-6341-0555
Anna CrepaldiUnit of Nephrology, University Hospital of Ferrara, 44124 Ferrara, Italy.
Andrea BaroniDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0002-8681-3090
Lorenzo CarusoDepartment of Environment and Prevention Sciences, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-9895-3990
Fabio ManfrediniDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0001-9476-6434
Nicola LambertiDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44124 Ferrara, Italy.ORCID 0000-0001-5763-3069
University of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

People with multiple sclerosis (pwMS) are affected by a wide range of disabilities, including a decrease in bone mineral density (BMD) and a worsening of body composition (BC), which negatively impact their quality of life quality. This study aims to analyze the effects of nonpharmacological interventions-in particular, physical activity, nutritional approaches, and rehabilitation-on BC and BMD in pwMS. This systematic review and meta-analysis was performed following the updated version of the PRISMA guidelines. In July 2022, five databases (MEDLINE, Embase, The Cochrane Library, Google Scholar, Web of Science) and gray literature were screened. Relevant articles published between 1 January 1990 and 1 September 2022 in any language were included. Outcomes of interest were anthropometric, BC measures, and BMD. The RoB 2.0 tool was used to assess the risk of bias. After duplicates elimination, 1120 records were screened, and 36 studies were included. A total of 25 articles were focused on physical activity and rehabilitation, 10 on nutrition, and 1 on multimodal intervention. One-third of the studies were judged to be at high risk of bias. The meta-analysis showed a high degree of heterogeneity due to the high variability in disease severity and intervention duration, intensity, frequency, and type. In general, no intervention showed consistent positive effects on BC. However, the most promising interventions seemed to be high-intensity training and ketogenic diets. Only a few studies considered BMD, and the results are inconsistent. Nevertheless, more studies are needed in order to confirm these results.

Indexed as

body compositionbone mineral densityexercise and rehabilitationmultiple sclerosisnonpharmacological treatmentsnutritional interventions

Identifiers

PMID37754965
PMCPMC10532597
OpenAlexW4386601153

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.