Evidence map›Paper›PMID 38392575›Full record

ReviewJournal of personalized medicine2024

The Safety and Efficacy of Sodium-Glucose Cotransporter-2 Inhibitors for Patients with Sarcopenia or Frailty: Double Edged Sword?

Ayami Naito, Yuji Nagatomo, Akane Kawai, Midori Yukino-Iwashita, Ryota Nakazawa, Akira Taruoka, Asako Takefuji, Risako Yasuda, Takumi Toya, Yukinori Ikegami and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of personalized medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. The use of SGLT2 inhibitors in older people: What is important?Aging clinical and experimental research · 2025
    Review
  2. Article
  3. Article
  4. 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

13 authors at 1 institution in 1 country.

Ayami NaitoDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Yuji NagatomoDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.ORCID 0000-0002-3430-4614
Akane KawaiDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.ORCID 0009-0002-5218-7631
Midori Yukino-IwashitaDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Ryota NakazawaDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Akira TaruokaDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Asako TakefujiDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Risako YasudaDepartment of Intensive Care, National Defense Medical College, Tokorozawa 359-8513, Japan.
Takumi ToyaDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.ORCID 0000-0002-4681-2798
Yukinori IkegamiDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Nobuyuki MasakiDepartment of Intensive Care, National Defense Medical College, Tokorozawa 359-8513, Japan.
Yasuo IdoDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
Takeshi AdachiDepartment of Cardiology, National Defense Medical College, Tokorozawa 359-8513, Japan.
National Defense Medical College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sodium-glucose cotransporter-2 inhibitors (SGLT-2is) show cardiovascular protective effects, regardless of the patient's history of diabetes mellitus (DM). SGLT2is suppressed cardiovascular adverse events in patients with type 2 DM, and furthermore, SGLT-2is reduced the risk of worsening heart failure (HF) events or cardiovascular death in patients with HF. Along with these research findings, SGLT-2is are recommended for patients with HF in the latest guidelines. Despite these benefits, the concern surrounding the increasing risk of body weight loss and other adverse events has not yet been resolved, especially for patients with sarcopenia or frailty. The DAPA-HF and DELIVER trials consistently showed the efficacy and safety of SGLT-2i for HF patients with frailty. However, the Rockwood frailty index that derived from a cumulative deficit model was employed for frailty assessment in these trials, which might not be suitable for the evaluation of physical frailty or sarcopenia alone. There is no fixed consensus on which evaluation tool to use or its cutoff value for the diagnosis and assessment of frailty in HF patients, or which patients can receive SGLT-2i safely. In this review, we summarize the methodology of frailty assessment and discuss the efficacy and safety of SGLT-2i for HF patients with sarcopenia or frailty.

Indexed as

frailtyheart failuresarcopeniasodium-glucose cotransporter-2 (SGLT-2) inhibitors

Identifiers

PMID38392575
PMCPMC10890336
OpenAlexW4391252082

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.