Evidence map›Paper›PMID 39016102›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2024

Skeletal Muscle Composition, Power, and Mitochondrial Energetics in Older Men and Women With Knee Osteoarthritis.

Giovanna Distefano, Stephanie Harrison, John Lynch, Thomas M Link, Philip A Kramer, Sofhia V Ramos, Theresa Mau, Paul M Coen, Lauren M Sparks, Bret H Goodpaster and 3 more

Abstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Intramuscular Fat Infiltration and Knee Osteoarthritis: A Systematic Review and Meta-Analysis.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Pooled it
  2. Trial
  3. Article
  4. MFAP5iScience · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
  11. Knee Health Is a Major Determinant of Mobility Across the Healthspan.Journal of functional morphology and kinesiology · 2025
    Review
  12. Article
  13. What Is 'Muscle Health'? A Narrative Review and Conceptual Framework.Journal of functional morphology and kinesiology · 2025
    Review
  14. Article
  15. Article
  16. 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.

Giovanna DistefanoAdventHealth Orlando, Orlando, Florida.ORCID https://orcid.org/0000-0003-1208-5008
Stephanie HarrisonCalifornia Pacific Medical Center Research Institute, San Francisco.
John LynchUniversity of California, San Francisco.
Thomas M LinkUniversity of California, San Francisco.
Philip A KramerWake Forest University, Winston Salem, North Carolina.
Sofhia V RamosAdventHealth Orlando, Orlando, Florida.
Theresa MauCalifornia Pacific Medical Center Research Institute, San Francisco.
Paul M CoenAdventHealth Orlando, Orlando, Florida.
Lauren M SparksAdventHealth Orlando, Orlando, Florida.
Bret H GoodpasterAdventHealth Orlando, Orlando, Florida.
Peggy M CawthonUniversity of California, San Francisco.
Jane A CauleyUniversity of Pittsburgh, Pittsburgh, Pennsylvania.
Nancy E LaneUC Davis Health, Sacramento, California.ORCID https://orcid.org/0000-0001-7578-8603

Funding

Study of Muscle, Mobility and Aging: SOMMA2R01AG059416 · NIA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI STEVEN RON CUMMINGS, Peggy Mannen Cawthon · 2018 to 2026
$70.3M
Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Denise Kathryn Houston · 2002 to 2026
$36.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Skeletal Biology and Biomechanics (SBB) CoreP30AR075055 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EDWARD C HSIAO · 2019 to 2026
$7.1M
The Study of Muscle, Mobility and Aging with Knee OAR01AG070647 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Nancy E Lane · 2021 to 2026
$2.5M
National Center for Advancing Translational Sciences at Wake Forest University UL10TR001420NCATS NIH HHS UL1 TR001420NIA Claude D. Pepper Older American Independence Centers at University of Pittsburgh P30AG021332NIA Claude D. Pepper Older American Independence Centers at Wake Forest University P30AG021332NIAMS NIH HHS P30 AR075055NIA NIH HHS P30 AG021332NIA NIH HHS R01 AG059416NIA NIH HHS R01AG059416NIA NIH HHS R01 AG070647NIH HHS R01AG070647
6 · The paper itself

Abstract

objectiveOur objective was to investigate the overall and sex-specific relationships between the presence and severity of knee osteoarthritis (KOA) and muscle composition, power, and energetics in older adults.

methodsMale and female patients (n = 655, mean ± SD age 76.1 ± 4.9 years; 57% female) enrolled in the Study of Muscle, Mobility, and Aging completed standing knee radiographs and knee pain assessments. Participants were divided into three groups using Kellgren-Lawrence grade (KLG) of KOA severity (0-1, 2, or 3-4). Outcome measures included whole-body muscle mass, thigh fat-free muscle (FFM) volume and muscle fat infiltration (MFI), leg power, specific power (power normalized to muscle volume), and muscle mitochondrial energetics.

resultsOverall, the presence and severity of KOA is associated with greater MFI, lower leg power and specific power, and reduced oxidative phosphorylation (P trend < 0.036). Sex-specific analysis revealed reduced energetics only in female patients with KOA (P trend < 0.007) compared to female patients without KOA. In models adjusted for age, sex, race, nonsteroidal anti-inflammatory drug administration, site or technician, physical activity, height, and participants with abdominal adiposity with KLG 3 to 4 had greater MFI (mean 0.008%, 95% confidence interval [CI] 0.004%-0.011%) and lower leg power (mean -51.56 W, 95% CI -74.03 to -29.10 W) and specific power (mean -5.38 W/L, 95% CI -7.31 to -3.45 W/L) than those with KLG 0 to 1. No interactions were found between pain and KLG status. Among those with KOA, MFI and oxidative phosphorylation were associated with thigh FFM volume, leg power, and specific power.

conclusionMuscle health is associated with the presence and severity of KOA and differs by sex. Although muscle composition and power are lower in both male and female patients with KOA, regardless of pain status, mitochondrial energetics is reduced only in female patients.

Indexed as

Muscle, SkeletalOsteoarthritis, KneeSeverity of Illness IndexAgedAged, 80 and overEnergy MetabolismFemaleHumansMaleMitochondria, MuscleMuscle StrengthOxidative PhosphorylationSex Factors

Identifiers

PMID39016102
PMCPMC11605275

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Registered trials

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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.