Evidence map›Paper›PMID 39992793›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Impact of Hydroxy-Methyl-Butyrate Supplementation on Malnourished Patients Assessed Using AI-Enhanced Ultrasound Imaging.

Daniel de Luis, Angela Cebria, David Primo, Sara Nozal, Olatz Izaola, Eduardo Jorge Godoy, Juan Jose Lopez Gomez

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Observational
  2. Observational
  3. 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

7 authors.

Daniel de LuisCentro de Investigación of Endocrinología, Nutrición Facultad de Medicina, Departamento de Endocrinología Nutrición Hospital Clínico, Universitario de Valladolid, Valladolid, Spain.ORCID 0000-0002-1745-9315
Angela CebriaDAWAKO Medtech SL, Parc Cientìfic de la Universitat de Valencia, Paterna, Valencia, Spain.
David PrimoCentro de Investigación of Endocrinología, Nutrición Facultad de Medicina, Departamento de Endocrinología Nutrición Hospital Clínico, Universitario de Valladolid, Valladolid, Spain.
Sara NozalDAWAKO Medtech SL, Parc Cientìfic de la Universitat de Valencia, Paterna, Valencia, Spain.
Olatz IzaolaCentro de Investigación of Endocrinología, Nutrición Facultad de Medicina, Departamento de Endocrinología Nutrición Hospital Clínico, Universitario de Valladolid, Valladolid, Spain.
Eduardo Jorge GodoyDAWAKO Medtech SL, Parc Cientìfic de la Universitat de Valencia, Paterna, Valencia, Spain.
Juan Jose Lopez GomezCentro de Investigación of Endocrinología, Nutrición Facultad de Medicina, Departamento de Endocrinología Nutrición Hospital Clínico, Universitario de Valladolid, Valladolid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the effects of an oral nutritional supplement (ONS) enriched with hydroxy-methyl-butyrate (HMB) in subjects with disease-related malnutrition (DRM) and to monitor these effects with an ultrasound Imaging System, based on artificial intelligence, in a real-world study.

methodsFifty consecutive adult patients with DRM were enrolled. The malnutrition was diagnosed by Global Leadership Initiative on Malnutrition (GLIM) criteria. For 3 months, the patients received nutritional education, and medical nutrition therapy was started with an adapted oral diet and two servings of an oral nutritional supplementation (ONS) with a hyperproteic hypercaloric formula (HMB-enriched). All patients were studied at baseline, and 3 months after intervention, with a nutritional assessment (anthropometry, bioelectrical impedanciometry [BIA], muscle ultrasonography and biochemical parameters). Ultrasound images were automatically quantified using an AI-based ultrasound imaging system.

resultsThe study included 50 patients (21 men and 29 women) with a mean age of 57.8 ± 18.1 years. Following treatment with the HMB-enriched ONS, the prevalence of sarcopenia decreased significantly (from 24% to 18%; p = 0.01) and severe malnutrition (from 14% to 2%; p = 0.01). An improvement in BIA parameters; phase angle (0.14 ± 0.02°; p = 0.02); phase angle index (0.07 ± 0.01°/m

conclusionsThe use of an HMB-enriched ONS in DRM patients, combined with AI-based ultrasound imaging for follow-up, significantly improved their nutritional status, muscle mass and muscle quality as assessed by echogenicity.

Indexed as

Artificial IntelligenceDietary SupplementsMalnutritionValeratesAdultAgedFemaleHumansMaleMiddle AgedNutrition AssessmentSarcopeniaUltrasonographybeta-hydroxyisovaleric acidValeratesartificial intelligencedisease‐related malnutrition (DRM)hydroxy‐methyl‐butyrate (HMB)oral nutritional supplement (ONS)ultrasound‐imaging

Identifiers

PMID39992793
PMCPMC11849679

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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.