Evidence map›Paper›PMID 40071679›Full record

ArticlePediatric pulmonology2025

Peripheral Muscle Function and Body Composition in People With Cystic Fibrosis on Elexacaftor/Tezacaftor/Ivacaftor: A Cross-Sectional Single-Centre Study.

Lauren J Clayton, Anthony I Shepherd, Jo Corbett, Mathieu Gruet, Gary Connett, Mark Allenby, Julian Legg, Thomas Daniels, Don S Urquhart, Zoe L Saynor

Abstract read
In one paragraph

Article in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. The role of ultrasound of the quadriceps femoris in people with cystic fibrosis: a systematic review and meta-analysis.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2026
    Pooled it
  2. Review
  3. The impact of elexacaftor-tezacaftor-ivacaftor on cardiometabolic risk factors: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  4. Review
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

10 authors.

Lauren J ClaytonSchool of Psychology, Sport and Health Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.ORCID http://orcid.org/0000-0002-4907-257X
Anthony I ShepherdSchool of Psychology, Sport and Health Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Jo CorbettSchool of Psychology, Sport and Health Science, Faculty of Science and Health, University of Portsmouth, Portsmouth, UK.
Mathieu GruetUniversité de Toulon, Toulon, France.
Gary ConnettUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Mark AllenbyUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Julian LeggUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Thomas DanielsUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.ORCID http://orcid.org/0000-0002-5249-5100
Don S UrquhartDepartment of Paediatric Respiratory and Sleep Medicine, Royal Hospital for Children and Young People, Edinburgh, Scotland, UK.
Zoe L SaynorUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.

Funding

This study was supported by Cystic Fibrosis Warriors Charity (No. 1178063).
6 · The paper itself

Abstract

backgroundPeople with cystic fibrosis (pwCF) often have multifactorial peripheral muscle abnormalities attributed to, for example, malnutrition, steroid use, altered redox balance and, potentially, CF-specific intrinsic alterations. Malnutrition in CF now includes an increasing prevalence of overweight and obesity, particularly in those receiving CF transmembrane conductance regulator (CFTR) modulator therapy (CFTRm). We aimed to characterise peripheral muscle function and body composition in pwCF on Elexacaftor/Tezacaftor/Ivacaftor (ETI) CFTRm, compared to healthy controls.

methodsFifteen pwCF on ETI, and 15 healthy age- and sex-matched controls (CON), underwent whole-body dual-energy X-ray absorptiometry scans, and a comprehensive evaluation of peripheral muscle function. Tests included quadriceps maximal isometric force measurement, an intermittent isometric quadriceps fatiguing protocol, handgrip strength dynamometry, squat jump height assessment, and 1-min sit-to-stand testing.

resultsNo significant differences in quadriceps maximal isometric force (CON: 181.60 ± 92.90 Nm vs. CF: 146.15 ± 52.48 Nm, p = 0.21, d = 0.47), handgrip strength (CON: 34 ± 15 kg vs. CF: 31 ± 11 kg, p = 0.62, d = 0.18), peripheral muscle endurance, fatigue, or power were observed between the groups. Moreover, no significant differences in whole-body, trunk or limb lean mass, fat-free mass, fat mass, or whole-body bone mineral density were evident.

conclusionComparable peripheral muscle mass and function has been demonstrated in pwCF on ETI, albeit a group with good lung function. Research is needed to confirm these findings longitudinally in pwCF, including those with more severe lung disease, who are less physically active, and have less optimal nutrition and exercise support.

Indexed as

AminophenolsBenzodioxolesBody CompositionCystic FibrosisIndolesQuinolonesAbsorptiometry, PhotonAdolescentAdultCase-Control StudiesCross-Sectional StudiesDrug CombinationsFemaleHand StrengthHumansMaleAminophenolsBenzodioxolesDrug CombinationselexacaftorIndolesivacaftorPyrazolesPyridinesPyrrolidinesQuinolonestezacaftorcystic fibrosis transmembrane conductance regulatormodulatormuscle strengthobesityskeletal muscle

Identifiers

PMID40071679
PMCPMC11898567

What OpenQuestion holds

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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.