Evidence map›Paper›PMID 40456518›Full record

SynthesisRenal failure2025

Effect of nutritional intervention combined with resistance exercise on clinical indicators of patients with sarcopenia in maintenance hemodialysis: a systematic review and meta-analysis.

Liping Zhang, Lijiao Yang, Xiaofei Wang, Dongliang Zhang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. 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

4 authors.

Liping ZhangDepartment of Nephrology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Lijiao YangDepartment of Nephrology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Xiaofei WangDepartment of Nephrology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Dongliang ZhangDepartment of Nephrology, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aims to evaluate the effects of exercise therapy combined with nutritional intervention on muscle strength, muscle mass, and physical function in maintenance hemodialysis (MHD) patients with sarcopenia (SP) through a systematic review and meta-analysis.

methodsWe searched multiple databases for RCTs published up to November 2024. Inclusion criteria: patients aged ≥18 with end-stage renal disease receiving MHD and diagnosed with SP; experimental group receiving combined exercise and nutrition intervention, and control group receiving either intervention alone; outcome measures including muscle strength, muscle mass, and physical function. Meta-analysis was performed using Stata 15.1.

resultsNine high-quality RCTs involving 513 MHD-SP patients (256 experimental, 257 control) were included. The combined intervention group showed significantly greater improvements in handgrip strength (WMD = 3.78, 95% CI: 2.02-5.53), leg power score (WMD = 5.52, 95% CI: 1.47-9.58), skeletal muscle index (WMD = 0.82, 95% CI: 0.62-1.03), lean body mass (WMD = 2.53, 95% CI: 0.45-4.61), walking speed (WMD = 0.11, 95% CI: 0.01-0.22), 6-minute walk test (WMD = 41.37, 95% CI: 20.16-62.58), and 30-second sit-to-stand test (WMD = 3.37, 95% CI: 1.67-5.07). Heterogeneity analysis showed I

conclusionCombined exercise therapy and nutritional intervention significantly improve muscle strength, mass, and physical function in MHD patients with sarcopenia, offering important clinical benefits.

Indexed as

Kidney Failure, ChronicRenal DialysisResistance TrainingSarcopeniaHand StrengthHumansMuscle StrengthRandomized Controlled Trials as Topichemodialysismeta-analysisnutritional interventionphysical functionResistance trainingsarcopenia

Identifiers

PMID40456518
PMCPMC12131540

What OpenQuestion holds

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LicenceCC BY-NC
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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.