Evidence map›Paper›PMID 40669418›Full record

Trial reportThe journal of nutrition, health & aging2025

Comparison of muscle strength and power in the short physical performance battery for predicting negative outcomes in older adults with mobility limitations.

Hélio José Coelho-Júnior, Alejandro Álvarez-Bustos, Leocadio Rodriguez-Mañas, Francesco Landi, Emanuele Marzetti

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in The journal of nutrition, health & aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02582138 (Sarcopenia and Physical fRailty IN Older People), which is not on this map. Not yet cited in PubMed.

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

NCT02582138 naunknown statusnot on this map

Sarcopenia and Physical fRailty IN Older People: Multi-componenT Treatment Strategies (SPRINTT)

TypeinterventionalSponsorCatholic University of the Sacred HeartRan2016 to 2018Enrolled1,500ConditionsSarcopeniaArmsMulticomponent intervention (MCI), Healthy Aging Lifestyle Education (HALE)
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Hélio José Coelho-JúniorFondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy; Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain; Department of Geriatrics, Hospital Universitario de Getafe, Madrid, Spain. Electronic address: coelhojunior@hotmail.com.br.
Alejandro Álvarez-BustosBiomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain; Instituto de Investigación IdiPaz, Madrid, Spain.
Leocadio Rodriguez-MañasBiomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Institute of Health Carlos III, Madrid, Spain; Department of Geriatrics, Hospital Universitario de Getafe, Madrid, Spain; Instituto de Investigación IdiPaz, Madrid, Spain.
Francesco LandiFondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy.
Emanuele MarzettiFondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Department of Geriatrics, Orthopedics and Rheumatology, Università Cattolica del Sacro Cuore, Rome, Italy. Electronic address: emanuele.marzetti@policlinicogemelli.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe present study examined sex-specific associations between Short Physical Performance Battery (SPPB) indexes operationalized according to lower limb muscle strength and power and the occurrence of negative events in older adults with mobility limitations.

designSecondary longitudinal analysis of a randomized controlled trial

settingCommunity-Dwellers.

participantsOlder adults (70+ years) with mobility limitations.

methodsParticipants completed the SPPB under standardized conditions. Muscle power measures were estimated according to results of the 5-time sit-to-stand (5STS) test using validated equations. Then, four SPPB indexes were created by replacing 5STS test results with muscle power measures. Outcomes were assessed after 24 months of randomization and included mobility disability, hospitalization, and death.

resultsData from 1,422 participants were analyzed. Cox regression models revealed sex-specific associations between SPPB variants and adverse outcomes. SPPB indexes incorporating muscle strength or power were significantly associated with mobility disability in both sexes, and with hospitalization and death in women. According to Akaike's Information Criterion, muscle power-based SPPB indexes provided the best fit for predicting negative outcomes.

conclusionsSex-specific associations exist between modified SPPB indexes and adverse outcomes in older adults with mobility limitations. Notably, SPPB variants incorporating muscle power measures demonstrated the best fit for adverse outcomes in comparison to traditional SPPB.

trial registrationClinicalTrials.gov identifier: NCT02582138 (registration date: 2015-10-08).

Indexed as

Geriatric AssessmentMobility LimitationMuscle StrengthPhysical Functional PerformanceAgedAged, 80 and overFemaleHospitalizationHumansIndependent LivingLongitudinal StudiesMaleSex FactorsDisabilityHospitalizationPhysical functionPhysical performanceSarcopenia

Identifiers

PMID40669418
PMCPMC12284505

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Registered trials

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.