Evidence map›Paper›PMID 40681204›Full record

ArticleBMJ open2025

Interventions with milk proteins supplementation combined with exercise on musculoskeletal function in older adults with sarcopenia, osteoporosis and osteosarcopenia: a systematic review protocol of randomised controlled trials.

Mário Duarte Brito, Nailton José Neto, Cristiano Dos Santos Gomes, Weslley Barbosa Sales, Gerlane Coelho Bernardo Guerra, Ricardo O Guerra

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Mário Duarte BritoGraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID http://orcid.org/0009-0001-2420-6068
Nailton José NetoGraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID http://orcid.org/0000-0003-1564-328X
Cristiano Dos Santos GomesPhysical Therapy Department, University of Pernambuco, Petrolina, Pernambuco, Brazil.
Weslley Barbosa SalesGraduate Program in Physiotherapy, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID http://orcid.org/0000-0002-6553-6266
Gerlane Coelho Bernardo GuerraDepartment of Biophysics and Pharmacology, Federal University of Rio Grande do Norte, Natal, Brazil.
Ricardo O GuerraGraduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil ricardo.guerra@ufrn.br.ORCID http://orcid.org/0000-0003-3824-3713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSarcopenia, osteoporosis and osteosarcopenia are conditions prevalent in ageing that impair muscle strength and bone density, increasing the risks of fractures, falls, disability and mortality. Recent studies highlight the benefits of milk protein supplementation (MPS) combined with exercises to improve musculoskeletal health in the older population. This systematic review protocol will enable the production of a compilation of evidence that will elucidate the effects of MPS combined with aerobic exercise, resistance exercise or both on the musculoskeletal function of older individuals with these three conditions. METHODS/ANALYSIS: Studies will be selected from electronic databases, including PubMed/MEDLINE, EMBASE, Scopus, Web of Science and the Cochrane Library, without restrictions on language or publication date. The outcomes evaluated will include muscle mass, muscle strength, BMD and physical performance after combined interventions of MPS and physical exercise of any type. The risk of bias will be assessed using the Cochrane Risk of Bias 2 tool. The Grading of Recommendations Assessment, Development and Evaluation approach will be used to classify the certainty of the evidence into four levels: high, moderate, low and very low. Meta-analysis will be performed given the homogeneity of the studies, using random effects methods in the face of the expected heterogeneity. The standardised mean difference (SMD) will be used for continuous data, and the I² index will assess heterogeneity (I² > 50%). Sensitivity analysis, 'leave one out' and a strategy for dealing with missing data will be carried out. Statistical analysis will be conducted using the STATA 18 software with a 95% CI and p<0.05. The searches will be carried out from inception until August 2025. ETHICS AND DISSEMINATION: Formal ethical approval will not be required as primary data collection will not be performed. The results will be disseminated through peer-reviewed publications and presentations at conferences dedicated to the relevant field of study. PROSPERO REGISTRATION NUMBER: CRD42024555933.

Indexed as

Dietary SupplementsExerciseExercise TherapyMilk ProteinsOsteoporosisSarcopeniaAgedBone DensityHumansMuscle StrengthRandomized Controlled Trials as TopicResearch DesignResistance TrainingSystematic Reviews as TopicMilk ProteinsAgingExerciseMusculoskeletal disordersNUTRITION & DIETETICSPhysical Therapy Modalities

Identifiers

PMID40681204
PMCPMC12273066

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.