Observational studyObesity surgery2025
Predictors of Low Muscle Strength and Reduction in Fat-Free Mass in Multi-Ethnic Asian Populations Undergoing Bariatric-Metabolic Surgery.
Observational study in Obesity surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
The trial behind it
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Who cites it
1 citing paper in PubMed.
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBariatric-metabolic surgery (BMS) reduces muscle mass due to rapid weight loss. The objective is to assess the prevalence of pre-operative low muscle strength and predictors of post-operative low muscle strength in Asian populations undergoing BMS.
methodsThis observational study included BMS patients from a single centre between January 2022 and May 2024. Baseline demographics, anthropometric data and pre-operative muscle strength (via handgrip strength, 30-s and 1-min sit-to-stand-test) were collected. Low muscle strength was diagnosed using age-, sex- and ethnicity-specific cutoffs. Post-operative outcomes included hospital stay duration, 30-day adverse events, weight loss and strength at 6 months.
resultsThree hundred twenty-four participants were included (96 male, mean age 39.2 years, mean pre-op BMI 42.3), with low muscle strength observed in 162 (50%). This group had a higher pre-operative BMI compared to the normal muscle strength group (43.5 vs 41.0, p = 0.002). Indian participants had the highest prevalence of low muscle strength (p = 0.043). There were no significant differences in age, sex and biochemical markers between the groups. Post-operatively, there were no significant differences in complications and length of stay between the groups. At 6 months, 60.4% maintained muscle strength, while 14.2% showed a ≥ 10% decline. Adjusting for age, gender, pre-operative BMI and surgery type, higher pre-operative BMI was significantly associated with muscle strength drop of ≥ 10%.
conclusionsLow muscle strength was prevalent in 50% of Asian BMS candidates, with higher BMI and Indian ethnicity identified as potential associated factors. In a subset with follow-up data, higher BMI predicted strength loss ≥ 10% post-operatively. Further longitudinal studies with validated strength measures are needed to confirm these associations.
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