Evidence map›Paper›PMID 40940387›Full record

Observational studyScientific reports2025

Influence of the SARS-CoV-2 pandemic and infection on musculoskeletal function.

Alonja Reiter, Alena Haack, Elina Larissa Petersen, Stefan Blankenberg, Karl-Heinz Frosch, Darius Thiesen, Johannes Keller

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03934957 (A Single Center, Prospective, Epidemiologic Cohort Study With Emphasis on Imaging to Improve the Identification of Individuals at Risk for Major Chronic Diseases and to Improve Early Diagnosis and Survival), which is not on this 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.

NCT03934957 recruitingnot on this map

A Single Center, Prospective, Epidemiologic Cohort Study With Emphasis on Imaging to Improve the Identification of Individuals at Risk for Major Chronic Diseases and to Improve Early Diagnosis and Survival

TypeobservationalSponsorUniversitätsklinikum Hamburg-EppendorfRan2016 to 2028Enrolled45,000ConditionsCoronary Heart Disease, Stroke, Dementia, Cancer
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

7 authors.

Alonja ReiterDepartment of Trauma and Orthopeadic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. a.reiter@uke.de.
Alena HaackDepartment of Cardiology, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Elina Larissa PetersenDepartment of Cardiology, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stefan BlankenbergDepartment of Cardiology, University Heart and Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Karl-Heinz FroschDepartment of Trauma and Orthopeadic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Darius ThiesenDepartment of Trauma and Orthopeadic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Johannes KellerDepartment of Trauma and Orthopeadic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. j.keller@uke.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As of September 2023, the number of SARS-CoV-2 infections worldwide has exceeded 770 million, with ongoing research recognizing its long-term health effects. This study investigates the effects of the pandemic on participants with and without SARS-CoV-2 infection on musculoskeletal status. The Hamburg City Health Study (HCHS) is an ongoing, prospective, population-based cohort study (trial registration number: NCT03934957). Participants (n = 2660) examined prior to the SARS-CoV-2 pandemic were compared with non-infected participants (n = 2660) in a 1:1 matched cohort analysis after the pandemic onset. Furthermore, participants who had recovered from a SARS-CoV-2 infection (n = 428) were compared with non-infected participants (n = 1712) in 1:4 matched cohort analysis. Increased relative fat mass and reduced skeletal muscle mass were observed in the post-pandemic group. No significant differences were observed between the groups regarding handgrip strength and timed up and go test. The comparison of the infection group with non-infected participants showed no significant differences in relative fat mass, handgrip strength and timed up and go test. The skeletal muscle mass was increased in the infection group but linear regression analysis adjusted for body surface area revealed no significant differences. This prospective study shows no association between SARS-CoV-2 infection and changes in basic musculoskeletal parameters in the cohort studied, suggesting that the infection may not be a significant cause of major deterioration in musculoskeletal function. Instead, it appears that lifestyle changes in daily routines and physical activities associated with the pandemic itself are the main influence on the musculoskeletal system.

Indexed as

COVID-19Muscle, SkeletalAdultAgedFemaleGermanyHand StrengthHumansMaleMiddle AgedPandemicsProspective StudiesMuscle qualityMuscle quantityPhysical activitySARS-CoV-2

Identifiers

PMID40940387
PMCPMC12432240

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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.