Evidence map›Paper›PMID 41169326›Full record

ArticleJTCVS open2025

Impact of excessive body fat mass on mortality after lung transplantation.

Ayako Oshima, Susumu Sato, Yohei Oshima, Daisuke Nakajima, Toyofumi F Chen-Yoshikawa, Naoya Tanabe, Masaki Ikeda, Yoshito Fujita, Keiko Wada, Hiroshi Date and 1 more

Abstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Pre-transplant HbA1c and BMI are associated with long-term survival after lung transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    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

11 authors.

Ayako OshimaDepartment of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
Susumu SatoDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Yohei OshimaRehabilitation Unit, Kyoto University Hospital, Kyoto, Japan.
Daisuke NakajimaDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Toyofumi F Chen-YoshikawaDepartment of Thoracic Surgery, Graduate School of Medicine, Nagoya University, Nagoya, Aichi, Japan.
Naoya TanabeDepartment of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masaki IkedaDepartment of Thoracic Surgery, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
Yoshito FujitaDepartment of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
Keiko WadaDepartment of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.
Hiroshi DateDepartment of Thoracic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Daisuke YabeDepartment of Metabolism and Clinical Nutrition, Kyoto University Hospital, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate whether changes in body composition up to 2 years after lung transplantation are associated with long-term prognosis. Methods: We retrospectively investigated changes in body composition and their association with mortality using a Cox proportional hazards regression model in patients who underwent lung transplantation at Kyoto University between 2013 and 2018. Body components, such as body mass index (BMI), fat-free mass index (FFMI), and body fat mass index (FMI) were obtained at discharge, 6 months, 1 year, and 2 years post-transplantation. Results: The analysis included 71 patients (39 males, mean age 48.0 years). The BMI, FFMI, and FMI increased significantly until 1 year post-transplantation. The respective distributions of each classification (low, standard, and high) for each body component at 1 year post-transplantation were as follows: BMI, 37.9%, 60.6%, and 1.5%; FFMI, 71.2%, 28.8%, and 0%; and FMI, 33.3%, 36.4%, and 30.3%. The FMI at 1 year post-transplantation was an independent factor, and the group with a high FMI at 1 year post-transplantation had significantly lower survival (hazard ratio, 5.370; 95% confidence interval, 1.396-20.660; Conclusions: After lung transplantation, the patients had increased BMI, FFMI, and FMI. The FMI increased above the reference values in an increasing number of patients, and a high FMI at 1 year post-transplantation was associated with a poor prognosis.

Indexed as

body compositionbody fatlung transplantationmortalitynutrition

Identifiers

PMID41169326
PMCPMC12570547

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Registered trials

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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.