Evidence map›Paper›PMID 41355722›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Thoracic Skeletal Muscle and Exercise Capacity in Adults With Congenital Heart Disease: A Cross-Sectional Imaging Analysis.

Jacob D Steffen, Seth Garton, Ravi Ashwath, Jennifer R Maldonado, Krista Young, Colleen Lancial, Osamah Aldoss, Prashob Porayette

Abstract read
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Article in Journal of cachexia, sarcopenia and muscle, 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

8 authors.

Jacob D SteffenDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Seth GartonDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Ravi AshwathDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Jennifer R MaldonadoMedical College of Wisconsin, Children's Wisconsin, Milwaukee, Wisconsin, USA.
Krista YoungDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Colleen LancialDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Osamah AldossDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Prashob PorayetteDivision of Pediatric Cardiology, Department of Pediatrics, Stead Family Children's Hospital, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0001-9078-5128

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe growing population of adults with congenital heart disease (ACHD) faces lifelong morbidities despite advancements in medical and surgical care. Sarcopenia, characterized by loss of muscle mass and strength, is linked to increased disability, poor quality of life and mortality. This study examines sex-specific thoracic skeletal muscle characteristics in ACHD patients using advanced imaging techniques, comparing them with healthy reference values and investigating their association with exercise capacity. MATERIAL AND

methodsIn this single-centre retrospective study, ACHD patients (age 18-50 years) who underwent both cardiopulmonary exercise tests and thoracic CT/MRI within a year were included. Skeletal muscle area (SMA) was manually measured and compared with healthy reference data.

resultsAmong 60 ACHD patients (mean age 28.3 ± 8.3 years; 48% females), males exhibited significantly lower SMA (T10: 116.8 ± 24.6 cm

conclusionsAbnormal skeletal muscle parameters observed on thoracic cross-sectional imaging are associated with diminished exercise capacity in ACHD patients. Assessment of thoracic skeletal muscle characteristics may enable early detection of muscle loss, providing valuable insights into the complex factors contributing to exercise limitations in this population.

Indexed as

Exercise ToleranceHeart Defects, CongenitalMuscle, SkeletalAdolescentAdultCross-Sectional StudiesExercise TestFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultACHDcongenital heart diseaseexercisesarcopeniaskeletal muscle

Identifiers

PMID41355722
PMCPMC12683296

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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.