Observational studyBMC pulmonary medicine2026
Association of muscle mass and quality with functional decline in older patients with pneumonia: single-center retrospective observational study in Japan.
Observational study in BMC pulmonary medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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
3 citing papers in PubMed.
- Possible Sex Differences in the Morphological and Functional Muscle Quality Reflected by Phase Angle: Implications for Muscle Quality Assessment.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026Article
- Association Between Computed-Tomography-Derived Erector Spinae Muscle Characteristics and Swallowing Outcomes in Older Patients with Pneumonia.Healthcare (Basel, Switzerland) · 2026Article
- Reducing the complications from community acquired pneumonia: a review.Journal of thoracic disease · 2026Review
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMuscle mass has recently been reported to be associated with survival and functional prognosis in older patients with pneumonia. However, it is unclear whether muscle quality and muscle mass affect the performance of activities of daily living (ADL) in older patients with pneumonia. Further, the impact of the overlap between muscle mass and muscle quality decline has not been established. The present study aimed to determine the effect of muscle mass and muscle quality, measured using chest computed tomography (CT), on ADL performance of older patients with pneumonia.
methodsNine hundred and twenty-two patients, diagnosed with pneumonia and admitted to Sanuki Municipal Hospital for pulmonary rehabilitation, were included. The cross-sectional area of the erector spinae muscle at the lower level of the 12th thoracic vertebra (ESM
resultsThe data of 373 participants were included in the analysis. Multiple logistic regression analysis using motor FIM effectiveness score as the dependent variable revealed that low muscle mass was still a significant independent variable after adjustment for confounding factors [odds ratio (OR), 0.43; 95% confidence interval (CI), 0.20-0.90]. The combination of low muscle mass and quality (OR, 0.14; 95% CI, 0.06-0.32) was a stronger influencing factor than low muscle mass alone.
conclusionsThe overlap of muscle mass and muscle quality loss in older patients with pneumonia markedly affects their ADL performance.
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