Sarcopenia and Nutritional Status in a Rehabilitation Setting

NCT ID: NCT04791540

Last Updated: 2025-08-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

30 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-06-09

Study Completion Date

2025-12-31

Brief Summary

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In this pilot observational study the primary outcome is to assess, in a Respiratory Rehabilitation Unit, if there is an association between sarcopenia, assessed by handgrip strenght and BIA, and a delayed decannulation time in patients who underwent tracheostomy.

Secondary outcomes are to assess if there is an association between an increased malnutrition risk (assessed by MUST), a poor nutritional status (assessed by GLIM criteria) and a delayed decannulation time and the gut microbiota composition.

Detailed Description

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Conditions

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Sarcopenia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with trachestomy

Patients, attending a respiratory rehabilitation program, who underwent tracheostomy decannulation

handgrip strenght

Intervention Type DIAGNOSTIC_TEST

Muscle strenght measured with a handheld dynamometer, at admission (T0) and at decannulation time (T1)

Bioelectrical Impedance Analysis (BIA)

Intervention Type DIAGNOSTIC_TEST

Muscle mass evaluated by Bioelectrical Impedance Analysis (BIA), at admission (T0) and at decannulation time (T1)

MUST

Intervention Type DIAGNOSTIC_TEST

Malnutrition risk assessed by Malnutrition Universal Screening Tool (MUST), at admission (T0) and at decannulation time (T1)

GLIM

Intervention Type DIAGNOSTIC_TEST

Malnutrition diagnosis performed by Global Leadership Initiative on Malnutrition (GLIM) criteria, at admission (T0) and at decannulation time (T1)

Gut microbiota

Intervention Type BIOLOGICAL

A fecal sample obtained at admission (T0) and at decannulation time (T1)

Blood Sample

Intervention Type BIOLOGICAL

A Blood sample obtained at admission (T0) and at decannulation time (T1)

Anthropometric measures

Intervention Type OTHER

Measurement of weight and height (assessed only at admission) to calculate the Body Mass Index (BMI), at admission (T0) and at decannulation time (T1)

Interventions

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handgrip strenght

Muscle strenght measured with a handheld dynamometer, at admission (T0) and at decannulation time (T1)

Intervention Type DIAGNOSTIC_TEST

Bioelectrical Impedance Analysis (BIA)

Muscle mass evaluated by Bioelectrical Impedance Analysis (BIA), at admission (T0) and at decannulation time (T1)

Intervention Type DIAGNOSTIC_TEST

MUST

Malnutrition risk assessed by Malnutrition Universal Screening Tool (MUST), at admission (T0) and at decannulation time (T1)

Intervention Type DIAGNOSTIC_TEST

GLIM

Malnutrition diagnosis performed by Global Leadership Initiative on Malnutrition (GLIM) criteria, at admission (T0) and at decannulation time (T1)

Intervention Type DIAGNOSTIC_TEST

Gut microbiota

A fecal sample obtained at admission (T0) and at decannulation time (T1)

Intervention Type BIOLOGICAL

Blood Sample

A Blood sample obtained at admission (T0) and at decannulation time (T1)

Intervention Type BIOLOGICAL

Anthropometric measures

Measurement of weight and height (assessed only at admission) to calculate the Body Mass Index (BMI), at admission (T0) and at decannulation time (T1)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Signed informed consent from patients or legal guardians for patients unfit to plead
* Presence of tracheostomy at admission

Exclusion Criteria

* Refusal
* Pregnancy
* Pace maker/implantable cardioverter
* No legal guardians for patients unfit to plead
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Florence

OTHER

Sponsor Role collaborator

Fondazione Don Carlo Gnocchi Onlus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chiara F Gheri, MD

Role: PRINCIPAL_INVESTIGATOR

Fondazione Don Carlo Gnocchi Onlus

Locations

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Fondazione Don Carlo Gnocchi

Florence, Italy, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Chiara F Gheri, MD

Role: CONTACT

00390557393612

Facility Contacts

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Chiara F Gheri, MD

Role: primary

00390557393612

References

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Cederholm T, Jensen GL, Correia MITD, Gonzalez MC, Fukushima R, Higashiguchi T, Baptista G, Barazzoni R, Blaauw R, Coats AJS, Crivelli AN, Evans DC, Gramlich L, Fuchs-Tarlovsky V, Keller H, Llido L, Malone A, Mogensen KM, Morley JE, Muscaritoli M, Nyulasi I, Pirlich M, Pisprasert V, de van der Schueren MAE, Siltharm S, Singer P, Tappenden K, Velasco N, Waitzberg D, Yamwong P, Yu J, Van Gossum A, Compher C; GLIM Core Leadership Committee, GLIM Working Group. GLIM criteria for the diagnosis of malnutrition - A consensus report from the global clinical nutrition community. J Cachexia Sarcopenia Muscle. 2019 Feb;10(1):207-217. doi: 10.1002/jcsm.12383.

Reference Type BACKGROUND
PMID: 30920778 (View on PubMed)

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyere O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M; Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019 Jul 1;48(4):601. doi: 10.1093/ageing/afz046. No abstract available.

Reference Type BACKGROUND
PMID: 31081853 (View on PubMed)

Kyle UG, Bosaeus I, De Lorenzo AD, Deurenberg P, Elia M, Manuel Gomez J, Lilienthal Heitmann B, Kent-Smith L, Melchior JC, Pirlich M, Scharfetter H, M W J Schols A, Pichard C; ESPEN. Bioelectrical impedance analysis-part II: utilization in clinical practice. Clin Nutr. 2004 Dec;23(6):1430-53. doi: 10.1016/j.clnu.2004.09.012.

Reference Type BACKGROUND
PMID: 15556267 (View on PubMed)

Kutsukutsa J, Mashamba-Thompson TP, Saman Y. Tracheostomy decannulation methods and procedures in adults: a systematic scoping review protocol. Syst Rev. 2017 Dec 4;6(1):239. doi: 10.1186/s13643-017-0634-0.

Reference Type BACKGROUND
PMID: 29202866 (View on PubMed)

Ticinesi A, Nouvenne A, Cerundolo N, Catania P, Prati B, Tana C, Meschi T. Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia. Nutrients. 2019 Jul 17;11(7):1633. doi: 10.3390/nu11071633.

Reference Type BACKGROUND
PMID: 31319564 (View on PubMed)

Toptas M, Yalcin M, Akkoc I, Demir E, Metin C, Savas Y, Kalyoncuoglu M, Can MM. The Relation between Sarcopenia and Mortality in Patients at Intensive Care Unit. Biomed Res Int. 2018 Feb 12;2018:5263208. doi: 10.1155/2018/5263208. eCollection 2018.

Reference Type BACKGROUND
PMID: 29789798 (View on PubMed)

Prado CM, Purcell SA, Alish C, Pereira SL, Deutz NE, Heyland DK, Goodpaster BH, Tappenden KA, Heymsfield SB. Implications of low muscle mass across the continuum of care: a narrative review. Ann Med. 2018 Dec;50(8):675-693. doi: 10.1080/07853890.2018.1511918. Epub 2018 Sep 12.

Reference Type BACKGROUND
PMID: 30169116 (View on PubMed)

Other Identifiers

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SARCOBIA1_FDG

Identifier Type: -

Identifier Source: org_study_id

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