{"id":"https://openalex.org/W2106527281","doi":null,"title":"The complexity of treating wasting in ambulatory rehabilitation: Is it starvation, sarcopenia, cachexia or a combination of these conditions?","display_name":"The complexity of treating wasting in ambulatory rehabilitation: Is it starvation, sarcopenia, cachexia or a combination of these conditions?","publication_year":2012,"publication_date":"2012-01-01","ids":{"openalex":"https://openalex.org/W2106527281","mag":"2106527281","pmid":"https://pubmed.ncbi.nlm.nih.gov/22705428"},"language":"en","primary_location":{"id":"pmid:22705428","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22705428","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asia Pacific journal of clinical nutrition","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040347898","display_name":"Alison Yaxley","orcid":"https://orcid.org/0000-0001-9808-4748","observed_orcids":["https://orcid.org/0000-0001-9808-4748"]},"institutions":[{"id":"https://openalex.org/I169541294","display_name":"Flinders University","ror":"https://ror.org/01kpzv902","country_code":"AU","type":"education","lineage":["https://openalex.org/I169541294"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Alison Yaxley","raw_affiliation_strings":["Rehabilitation and Aged Care, Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rehabilitation and Aged Care, Clinical Effectiveness, Flinders University, Adelaide, South Australia, Australia","institution_ids":["https://openalex.org/I169541294"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5067220398","display_name":"Michelle Miller","orcid":"https://orcid.org/0000-0002-4435-4148","observed_orcids":["https://orcid.org/0000-0002-4435-4148"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Michelle D Miller","raw_affiliation_strings":["College of Nursing and Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"College of Nursing and Health Sciences","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006311706","display_name":"Robert J. Fraser","orcid":"https://orcid.org/0000-0001-9667-3864","observed_orcids":["https://orcid.org/0000-0001-9667-3864"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert J Fraser","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052292208","display_name":"Lynne Cobiac","orcid":"https://orcid.org/0000-0003-4792-8562","observed_orcids":["https://orcid.org/0000-0003-4792-8562"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lynne Cobiac","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5015970177","display_name":"Maria Crotty","orcid":"https://orcid.org/0000-0002-2996-5135","observed_orcids":["https://orcid.org/0000-0002-2996-5135"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maria Crotty","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.226,"has_fulltext":false,"cited_by_count":22,"citation_normalized_percentile":{"value":0.76331482,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"21","issue":"3","first_page":"386","last_page":"93"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11358","display_name":"Dysphagia Assessment and Management","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3616","display_name":"Speech and Hearing"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10858","display_name":"Clinical Nutrition and Gastroenterology","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/starvation","display_name":"starvation","score":0.8149999976158142},{"id":"https://openalex.org/keywords/sarcopenia","display_name":"sarcopenia","score":1.0},{"id":"https://openalex.org/keywords/cachexia","display_name":"cachexia","score":1.0},{"id":"https://openalex.org/keywords/outpatient-rehabilitation","display_name":"outpatient rehabilitation","score":0.9419999718666077},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9110000133514404},{"id":"https://openalex.org/keywords/nutritional-status","display_name":"nutritional status","score":0.8450000286102295},{"id":"https://openalex.org/keywords/fat-free-mass-index","display_name":"fat-free mass index","score":0.9639999866485596},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.8820000290870667},{"id":"https://openalex.org/keywords/muscle-strength","display_name":"muscle strength","score":0.652999997138977},{"id":"https://openalex.org/keywords/physical-functioning","display_name":"physical function","score":0.8339999914169312},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.8939999938011169},{"id":"https://openalex.org/keywords/self-rated-health","display_name":"self-rated health","score":0.9480000138282776},{"id":"https://openalex.org/keywords/nutritional-support","display_name":"nutritional support","score":0.7609999775886536},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.7860000133514404}],"concepts":[{"id":"https://openalex.org/C2779764123","wikidata":"https://www.wikidata.org/wiki/Q7972881","display_name":"Wasting","level":2,"score":0.9440708160400391},{"id":"https://openalex.org/C2776214593","wikidata":"https://www.wikidata.org/wiki/Q1787939","display_name":"Sarcopenia","level":2,"score":0.911136269569397},{"id":"https://openalex.org/C2777704314","wikidata":"https://www.wikidata.org/wiki/Q6003455","display_name":"Cachexia","level":3,"score":0.8720095157623291},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.7424352169036865},{"id":"https://openalex.org/C2780606744","wikidata":"https://www.wikidata.org/wiki/Q853930","display_name":"Starvation","level":2,"score":0.7032872438430786},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6773993968963623},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.6516337394714355},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.488869845867157},{"id":"https://openalex.org/C2777328239","wikidata":"https://www.wikidata.org/wiki/Q7423605","display_name":"Sarcopenic obesity","level":3,"score":0.45316898822784424},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.41058987379074097},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.3788512945175171},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.3512858748435974},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.19350329041481018}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001294","descriptor_name":"Attitude to Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001823","descriptor_name":"Body Composition","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002097","descriptor_name":"C-Reactive Protein","qualifier_ui":"Q000032","qualifier_name":"analysis","is_major_topic":false},{"descriptor_ui":"D002100","descriptor_name":"Cachexia","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D002100","descriptor_name":"Cachexia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D002100","descriptor_name":"Cachexia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D002100","descriptor_name":"Cachexia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D003937","descriptor_name":"Diagnosis, Differential","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012047","descriptor_name":"Rehabilitation Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013021","descriptor_name":"South Australia","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013217","descriptor_name":"Starvation","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D013217","descriptor_name":"Starvation","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D013217","descriptor_name":"Starvation","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D013217","descriptor_name":"Starvation","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D015992","descriptor_name":"Body Mass Index","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019282","descriptor_name":"Wasting Syndrome","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D019282","descriptor_name":"Wasting Syndrome","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D052097","descriptor_name":"Quadriceps Muscle","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D053580","descriptor_name":"Muscle Strength","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055948","descriptor_name":"Sarcopenia","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D055948","descriptor_name":"Sarcopenia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D055948","descriptor_name":"Sarcopenia","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D055948","descriptor_name":"Sarcopenia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:22705428","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22705428","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Asia Pacific journal of clinical nutrition","raw_type":"Journal Article"},{"id":"mag:2106527281","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/22705428","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W60276389","https://openalex.org/W222924238","https://openalex.org/W613953456","https://openalex.org/W1490104269","https://openalex.org/W1544359545","https://openalex.org/W1578200161","https://openalex.org/W1824929487","https://openalex.org/W1847168837","https://openalex.org/W1955421468","https://openalex.org/W1967032380","https://openalex.org/W1971672774","https://openalex.org/W1975824222","https://openalex.org/W1985168785","https://openalex.org/W1994876744","https://openalex.org/W1999415703","https://openalex.org/W1999893606","https://openalex.org/W2003064100","https://openalex.org/W2015823237","https://openalex.org/W2016965180","https://openalex.org/W2031400976","https://openalex.org/W2037377025","https://openalex.org/W2039490723","https://openalex.org/W2061933138","https://openalex.org/W2063690006","https://openalex.org/W2070317712","https://openalex.org/W2073430561","https://openalex.org/W2093006750","https://openalex.org/W2093621293","https://openalex.org/W2100952437","https://openalex.org/W2102359276","https://openalex.org/W2102902846","https://openalex.org/W2115815975","https://openalex.org/W2127835340","https://openalex.org/W2128862218","https://openalex.org/W2130431850","https://openalex.org/W2142238675","https://openalex.org/W2152406066","https://openalex.org/W2154394704","https://openalex.org/W2156749471","https://openalex.org/W2163219160","https://openalex.org/W2197311367"],"related_works":["https://openalex.org/W2105418374","https://openalex.org/W7100509610","https://openalex.org/W7021255924","https://openalex.org/W2156749471","https://openalex.org/W2160464127","https://openalex.org/W2753990483","https://openalex.org/W2251705796","https://openalex.org/W3116654399","https://openalex.org/W3214708825","https://openalex.org/W4396869868"],"abstract_inverted_index":{"Nutritional":[0],"status":[1],"is":[2],"often":[3],"impaired":[4],"in":[5,228,231,239],"ambulatory":[6,41,233],"rehabilitation":[7,42,63,99],"patients.":[8],"Wasting":[9],"conditions":[10],"can":[11],"be":[12,251],"classified":[13],"as":[14,113,130,134,139,153,167,216],"starvation,":[15],"sarcopenia":[16,80,207],"or":[17,53,116],"cachexia":[18,89,220],"but":[19],"differences":[20],"between":[21],"these":[22],"are":[23],"not":[24],"well":[25],"defined,":[26],"and":[27,57,72,85,88,94,107,132,145,149,159,185,253],"misdiagnosis":[28],"may":[29],"lead":[30],"to":[31,48,245],"inappropriate":[32,255],"intervention.":[33],"A":[34],"secondary":[35],"analysis":[36,241],"of":[37,136,150,178,188,200,248],"data":[38],"from":[39],"187":[40],"patients":[43,50,249],"aged":[44],">=60":[45],"years":[46],"aimed":[47],"identify":[49],"with":[51,123,173,197,219],"one":[52,115],"more":[54,117],"wasting":[55,118,202],"condition,":[56],"investigate":[58],"the":[59,73],"impact":[60],"on":[61,75],"common":[62],"outcomes.":[64],"Starvation":[65],"was":[66],"defined":[67],"by":[68,81,90],"fat-free":[69,82,91],"mass":[70,83,92],"index":[71,84,93],"Council":[74],"Nutrition":[76],"Appetite":[77],"Questionnaire":[78],"score;":[79],"quadriceps":[86],"strength;":[87],"serum":[95],"C-reactive":[96],"protein.":[97],"Selected":[98],"outcomes":[100],"were":[101,110,127,147,161,165],"compared":[102],"for":[103],"those":[104,108,121,137,151,196,218],"who":[105,109,205],"were,":[106],"not,":[111],"identified":[112,122,129,138,152,166,238],"having":[114,168],"condition.":[119,203],"Of":[120],"starvation":[124,144,158,174],"(n=30),":[125],"all":[126,160,169],"also":[128],"sarcopenic":[131,140],"20":[133,156],"cachectic;":[135,148],"(n=75),":[141],"30":[142],"had":[143,157,175,206,208],"37":[146],"cachectic":[154],"(n=37),":[155],"sarcopenic.":[162],"Twenty":[163],"participants":[164],"three":[170],"conditions.":[171],"Those":[172,204],"higher":[176],"level":[177],"depression":[179],"(p=0.003),":[180],"lower":[181,186,209],"self-rated":[182],"health":[183],"(p=0.032),":[184],"levels":[187],"physical":[189,210],"function":[190,211],"(motor":[191,212,221],"p=0.006;":[192],"process":[193,214,223],"p=0.004)":[194],"than":[195],"no":[198],"evidence":[199],"a":[201],"p=0.012;":[213],"p=0.003)":[215],"did":[217],"p=0.025;":[222],"p=0.042).":[224],"Results":[225],"suggest":[226],"problems":[227],"operationalising":[229],"definitions":[230],"an":[232],"clinical":[234],"setting.":[235],"The":[236],"overlap":[237],"this":[240],"suggests":[242],"that":[243],"up":[244],"40%":[246],"(75/187)":[247],"could":[250],"misidentified":[252],"prescribed":[254],"nutritional":[256],"support.":[257]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":4},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":3}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
