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SarcopeniaNCT04791540

Sarcopenia and Nutritional Status in a Rehabilitation Setting

An observational study of Sarcopenia, run by Fondazione Don Carlo Gnocchi ETS at 1 site in Italy.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Sarcopenia
What is being tested?
handgrip strenght, Bioelectrical Impedance Analysis (BIA) and MUST
How many people
30 participants
Where
1 siteItaly
Study dates
9 Jun 2021to 31 Dec 2025
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who underwent tracheostomy before admission, attending a rehabilitation program

Who may be able to join

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

Who cannot join

  • Refusal
  • Pregnancy
  • Pace maker/implantable cardioverter
  • No legal guardians for patients unfit to plead

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Chiara F Gheri, MD contact

00390557393612

cgheri@dongnocchi.it

Italy1 site, 1 recruiting
  • Fondazione Don Carlo Gnocchi

    Florence, Italy, 50143

    Chiara F Gheri, MD, 00390557393612, cgheri@dongnocchi.it

    Recruiting

Other trials in Italy

About this study

Official title: Observational Pilot Study in Patients Who Underwent Tracheostomy: Sarcopenia Assessment by Handgrip Strenght and BIA. Association to Malnutrion Risk, Nutritional Status, Gut Microbioma and Decannulation Time.

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.

Conditions
Sarcopenia
Being tested
handgrip strenght, Bioelectrical Impedance Analysis (BIA), MUST, GLIM, Gut microbiota
Keywords
handgrip strenght, bioelectrical impedance analysis (BIA), respiratory rehabilitation, tracheostomy decannulation, gut microbiota, GLIM criteria, MUST
Medical subject headings
Sarcopenia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • handgrip strenghtDiagnostic test

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

  • Bioelectrical Impedance Analysis (BIA)Diagnostic test

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

  • MUSTDiagnostic test

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

  • GLIMDiagnostic test

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

  • Gut microbiotaBiological

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

  • Blood SampleBiological

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

  • Anthropometric measuresOther

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

Study groups in NCT04791540
Study groupRoleWhat they receive
Patients with trachestomyPatients, attending a respiratory rehabilitation program, who underwent tracheostomy decannulation
Receives: Diagnostic Test: handgrip strenght; Diagnostic Test: Bioelectrical Impedance Analysis (BIA); Diagnostic Test: MUST; Diagnostic Test: GLIM; Biological: Gut microbiota; Biological: Blood Sample; Other: Anthropometric measures

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from admission in muscle mass at decannulation time

    Measurement of muscle mass with Bioelectrical Impedance Analysis (BIA).

    Measured: Respiratory Rehabilitation Unit admission (T0) and decannulation time (T1), an average of 10 days

  2. Change from admission in hangrip strenght at decannulation time

    Measurement of handgrip strenght with a handheld dynamometer. Male cut-off: <27 Kg Female cut-off: <16 Kg

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

Secondary outcomes (21)
  1. Change from admission in Body Mass Index (BMI) score at decannulation time

    Measurement of height and weight to get a BMI score (weight/(height^2). BMI <18.5 Kg/m^2: underweight BMI 18.5-24.9 Kg/m^2: normal range BMI 25.0-29.9 Kg/m^2: overweight BMI 30.0-34.9 Kg/m^2 obese class I BMI 35.0-39.9 Kg/m^2 obese class II BMI >= 40 Kg/m^2 obese class III

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  2. Change from admission in Malnutrition Universal Screening Tool (MUST) score at decannulation time

    MUST is a screening tool to identify adults who are malnourished, at risk of malnutrition or obese.

    score 0: low risk score 1: medium risk score 2 or more: high risk

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  3. Change from admission in nutritional status at decannulation time

    Global Leadership Initiative on Malnutrition (GLIM) criteria are 5 diagnostic criteria to assess malnutrition that include 3 phenotypic (weight loss, low body mass index and reduced muscle mass) and 2 etiologic (reduced food intake/assimilation, and inflammation/disease burden) criteria.

    To diagnose malnutrition at least 1 phenotypic criterion and 1 etiologic criterion should be present.

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  4. Change from admission in Gut Microbiota (GM) composition at decannulation time

    Gut Microbiota (GM) composition

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  5. Protein C reactive (PCR)

    Change from admission in Protein C reactive (PCR) at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  6. Lymphocyte count

    Change from admission in lymphocyte count at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  7. Creatinine

    Change from admission in creatinine at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  8. Creatine Poshokinase

    Change from admission in creatine poshokinase at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  9. Total serum protein

    Change from admission in total serum protein at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  10. Albumin

    Change from admission in albumin at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  11. Vitamin (25OH) D

    Change from admission in vitamin (25OH) D at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  12. Selenium

    Change from admission in selenium at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  13. Leptin

    Change from admission in leptin at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  14. Uric Acid

    Change from admission in uric acid at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  15. Magnesium

    Change from admission in magnesium at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  16. Growth Hormone (GH)

    Change from admission in growth hormone at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  17. Insuline-like Growth Factor-1 (IGF-1)

    Change from admission in Insuline-like Growth Factor-1 (IGF-1) at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  18. Dehydroepiandrosterone (DHEA)

    Change from admission in dehydroepiandrosterone (DHEA) at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  19. Testosterone

    Change from admission in testosterone at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  20. Pro-inflammatory cytokine interleukin IL-6

    Change from admission in pro-inflammatory cytokine interleukinIL-6 at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

  21. Tumor Necrosis Factor-α (TNF-α)

    Change from admission in Tumor Necrosis Factor-α (TNF-α) at decannulation time

    Measured: Respiratory Rehabiliation Unit admission (T0) and decannulation time (T1), an average of 10 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2021
  2. Study start9 Jun 2021
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04791540
Sponsor's protocol ID
SARCOBIA1_FDG
Status last verified
Aug 2025
First submitted
22 Feb 2021
Last updated
28 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 30920778
  • 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.

    PubMed 31081853
  • 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.

    PubMed 15556267
  • 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.

    PubMed 29202866
  • 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.

    PubMed 31319564
  • 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.

    PubMed 29789798
  • 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.

    PubMed 30169116

Questions about this trial

What is this clinical trial studying?

An observational study of Sarcopenia, run by Fondazione Don Carlo Gnocchi ETS at 1 site in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 28 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Chiara F Gheri, MD (00390557393612, cgheri@dongnocchi.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from admission in muscle mass at decannulation time (time frame: Respiratory Rehabilitation Unit admission (T0) and decannulation time (T1), an average of 10 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04791540, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2025.

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