{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T16:03:17Z","timestamp":1784822597951,"version":"3.55.0"},"reference-count":60,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Sarcopenia and malnutrition may contribute to persistent functional vulnerability after lung transplantation, yet their prevalence using actual criteria, relationship and clinical correlates remain incompletely defined. Methods: Ninety-nine adult lung transplant recipients (Ltx) were included in the study during their routine follow-up. Sarcopenia was defined using EWGSOP2 criteria, integrating muscle strength, dual-energy X-ray absorptiometry-derived appendicular lean mass, and physical performance. Malnutrition was assessed using GLIM criteria before transplantation and at follow-up. Clinical, nutritional, biological, body-composition, and pulmonary-function variables were compared according to sarcopenia status. Results: Sarcopenia was identified in 17 recipients (17.2%), including 12 (12.1%) with severe sarcopenia. Malnutrition was frequent before transplantation and persisted at follow-up, affecting 52 of 98 recipients (53.1%) before transplantation and 23 of 99 recipients (23.2%) after transplantation. Sarcopenia was related to underlying diseases leading to transplantation (mainly COPD and ILD) and sarcopenic Ltx were older (66.1 \u00b1 6.7 vs. 57.7 \u00b1 12.6 years; p = 0.05), had greater smoking exposure (38.2 \u00b1 25.6 vs. 22.2 \u00b1 20.2 pack-years; p = 0.02) and prednisone dose (13.5 \u00b1 8.1 vs. 8.9 \u00b1 2.7 mg\/day; p = 0.001). Despite a trend towards lower albuminemia (40.5 \u00b1 4.7 vs. 42.1 \u00b1 4.3 g\/L; p = 0.07), malnutrition was not associated with sarcopenia status. Lung function improved substantially after transplantation, with mean FEV1 increasing from 25.7 \u00b1 16.6% to 82.0 \u00b1 25.4% predicted at assessment (p &lt; 0.001); however, FEV1 at assessment did not differ considering sarcopenia status. Conclusions: In lung transplant recipients, EWGSOP2-defined sarcopenia was common and largely uncaptured by BMI, malnutrition status, routine biomarkers, adiposity indices, or spirometry recovery. Malnutrition was reduced by personalized nutritional support but persisted in many patients, supporting more systematic muscle-health and nutritional assessment to allow reduced post-transplant morbidity.<\/jats:p>","DOI":"10.3390\/nu18152410","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T15:05:42Z","timestamp":1784819142000},"page":"2410","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Clinical Correlates of Sarcopenia and Malnutrition in Lung Transplant Recipients Using EWGSOP2 and GLIM Criteria"],"prefix":"10.3390","volume":"18","author":[{"given":"Ioana","family":"Muller","sequence":"first","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Blaess","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margherita","family":"Giannini","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camille","family":"Daeffler","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Strasbourg Lung Transplant Program, University Hospital of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2084-9996","authenticated-orcid":false,"given":"Veronique","family":"Vincent","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3557-2642","authenticated-orcid":false,"given":"Anne-Laure","family":"Charles","sequence":"additional","affiliation":[{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6807-8582","authenticated-orcid":false,"given":"Marianne","family":"Riou","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Enache","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7914-7616","authenticated-orcid":false,"given":"Emmanuel","family":"Andr\u00e8s","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University Hospital of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Charloux","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3492-9486","authenticated-orcid":false,"given":"Benjamin","family":"Renaud-Picard","sequence":"additional","affiliation":[{"name":"Department of Pulmonology, Strasbourg Lung Transplant Program, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Inserm UMR 1260 \u201cNanom\u00e9decine Regenerative\u201d, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5824-6359","authenticated-orcid":false,"given":"Bernard","family":"Geny","sequence":"additional","affiliation":[{"name":"Department of Physiology and Functional Explorations, University Hospital of Strasbourg, 67000 Strasbourg, France"},{"name":"Biomedicine Research Center of Strasbourg (CRBS), UR 3072, \u201cMitochondria, Oxidative Stress and Muscle Plasticity\u201d, Faculty of Medicine, University of Strasbourg, 67000 Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2636","DOI":"10.1016\/S0140-6736(19)31138-9","article-title":"Sarcopenia","volume":"393","author":"Sayer","year":"2019","journal-title":"Lancet"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1002\/jcsm.12783","article-title":"Global Prevalence of Sarcopenia and Severe Sarcopenia: A Systematic Review and Meta-Analysis","volume":"13","author":"Balntzi","year":"2022","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1002\/jcsm.12600","article-title":"Diagnosis, Prevalence, and Clinical Impact of Sarcopenia in COPD: A Systematic Review and Meta-Analysis","volume":"11","author":"Osadnik","year":"2020","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1002\/jcsm.12587","article-title":"Sarcopenia and Peripheral Arterial Disease: A Systematic Review","volume":"11","author":"Pizzimenti","year":"2020","journal-title":"J. Cachexia Sarcopenia Muscle"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1016\/j.healun.2024.04.069","article-title":"Alterations in the Sarcopenia Index Are Associated with Inflammation, Gut, and Oral Microbiota among Heart Failure, Left Ventricular Assist Device, and Heart Transplant Patients","volume":"43","author":"Yuzefpolskaya","year":"2024","journal-title":"J. Heart Lung Transplant."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"956","DOI":"10.3748\/wjg.v30.i8.956","article-title":"Prevalence and Clinical Impact of Sarcopenia in Liver Transplant Recipients: A Meta-Analysis","volume":"30","author":"Jiang","year":"2024","journal-title":"World J. Gastroenterol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1111\/ajt.16934","article-title":"Revision of Frailty Assessment in Kidney Transplant Recipients: Replacing Unintentional Weight Loss with CT-Assessed Sarcopenia in the Physical Frailty Phenotype","volume":"22","author":"Chen","year":"2022","journal-title":"Am. J. Transplant."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1464","DOI":"10.1513\/AnnalsATS.202007-796OC","article-title":"Construct and Predictive Validity of Sarcopenia in Lung Transplant Candidates","volume":"18","author":"Maheshwari","year":"2021","journal-title":"Ann. Am. Thorac. Soc."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"522","DOI":"10.3348\/kjr.2018.0241","article-title":"Association of Chest CT-Based Quantitative Measures of Muscle and Fat with Post-Lung Transplant Survival and Morbidity: A Single Institutional Retrospective Cohort Study in Korean Population","volume":"20","author":"Cho","year":"2019","journal-title":"Korean J. Radiol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"106926","DOI":"10.1016\/j.rmed.2022.106926","article-title":"Clinical Assessment of Scannographic Markers for Sarcopenia in Lung Transplant Candidates","volume":"201","author":"Zappella","year":"2022","journal-title":"Respir. Med."},{"key":"ref_11","first-page":"547","article-title":"Handgrip Strength in Lung Transplant Candidates and Recipients","volume":"21","author":"Polastri","year":"2023","journal-title":"Exp. Clin. Transplant."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2183","DOI":"10.1097\/TP.0000000000001754","article-title":"Evaluation of Skeletal Muscle Function in Lung Transplant Candidates","volume":"101","author":"Rozenberg","year":"2017","journal-title":"Transplantation"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1111\/ctr.12683","article-title":"Pre-Transplant Wasting (as Measured by Muscle Index) Is a Novel Prognostic Indicator in Lung Transplantation","volume":"30","author":"Kelm","year":"2016","journal-title":"Clin. Transplant."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"e13182","DOI":"10.1111\/ctr.13182","article-title":"The Sarcopenia Index: A Novel Measure of Muscle Mass in Lung Transplant Candidates","volume":"32","author":"Kashani","year":"2018","journal-title":"Clin. Transplant."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.athoracsur.2015.10.041","article-title":"Core Muscle Size Predicts Postoperative Outcome in Lung Transplant Candidates","volume":"101","author":"Weig","year":"2016","journal-title":"Ann. Thorac. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.athoracsur.2018.10.006","article-title":"Sarcopenia of the Psoas Muscles Is Associated with Poor Outcomes Following Lung Transplantation","volume":"107","author":"Hsu","year":"2019","journal-title":"Ann. Thorac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1093\/ageing\/afz046","article-title":"Sarcopenia: Revised European Consensus on Definition and Diagnosis","volume":"48","author":"Bahat","year":"2019","journal-title":"Age Ageing"},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Cala\u00f1as-Continente, A., Guti\u00e9rrez-Botella, J., Garc\u00eda-Curr\u00e1s, J., Cobos, M.J., Vaquero, J.M., Herrera, A., Molina, M.J., and G\u00e1lvez, M.\u00c1. (2024). Global Leadership Initiative on Malnutrition-Diagnosed Malnutrition in Lung Transplant Candidates. Nutrients, 16.","DOI":"10.20944\/preprints202401.0363.v1"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Weber Gulling, M., Schaefer, M., Bishop-Simo, L., and Keller, B.C. (2019). Optimizing Nutrition Assessment to Create Better Outcomes in Lung Transplant Recipients: A Review of Current Practices. Nutrients, 11.","DOI":"10.20944\/preprints201911.0013.v1"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"517","DOI":"10.5500\/wjt.v6.i3.517","article-title":"Physical Rehabilitation for Lung Transplant Candidates and Recipients: An Evidence-Informed Clinical Approach","volume":"6","author":"Wickerson","year":"2016","journal-title":"World J. Transplant."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2684","DOI":"10.21037\/jtd.2017.07.85","article-title":"Outcomes after Lung Transplantation","volume":"9","author":"Thabut","year":"2017","journal-title":"J. Thorac. Dis."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.clnu.2018.08.002","article-title":"GLIM Criteria for the Diagnosis of Malnutrition\u2014A Consensus Report from the Global Clinical Nutrition Community","volume":"38","author":"Cederholm","year":"2019","journal-title":"Clin. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Nikkuni, E., Hirama, T., Hayasaka, K., Kumata, S., Kotan, S., Watanabe, Y., Oishi, H., Niikawa, H., Kohzuki, M., and Okada, Y. (2021). Recovery of Physical Function in Lung Transplant Recipients with Sarcopenia. BMC Pulm. Med., 21.","DOI":"10.1186\/s12890-021-01442-5"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1111\/tri.13749","article-title":"Clinical Outcomes Associated with Computed Tomography-Based Body Composition Measures in Lung Transplantation: A Systematic Review","volume":"33","author":"Rozenberg","year":"2020","journal-title":"Transpl. Int."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1016\/j.healun.2014.06.003","article-title":"Sarcopenia in Lung Transplantation: A Systematic Review","volume":"33","author":"Rozenberg","year":"2014","journal-title":"J. Heart Lung Transplant."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1275","DOI":"10.1111\/j.1600-6143.2008.02209.x","article-title":"Skeletal Muscle Force and Functional Exercise Tolerance before and after Lung Transplantation: A Cohort Study","volume":"8","author":"Maury","year":"2008","journal-title":"Am. J. Transplant."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1164\/rccm.201405-0973OC","article-title":"Body Composition and Mortality after Adult Lung Transplantation in the United States","volume":"190","author":"Singer","year":"2014","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1626","DOI":"10.1016\/j.athoracsur.2019.01.007","article-title":"Effect of Sarcopenic Overweight on Lung Transplant Based in Three-Dimensional Reconstructed Psoas Muscle Mass","volume":"107","author":"Suh","year":"2019","journal-title":"Ann. Thorac. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Levy, D., Giannini, M., Oulehri, W., Riou, M., Marcot, C., Pizzimenti, M., Debrut, L., Charloux, A., Geny, B., and Meyer, A. (2022). Long Term Follow-Up of Sarcopenia and Malnutrition after Hospitalization for COVID-19 in Conventional or Intensive Care Units. Nutrients, 14.","DOI":"10.3390\/nu14040912"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e944420","DOI":"10.12659\/AOT.944420","article-title":"One-Year Mortality After Lung Transplantation: Experience of a Single French Center Between 2012 and 2021","volume":"29","author":"Hoang","year":"2024","journal-title":"Ann. Transplant."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.atssr.2022.11.005","article-title":"Sarcopenia Predicts Outcomes After Lung Transplantation in Older Lung Transplant Candidates","volume":"1","author":"Hu","year":"2023","journal-title":"Ann. Thorac. Surg. Short Rep."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2503","DOI":"10.1093\/rheumatology\/keae207","article-title":"Sarcopenia Assessed by DXA and Hand-Grip Dynamometer: A Potential Marker of Damage, Disability and Myokines Imbalance in Inflammatory Myopathies","volume":"63","author":"Giannini","year":"2024","journal-title":"Rheumatology"},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Sun, Y., Zhang, L., Cai, H., and Chen, Y. (2022). Editorial: Osteoporosis, Sarcopenia and Muscle-Bone Crosstalk in COPD. Front. Physiol., 13.","DOI":"10.3389\/fphys.2022.1040693"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1113\/expphysiol.2012.069468","article-title":"Skeletal Muscle Mitochondrial Dysfunction during Chronic Obstructive Pulmonary Disease: Central Actor and Therapeutic Target","volume":"98","author":"Meyer","year":"2013","journal-title":"Exp. Physiol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"33","DOI":"10.14336\/AD.2022.0603","article-title":"Skeletal Muscle Mitochondrial Dysfunction in Chronic Obstructive Pulmonary Disease: Underlying Mechanisms and Physical Therapy Perspectives","volume":"14","author":"Wang","year":"2023","journal-title":"Aging Dis."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"240126","DOI":"10.1183\/16000617.0126-2024","article-title":"Sarcopenia in Interstitial Lung Disease","volume":"33","author":"Sheehy","year":"2024","journal-title":"Eur. Respir. Rev."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Riou, M., Pizzimenti, M., Enache, I., Charloux, A., Canuet, M., Andres, E., Talha, S., Meyer, A., and Geny, B. (2020). Skeletal and Respiratory Muscle Dysfunctions in Pulmonary Arterial Hypertension. J. Clin. Med., 9.","DOI":"10.3390\/jcm9020410"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1016\/j.jbspin.2010.02.025","article-title":"Glucocorticoid-Induced Myopathy","volume":"78","author":"Pereira","year":"2011","journal-title":"Jt. Bone Spine"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1016\/j.biocel.2013.05.036","article-title":"Glucocorticoid-Induced Skeletal Muscle Atrophy","volume":"45","author":"Schakman","year":"2013","journal-title":"Int. J. Biochem. Cell Biol."},{"key":"ref_40","first-page":"423","article-title":"Corticosteroids and Muscle Wasting: Role of Transcription Factors, Nuclear Cofactors, and Hyperacetylation","volume":"13","author":"Hasselgren","year":"2010","journal-title":"Curr. Opin. Clin. Nutr. Metab. Care"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.puhe.2021.01.017","article-title":"Relationship between Smoking and the Incidence of Sarcopenia: The SarcoPhAge Cohort","volume":"193","author":"Locquet","year":"2021","journal-title":"Public Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.2147\/COPD.S456451","article-title":"Risk Factors of Sarcopenia in COPD Patients: A Meta-Analysis","volume":"19","author":"Zhou","year":"2024","journal-title":"Int. J. Chronic Obstr. Pulm. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/j.1749-6632.2012.06532.x","article-title":"Sarcopenia and Smoking: A Possible Cellular Model of Cigarette Smoke Effects on Muscle Protein Breakdown","volume":"1259","author":"Rom","year":"2012","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2901","DOI":"10.1113\/JP275888","article-title":"Cigarette Smoke Directly Impairs Skeletal Muscle Function through Capillary Regression and Altered Myofibre Calcium Kinetics in Mice","volume":"596","author":"Nogueira","year":"2018","journal-title":"J. Physiol."},{"key":"ref_45","first-page":"ivag135","article-title":"Association between Pre-Transplant Psoas Sarcopenia and Perioperative Outcomes in Lung Transplant Recipients: A Single-Center Retrospective Cohort Study","volume":"41","author":"Vaillant","year":"2026","journal-title":"Interdiscip. Cardiovasc. Thorac. Surg."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1016\/j.jtcvs.2025.03.030","article-title":"Prognostic Impact of Low Muscle Mass on Clinical Outcomes in Patients Who Undergo Lung Transplant","volume":"170","author":"Park","year":"2025","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.apmr.2008.07.010","article-title":"Can the Six-Minute Walk Test Predict Peak Oxygen Uptake in Men with Heart Transplant?","volume":"90","author":"Doutreleau","year":"2009","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"2521","DOI":"10.1016\/j.clnu.2021.02.047","article-title":"A GLIMmer of Insight into Lung Transplant Nutrition: Enhanced Detection of Malnutrition in Lung Transplant Patients Using the GLIM Criteria","volume":"40","author":"Emsley","year":"2021","journal-title":"Clin. Nutr."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"e574","DOI":"10.1097\/TXD.0000000000001028","article-title":"Evaluation of Malnutrition Risk in Lung Transplant Candidates Using the Nutritional Risk Index","volume":"6","author":"Chohan","year":"2020","journal-title":"Transplant. Direct"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.yclnex.2019.06.002","article-title":"Optimization of Nutritional Management of Patients Awaiting Lung Transplant at the Strasbourg University Hospitals","volume":"27","author":"Boura","year":"2019","journal-title":"Clin. Nutr. Exp."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.athoracsur.2020.08.014","article-title":"Nutritional Risk Index: A Predictive Metric for Mortality After Lung Transplant","volume":"112","author":"Bigelow","year":"2021","journal-title":"Ann. Thorac. Surg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e15138","DOI":"10.1111\/ctr.15138","article-title":"Malnutrition in Solid Organ Transplant Patients: A Review of the Literature","volume":"37","author":"Lorden","year":"2023","journal-title":"Clin. Transplant."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1016\/j.healun.2018.07.015","article-title":"Pre-Transplant Weight Loss and Clinical Outcomes after Lung Transplantation","volume":"37","author":"Clausen","year":"2018","journal-title":"J. Heart Lung Transplant."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/ncp.11104","article-title":"Nutrition Support Management of Organ Transplant Recipients in the Acute Posttransplant Phase","volume":"39","author":"Hahn","year":"2024","journal-title":"Nutr. Clin. Pract."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1002\/ncp.11325","article-title":"Nutrition management of the postoperative lung transplant recipient","volume":"40","author":"Doyle","year":"2025","journal-title":"Nutr. Clin. Pract."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"103","DOI":"10.14309\/ajg.0000000000003571","article-title":"A Comprehensive Review of Gastrointestinal Manifestations in Cystic Fibrosis in the Era of Highly Effective Modulator Therapy","volume":"121","author":"Saikumar","year":"2026","journal-title":"Am. J. Gastroenterol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"793","DOI":"10.21037\/atm-22-3125","article-title":"Evaluation of Nutritional Status in Lung Transplant Recipients and Its Correlation with Post-Transplant Short-Term Prognosis: A Retrospective Study","volume":"10","author":"Ding","year":"2022","journal-title":"Ann. Transl. Med."},{"key":"ref_58","doi-asserted-by":"crossref","unstructured":"Pisacreta, A., Molinari, P., Caldiroli, L., Di Naro, M., Pesce, F., De Amici, A., Regalia, A., Verdesca, S., Malvica, S., and Grandaliano, G. (2026). Sarcopenia in Kidney Transplantation: Bridging Pathophysiology to Patient-Centered Care. Nutrients, 18.","DOI":"10.3390\/nu18091352"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"ezaf240","DOI":"10.1093\/ejcts\/ezaf240","article-title":"Impact of Severe Skeletal Muscle Loss During the Waiting Period on Prognosis in Lung Transplantation for Interstitial Lung Disease","volume":"67","author":"Akamine","year":"2025","journal-title":"Eur. J. Cardio-Thorac. Surg."},{"key":"ref_60","first-page":"636","article-title":"The Effect of Nutritional Status on Clinical Outcome in Lung Transplantation","volume":"31","author":"Wang","year":"2022","journal-title":"Asia Pac. J. Clin. 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