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Change in skeletal muscle associated with unplanned hospital admissions in adult patients: A systematic review and meta-analysis.

PLoS One · 2019 · PMC6319740 · PMID 30608987

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showed a trendno p-value reported
The reason why grip strength showed a trend towards improvement whereas knee extension strength declined is unclear, but may be due to the effect of bed rest that is known to have a greater effect on lower limb muscle groups than upper limbs [ 59 ].

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.