{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Repeated cold immersion × muscle loss or universal strength impairment",
  "language": "en",
  "translation_date": "2026-10-16",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    }
  ],
  "status_dictionary": {
    "Met": "A state used when required evidence is confirmed after user review. This production does not declare that review complete.",
    "Partly verified": "Some information in the stored summary is linked into the table. External comparison/content review is not complete.",
    "Unverified": "The article leaves this unverified, or required material is absent from the current stored summary. This is distinct from zero, absence or safety.",
    "Review incomplete": "User review pending.",
    "Not reported": "Not reported within the stored material actually read; not extended to the entire primary paper.",
    "Inaccessible": "Means an actual access failure. Access not attempted here is not assigned this state.",
    "Not applicable": "Not used as a substitute for an evidence gap.",
    "Conflicting data": "Requires an observed disagreement under the same comparison criteria; not automatically judged in this production.",
    "Insufficient evidence for the conditions": "Marks a gap in additional material required by the selected conditions; not a new efficacy grade."
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "How does the selected muscle-loss/universal-strength claim differ from the parent verdict?",
      "needed": "Selected subclaim and parent gain context",
      "role": "Required",
      "role_reason": "This condition connects Selected subclaim and parent gain context with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Selected subclaim and parent gain context must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Selected subclaim records, original note and claim boundaries. Parent scores/axes do not fill absent subclaim values. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "How do attenuated gains differ from actual muscle loss?",
      "needed": "Original MRI gains and baseline comparisons",
      "role": "Required",
      "role_reason": "This condition connects Original MRI gains and baseline comparisons with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Original MRI gains and baseline comparisons must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original MRI tables, baseline/end values, gain definitions and analysis denominators. The meaning of ± and exact effects/CIs are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "Are universal-strength and maximum-strength results distinguished?",
      "needed": "Hypertrophy, maximum strength and other strength measures",
      "role": "Required",
      "role_reason": "This condition connects Hypertrophy, maximum strength and other strength measures with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Hypertrophy, maximum strength and other strength measures must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Trial-specific strength measures, original tables, prospective analyses, effects/CIs and denominators. Fiber results do not establish impairment of every strength outcome. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Are trained young men and the separate trial the same population?",
      "needed": "Report-specific populations and original denominators",
      "role": "Required",
      "role_reason": "This condition connects Report-specific populations and original denominators with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Report-specific populations and original denominators must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Trial-specific eligibility, baseline tables and arm flow. Counts are not summed and representative populations are not automatically assigned. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "What were the original repeated post-exercise cold specifications?",
      "needed": "Cold/training research records",
      "role": "Required",
      "role_reason": "This condition connects Cold/training research records with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Cold/training research records must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Intervention/training manuals, delivery and adherence material. Research specifications are not new cold-water, exercise or treatment instructions. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "Are active cycling and passive-rest controls distinguished?",
      "needed": "Report-specific recovery controls and shared management",
      "role": "Required",
      "role_reason": "This condition connects Report-specific recovery controls and shared management with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Report-specific recovery controls and shared management must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Control, training/recovery, contact, exposure and nutrition material. Separate active-recovery contributions and matching of management are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "What denominators do 24 assigned/21 completed represent?",
      "needed": "Complete-case analysis and outcome denominators",
      "role": "Required",
      "role_reason": "This condition connects Complete-case analysis and outcome denominators with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Complete-case analysis and outcome denominators must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Flow, arm denominators and missing/excluded-data material. Completer counts do not replace every endpoint denominator and no new attrition count/rate is calculated. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "Are MRI gains and fiber area the same measurement?",
      "needed": "Distinguishing measurement type, derivation and region",
      "role": "Required",
      "role_reason": "This condition connects Distinguishing measurement type, derivation and region with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Distinguishing measurement type, derivation and region must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: MRI/fiber measurement, quality, original material and denominators. Fiber area is not converted into MRI grams. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "What original record contains -206 g, d=-4.1 and P?",
      "needed": "Historical original estimates and signs",
      "role": "Required",
      "role_reason": "This condition connects Historical original estimates and signs with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Historical original estimates and signs must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original estimates, effect scales/variance, analysis outputs and arm denominators. The definition of d, meaning of ±, intervals and adjustment are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "Were Fyfe hypertrophy and strength findings both retained?",
      "needed": "Measure-specific findings and scope boundaries",
      "role": "Required",
      "role_reason": "This condition connects Measure-specific findings and scope boundaries with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Measure-specific findings and scope boundaries must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: All Fyfe outcome tables, SAP, exact effects/CIs and denominators. Null results do not establish 0 effect or equivalence. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Were completer, assigned, actual-use analyses and baseline adjustment verified?",
      "needed": "Analysis populations, models, missingness and prospective plans",
      "role": "Required",
      "role_reason": "This condition connects Analysis populations, models, missingness and prospective plans with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Analysis populations, models, missingness and prospective plans must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: SAPs, missingness/denominators, models and sensitivity results. No new analysis, adjustment or effect estimate is executed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Are allocation, concealment, assessor/analyst blinding known?",
      "needed": "Design labels and actual bias conditions",
      "role": "Required",
      "role_reason": "This condition connects Design names and actual bias conditions with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Design labels and actual bias conditions must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Trial-specific allocation, assessor roles and protocols. Design names alone do not establish blinding, official bias assessment or passing review. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "How do absent registration fields differ from prospective hierarchy?",
      "needed": "Original registration identity, plans and changes",
      "role": "Required",
      "role_reason": "This condition connects Original registration identity, plans and changes with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Original registration identity, plans and changes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original registration/change history, protocols and SAPs. No new identifier, registry address or successful reading is inferred. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Are shared training, nutrition and cold-exposure contributions separated?",
      "needed": "Training, products, intake, adherence and shared management",
      "role": "Supplementary",
      "role_reason": "This condition connects Training, products, intake, adherence and shared management with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Training, products, intake, adherence and shared management must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Training, nutrition, adherence and support-distribution material. In-kind provision does not establish matched intake or an isolated cold effect. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Can 12-/7-week findings extend to longer periods or every sport?",
      "needed": "Directness by duration, population and measure",
      "role": "Required",
      "role_reason": "This condition connects Directness by duration, population and measure with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Directness by duration, population and measure must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Direct duration-, population- and measure-specific material. No uniform impairment or sustained effect beyond original durations/conditions is created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "Are acute recovery, longer-term adaptation and the other verdict distinct?",
      "needed": "Outcome goals, times and questions",
      "role": "Required",
      "role_reason": "This condition connects Outcome goals, times and questions with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Outcome goals, times and questions must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Direct material for the selected longer-term question and outcome/time/cohort linkage. Acute recovery is not transferred into longer-term adaptation or replication of another verdict. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Are adverse training adaptation and medical harm the same?",
      "needed": "Verdict direction and actual medical events",
      "role": "Supplementary",
      "role_reason": "This condition connects Verdict direction and actual medical events with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Verdict direction and actual medical events must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Separate adaptation and medical-harm material. Original direction/grade does not certify new harm rates or safety. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "Was independence across reports, populations and sheets verified?",
      "needed": "Linkage of reports, cohorts and multiple outcomes",
      "role": "Required",
      "role_reason": "This condition connects Linkage of reports, cohorts and multiple outcomes with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Linkage of reports, cohorts and multiple outcomes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific cohorts, support, protocols and outcome lists. The same populations, sheets or measures are not summed as new participants or independent replications. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "What public/university and in-kind support did Roberts record?",
      "needed": "Funding, product support, affiliations and roles",
      "role": "Required",
      "role_reason": "This condition connects Funding, product support, affiliations and roles with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Funding, product support, affiliations and roles must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original support, affiliations, interests, products and roles. No new absence of company-employed authors or analysis/reporting involvement is established. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "What public sport/university support did Fyfe record?",
      "needed": "Support wording and actual roles",
      "role": "Required",
      "role_reason": "This condition connects Support wording and actual roles with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Support wording and actual roles must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Fyfe support, affiliations, interests and role material. Parent independence axes remain distinct from actual support-verification scope. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Were injury withdrawals kept distinct from cold causation?",
      "needed": "Original withdrawal, safety and causal assessment",
      "role": "Supplementary",
      "role_reason": "This condition connects Original withdrawal, safety and causal assessment with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Original withdrawal, safety and causal assessment must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original withdrawal, safety and cause-assessment material. No new attrition counts/rates or medical causal judgments are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "Were medical harms, missing data and vulnerable populations verified?",
      "needed": "Harm collection, events, denominators and other populations",
      "role": "Supplementary",
      "role_reason": "This condition connects Harm collection, events, denominators and other populations with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Harm collection, events, denominators and other populations must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific safety collection, events/denominators and longer-term material. Unverified/missing data do not establish 0 events or safety. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "How are bilingual text, original direction, historical checks and corrections retained?",
      "needed": "Original values, evidence date and absent subclaim fields",
      "role": "Required",
      "role_reason": "This condition connects Original values, evidence date and absent subclaim fields with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Original values, evidence date and absent subclaim fields must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Actual comments, corrections, follow-up material and complete prior originals. Material additions, condition revisions and verdict changes remain separate events. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "Which materials were actually read?",
      "needed": "Stored summaries versus unread external originals",
      "role": "Required",
      "role_reason": "This condition connects Stored summaries versus unread external originals with the selected muscle-loss/universal-strength claim, boundaries with actual gains and maximum-strength results, measurements/denominators, training/exposure/controls, support and medical harms.",
      "application_exception": "Preserve selected subclaim D and the original note that both groups gained muscle and maximum-strength results differed. Distinguish absent subclaim score/status/axes from parent grade D with 28 points/E- context. Gain differences do not establish actual loss; less type II hypertrophy does not establish universal strength impairment. Create no new effects, CIs, attrition counts/rates, totals, grades, independence/safety certification or cold-water, exercise, recovery or treatment instructions.",
      "criterion": "Material for Stored summaries versus unread external originals must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Actual originals, registration, planning/support material and reading records. Original bibliographies/PMCIDs do not establish acquisition, full-text reading or new verification. This records needed materials; no new research was executed."
    }
  ]
}