Evidence map›Paper›PMID 23076509›Full record

ArticleThe journal of nutrition, health & aging2012

Frailty status and altered dynamics of circulating energy metabolism hormones after oral glucose in older women.

R R Kalyani, R Varadhan, C O Weiss, L P Fried, A R Cappola

Open access · greenAbstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Physiological Systems in Promoting Frailty.Comprehensive Physiology · 2022
    Review
  10. Article
  11. Frailty in CKD and Transplantation.Kidney international reports · 2021
    Review
  12. Article
  13. The gut microbiome and frailty.Translational research : the journal of laboratory and clinical medicine · 2020
    Review
  14. Standing Up for Frailty: Blood Pressure Changes Do Matter.Journal of the American Heart Association · 2020
    Article
  15. Review
  16. Frailty and Long-Term Post-Kidney Transplant Outcomes.Current transplantation reports · 2019
    Article
  17. Article
  18. Article
  19. The Role of Ghrelin and Ghrelin Signaling in Aging.International journal of molecular sciences · 2017
    Review
  20. Report: NIA Workshop on Measures of Physiologic Resiliencies in Human Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

R R KalyaniDivision of Endocrinology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. rrastogi@jhmi.edu
R Varadhan
C O Weiss
L P Fried
A R Cappola
Johns Hopkins University · USColumbia University · USMichigan State University · USUniversity of Pennsylvania · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI MITCHELL A. LAZAR · 1986 to 2026
$48.3M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI AHIMA, REXFORD S. · 2013 to 2017
$9.7M
Pathogenesis of physical disability in Aging womenR37AG019905 · NIA · JOHNS HOPKINS UNIVERSITY · PI FRIED, LINDA P · 2001 to 2010
$9.0M
NCRR NIH HHS UL1 RR 025005NIA NIH HHS P30-AG021334NIA NIH HHS R37-AG019905NIDDK NIH HHS P30 DK079637NIDDK NIH HHS P30-DK19525
6 · The paper itself

Abstract

objectivesFrailty status is associated with altered glucose-insulin dynamics. Here, we sought to investigate whether alteration in the dynamics of other circulating energy metabolism hormones after oral glucose is associated with frailty status.

designSubstudy of older women in a prospective cohort.

settingBaltimore, Maryland.

participantsSeventy-three community-dwelling women aged 84-95 years without a diagnosis of diabetes who were enrolled in the Women's Health and Aging Study II. MEASUREMENTS: We examined stimulus-response dynamics of free fatty acids (FFA), gut- (ghrelin,GLP-1) and adipocyte-derived hormones (leptin, adiponectin, resistin), growth hormone (GH), insulin-like growth factor 1 (IGF-1), and interleukin-6 (IL-6) at 0, 30, 60, 120, and 180-minutes after a 75-g glucose challenge according to frailty status (non-frail, pre-frail, or frail).

resultsOn average, frail women had higher fasting levels of glucose-raising hormones (FFA, resistin, GH, and IL-6) and lower fasting levels of glucose-lowering hormones (ghrelin, adiponectin, GLP-1 and IGF-1) versus non-frail women but these results were not statistically significant. Frail women also had higher fasting levels of leptin with relative adiposity compared to their counterparts, suggestive of leptin-resistance. Integrated area under the curve (AUC) values for each hormone followed similar trends by frailty status. After age and BMI adjustment, frail versus non-frail women were more likely to be in the lowest tertile of fasting ghrelin levels and 120-min ghrelin levels (both p<0.05) in logistic regression analyses. No large differences were found for other hormones in adjusted models.

conclusionsOur findings suggest dysregulation of the orexigenic hormone ghrelin in the frailty syndrome. Further studies are needed to explore the role of ghrelin dysregulation in the clinical manifestation of frailty.

Indexed as

Energy MetabolismFrail ElderlyAdipokinesAdiposityAged, 80 and overBaltimoreBody Mass IndexCohort StudiesFatty Acids, NonesterifiedFemaleGeriatric AssessmentGhrelinGlucoseGlucose Tolerance TestHuman Growth HormoneHumansAdipokinesFatty Acids, NonesterifiedGhrelinGHRL protein, humanGlucoseHuman Growth HormoneIL6 protein, humanInsulin-Like Growth Factor IInterleukin-6

Identifiers

PMID23076509
PMCPMC12878169
OpenAlexW2011667605

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.