Evidence map›Paper›PMID 23414742›Full record

Trial reportInternational journal of cardiology2013

Coronary artery calcium and physical performance as determinants of mortality in older age: the AGES-Reykjavik Study.

Mikaela B von Bonsdorff, Danielle A I Groffen, Jean-Sebastien Vidal, Taina Rantanen, Palmi V Jonsson, Melissa Garcia, Thor Aspelund, Gudny Eiriksdottir, Kristin Siggeirsdóttir, Lenore Launer and 3 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Motoric Cognitive Risk Syndrome and Risk of Cardiovascular Disease: A Population-Based Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Are bone turnover markers associated with volumetric bone density, size, and strength in older men and women? The AGES-Reykjavik study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2016
    Article
  8. 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

13 authors.

Mikaela B von BonsdorffLaboratory of Epidemiology, Demography and Biometry, National Institute on Aging, MD, USA; Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Finland. Electronic address: mikaela.vonbonsdorff@jyu.fi.
Danielle A I Groffen
Jean-Sebastien Vidal
Taina Rantanen
Palmi V Jonsson
Melissa Garcia
Thor Aspelund
Gudny Eiriksdottir
Kristin Siggeirsdóttir
Lenore Launer
Vilmundur Gudnason
Tamara B Harris
Age, Gene/Environment Susceptibility–Reykjavik Study Investigators

Funding

CLINICAL PROJECT: Age, Gene/Environment Susceptibility Study on the Multi-omics of Aging: A clinical epidemiologic prospective studyZIAAG007380 · NIA · NATIONAL INSTITUTE ON AGING · PI LAUNER, LENORE J · 2009 to 2025
$6.1M
AGES STUDY-THE REYKJAVIK STUDY OF HEALTHY AGING FOR THE NEW MILLENNIUM-26012100N01AG012100 · NIA · ICELANDIC HEART ASSOCIATION · 2002 to 2004
–
NIA NIH HHS N01 AG012100NIA NIH HHS N01-AG-1-2100
6 · The paper itself

Abstract

backgroundCoronary artery calcium (CAC) and physical performance have been shown to be associated with mortality, but it is not clear whether one of them modifies the association. We investigated the association between the extent of CAC and physical performance among older individuals and explored these individual and combined effects on cardiovascular disease (CVD) mortality and non-CVD mortality.

methodsWe studied 4074 participants of the AGES-Reykjavik Study who were free from coronary heart disease, had a CAC score calculated from computed tomography scans and had data on mobility limitations and gait speed at baseline in 2002-2006 at a mean age of 76 years. Register-based mortality was available until 2009.

resultsOdds for mobility limitation and slow gait increased according to the extent of CAC. Altogether 645 persons died during the follow-up. High CAC, mobility limitation and slow gait were independent predictors of CVD mortality and non-CVD mortality. The joint effect of CAC and gait speed on non-CVD mortality was synergistic, i.e. compared to having low CAC and normal gait, the joint effect of high CAC and slow gait exceeded the additive effect of these individual exposures on non-CVD mortality. For CVD mortality, the effect was additive i.e. the joint effect of high CAC and slow gait did not exceed the sum of the individual exposures.

conclusionsThe extent of CAC and decreased physical performance were independent predictors of mortality and the joint presence of these risk factors increased the risk of non-CVD mortality above and beyond the individual effects.

Indexed as

AgedAge FactorsCalcinosisCalciumCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleFollow-Up StudiesHumansIcelandMaleMotor ActivityMultidetector Computed TomographyProspective StudiesRisk FactorsCalciumAgingAtherosclerosisCardiovascular disease risk factorsCoronary artery calcificationEpidemiologyMortality

Identifiers

PMID23414742
PMCPMC3674198

What OpenQuestion holds

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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.