Evidence map›Paper›PMID 23503403›Full record

ArticleHeart (British Cardiac Society)2013

Cardiovascular disease risk scores in identifying future frailty: the Whitehall II prospective cohort study.

Kim Bouillon, G David Batty, Mark Hamer, Severine Sabia, Martin J Shipley, Annie Britton, Archana Singh-Manoux, Mika Kivimäki

Abstract readComparative Study
In one paragraph

Article in Heart (British Cardiac Society), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
–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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Frailty after COVID-19: The wave after?Aging medicine (Milton (N.S.W)) · 2023
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Physiological Systems in Promoting Frailty.Comprehensive Physiology · 2022
    Review
  19. Associations between kidney function and outcomes of comprehensive cardiac rehabilitation in patients with heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2022
    Observational
  20. Review
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

8 authors.

Kim BouillonDepartment of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. kim.bouillon.09@ucl.ac.uk
G David Batty
Mark Hamer
Severine Sabia
Martin J Shipley
Annie Britton
Archana Singh-Manoux
Mika Kivimäki

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
Health behaviors over the adult lifecourse and cognitive agingR01AG034454 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2009 to 2013
$1.5M
British Heart Foundation PG/11/63/29011British Heart Foundation RG/13/2/30098Medical Research CouncilNHLBI NIH HHS R01 HL036310NHLBI NIH HHS R01HL036310NIA NIH HHS R01 AG013196NIA NIH HHS R01AG013196NIA NIH HHS R01 AG034454NIA NIH HHS R01AG034454Wellcome Trust
6 · The paper itself

Abstract

objectivesTo examine the capacity of existing cardiovascular disease (CVD) risk algorithms widely used in primary care, to predict frailty.

designProspective cohort study. Risk algorithms at baseline (1997-1999) were the Framingham CVD, coronary heart disease and stroke risk scores, and the Systematic Coronary Risk Evaluation.

settingCivil Service departments in London, UK.

participants3895 participants (73% men) aged 45-69 years and free of CVD at baseline.

main outcome measureStatus of frailty at the end of follow-up (2007-2009), based on the following indicators: self-reported exhaustion, low physical activity, slow walking speed, low grip strength and weight loss.

resultsAt the end of the follow-up, 2.8% (n=108) of the sample was classified as frail. All four CVD risk scores were associated with future risk of developing frailty, with ORs per one SD increment in the score ranging from 1.35 (95% CI 1.21 to 1.51) for the Framingham stroke score to 1.42 (1.23 to 1.62) for the Framingham CVD score. These associations remained after excluding incident CVD cases. For comparison, the corresponding ORs for the risk scores and incident cardiovascular events varied between 1.36 (1.15 to 1.61) and 1.64 (1.50 to 1.80) depending on the risk algorithm.

conclusionsThe use of CVD risk scores in clinical practice may also have utility for frailty prediction.

Indexed as

AlgorithmsDisability EvaluationMotor ActivityQuality of LifeAgedCardiac RehabilitationCardiovascular DiseasesFemaleFollow-Up StudiesFrail ElderlyHumansLondonMaleMiddle AgedMorbidityPrognosis

Identifiers

PMID23503403
PMCPMC3632981

What OpenQuestion holds

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Registered trials

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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.