Evidence map›Paper›PMID 27001461›Full record

ArticleHealth and quality of life outcomes2016

Mediation analysis of relationships between chronic inflammation and quality of life in older adults.

Alexandra C H Nowakowski, Katelyn Y Graves, J E Sumerau

Open access · goldAbstract read
In one paragraph

Article in Health and quality of life outcomes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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  6. Long-term mortality and quality of life after trauma: an ancillary study from the prospective multicenter trial FROG-ICU.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
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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

3 authors at 2 institutions in 1 country.

Alexandra C H NowakowskiDepartment of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, 1115 West Call Street, Suite 3200, Tallahassee, FL, 32306-4300, USA. xnowakowski@fsu.edu.ORCID http://orcid.org/0000-0002-9072-2482
Katelyn Y GravesDepartment of Sociology, College of Social Sciences and Public Policy, Florida State University, Tallahassee, FL, 32306, USA.
J E SumerauDepartment of Sociology, College of Social Sciences, Mathematics, and Education, University of Tampa, Tampa, FL, 33606, USA.
Florida State University · USUniversity of Tampa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis article summarizes exploratory analyses of relationships between chronic inflammation, its physical consequences, and quality of life (QoL). It summarizes key findings from preliminary analyses, and contextualizes these results with extant sociomedical literature to recommend directions for future research.

methodsCross-sectional data from the National Social Life, Health, and Aging Project (NSHAP) were used to explore these relationships. Inflammation was assessed via the biomarker C-reactive protein (CRP). We examined associations between CRP levels and two different domains of QoL: happiness with life in general and happiness with intimate relationships. We used ordinal logistic regression with companion OLS models and Sobel-Goodman tests to assess potential mediation, and also conducted a variety of sensitivity analyses.

resultsFindings suggest that mediation pathways for the overall association between chronic inflammation and QoL may differ markedly across particular outcome constructs. Specifically, it shows mediation potential for the clinical sequelae of chronic inflammation in frameworks using happiness as an outcome measure, but not in those using relationship satisfaction. Disability appears to mediate the effect of inflammation by 27 %; chronic pain appears to exert a similar mediation effect of 21 %.

conclusionsPain and disability linked to chronic inflammation appear to play a small but significant mediating role in the overall reduction in QoL observed among older adults with biomarker evidence of chronic inflammation. We note that these patterns are best framed as dynamic elements of a complex causal fabric, rather than powerful determinants that override other factors contributing to QoL. Hypotheses for further exploration using longitudinal data from the NSHAP are thus offered, pending availability of Wave III data in future years.

Indexed as

AgedAged, 80 and overAgingChronic PainCross-Sectional StudiesFemaleHumansInflammationMaleMiddle AgedQuality of LifeUnited StatesElaboration modelingInflammationLogistic regressionNSHAPQuality of life

Identifiers

PMID27001461
PMCPMC4802844
OpenAlexW2305685105

What OpenQuestion holds

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LicenceCC BY
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.