Evidence map›Paper›PMID 28330635›Full record

Observational studyJournal of the American Medical Directors Association2017

The Association Between Muscle Weakness and Incident Diabetes in Older Mexican Americans.

Ryan McGrath, Brenda M Vincent, Soham Al Snih, Kyriakos S Markides, Mark D Peterson

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Medical Directors Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
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  12. Article
  13. Article
  14. Review
  15. Review
  16. Handgrip Strength and Health in Aging Adults.Sports medicine (Auckland, N.Z.) · 2018
    Article
  17. Article
  18. Observational
  19. Muscle Strength and Functional Limitations: Preserving Function in Older Mexican Americans.Journal of the American Medical Directors Association · 2018
    Article
  20. 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 3 institutions in 1 country.

Ryan McGrathDepartment of Physical Medicine and Rehabilitation, University of Michigan Medicine, Ann Arbor, MI. Electronic address: mcgratry@med.umich.edu.
Brenda M VincentVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI.
Soham Al SnihDivision of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston, TX.
Kyriakos S MarkidesDepartment of Preventative Medicine and Community Health, University of Texas Medical Branch, Galveston, TX.
Mark D PetersonDepartment of Physical Medicine and Rehabilitation, University of Michigan Medicine, Ann Arbor, MI.
Michigan Medicine · USThe University of Texas Medical Branch at Galveston · USVA Ann Arbor Healthcare System · US

Funding

UTMB OAIC Research Education Component (REC)P30AG024832 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI JAMES S. GOODWIN, MD, MELISSA M. MORROW · 2005 to 2026
$26.7M
LONGITUDINAL STUDY OF MEXICAN AMERICAN ELDERLY HEALTHR01AG010939 · NIA · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI MARKIDES, KYRIAKOS S · 1992 to 2022
$14.6M
Secondary Muscle Pathology & Metabolic Dysregulation in Adult with Cerebral PalsyK01HD074706 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, MARK D · 2013 to 2017
$605k
NIA NIH HHS P30 AG024832NIA NIH HHS R01 AG010939NICHD NIH HHS K01 HD074706
6 · The paper itself

Abstract

objectivesA natural decline of muscle strength occurs during the aging process; however, preserving muscle strength may lower the rate of many preventable diseases such as diabetes, especially in higher risk populations. The purpose of this study was to examine the sex-specific association between muscle weakness and incident diabetes in older Mexican Americans.

designObservational, longitudinal study.

settingUrban and rural households in the Southwestern United States.

participantsA subsample of 1903 Mexican Americans aged at least 65 years without diabetes at baseline were followed for 19 years. MEASUREMENTS: Muscle weakness was assessed with a hand-held dynamometer and was normalized to body weight (normalized grip strength). Male and female participants were categorized as weak if their normalized grip strength was ≤0.46 and ≤0.30, respectively. Sex-stratified Cox proportional hazard regression models were used to determine the association between muscle weakness and incident diabetes (self-reported) when using age as an entry variable and after adjusting for education, employment status, instrumental activities of daily living disability, interview language, marital status, and obesity. A sensitivity analysis was performed to account for influential outliers for the outcome variable (incident diabetes) and the model was re-run.

resultsThe hazard ratio for incident diabetes was 1.05 (95% confidence interval: 1.02-1.09; P < .001) in weak vs not-weak male participants and 1.38 (95% confidence interval: 1.35-1.41; P < .001) in weak vs not-weak female participants, after adjusting for relevant covariates.

conclusionsMuscle weakness was associated with an increased rate of diabetes in older male and female Mexican Americans. Health professionals should encourage activities that preserve muscle strength, thereby preventing the incidence of diabetes in older Mexican Americans.

Indexed as

Mexican AmericansAgedAgingDiabetes MellitusFemaleHand StrengthHumansIncidenceLongitudinal StudiesMaleMuscle WeaknessObesityPreventive MedicineProportional Hazards ModelsRural PopulationSelf ReportAginghandgrip strengthobesitypreventative medicine

Identifiers

PMID28330635
PMCPMC5401795
OpenAlexW2597000047

What OpenQuestion holds

Textmetadata
LicenceTDM
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.