Evidence map›Paper›PMID 29385202›Full record

ArticlePloS one2018

Historical trends in modifiable indicators of cardiovascular health and self-rated health among older adults: Cohort differences over 20 years between the Berlin Aging Study (BASE) and the Berlin Aging Study II (BASE-II).

Maximilian König, Johanna Drewelies, Kristina Norman, Dominik Spira, Nikolaus Buchmann, Gizem Hülür, Peter Eibich, Gert G Wagner, Ulman Lindenberger, Elisabeth Steinhagen-Thiessen and 2 more

Abstract readComparative Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Adults Older Than Age 55 Engage in Less Diverse Activities Than Those 18 Years Ago.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  6. Estimation of Life's Essential 8 Score with Incomplete Data of Individual Metrics.medRxiv : the preprint server for health sciences · 2023
    Article
  7. Article
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  9. Age Trajectories of Perceptual Speed and Loneliness: Separating Between-Person and Within-Person Associations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
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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

12 authors.

Maximilian KönigLipid Clinic at the Interdisciplinary Metabolism Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Johanna DreweliesDepartment of Psychology, Humboldt University Berlin, Berlin, Germany.
Kristina NormanGeriatrics Research Group, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Dominik SpiraLipid Clinic at the Interdisciplinary Metabolism Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Nikolaus BuchmannLipid Clinic at the Interdisciplinary Metabolism Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Gizem HülürDepartment of Psychology, University of Zurich, Zurich, Switzerland.
Peter EibichHealth Economics Research Centre, University of Oxford, Oxford, United Kingdom.
Gert G WagnerGerman Institute for Economic Research, Berlin, Germany.
Ulman LindenbergerCenter for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.
Elisabeth Steinhagen-ThiessenLipid Clinic at the Interdisciplinary Metabolism Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Denis GerstorfDepartment of Psychology, Humboldt University Berlin, Berlin, Germany.
Ilja DemuthLipid Clinic at the Interdisciplinary Metabolism Center, Charité - Universitätsmedizin Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe last decades have seen great advances in the understanding, treatment, and prevention of cardiovascular disease (CVD). Although mortality rates due to CVD have declined significantly in the last decades, the burden of CVD is still high, particularly in older adults. This raises the question whether contemporary populations of older adults are experiencing better or worse objective as well as subjective health than earlier-born cohorts. The aim of this study was to examine differences in modifiable indicators of cardiovascular health (CVH), comparing data obtained 20 years apart in the Berlin Aging Study (BASE, 1990-93) and the Berlin Aging Study II (BASE-II, 2009-2014).

methodsSerial cross-sectional analysis of 242 propensity-score-matched participants of BASE (born 1907-1922) and BASE-II (born 1925-1942). Body mass index (BMI), blood pressure, total cholesterol, glycated hemoglobin (HbA1c), diet, smoking and physical activity were operationalized according to the "Life's simple 7"(LS7) criteria of the American Heart Association.

results121 matched pairs were identified based on age, sex, and education. In the later-born BASE-II sample, the mean LS7 score was significantly higher than in the earlier-born sample (7.8±1.8 vs. 6.4±2.1, p<0.001), indicating better CVH. In detail, diet, physical activity, smoking, cholesterol, and HbA1c were more favorable, whereas blood pressure was significantly higher in individuals from the later-born cohort. BMI did not differ significantly between the two matched samples. Notably, despite better CVH, later-born individuals (BASE-II) reported lower self-rated health, presumably because of higher health expectations.

conclusionsOverall, cardiovascular health was significantly better in the later-born cohort, but several notable exceptions exist.

Indexed as

Cardiovascular Physiological PhenomenaAgedAged, 80 and overAgingBerlinBlood PressureBody Mass IndexCardiovascular DiseasesCholesterolCohort StudiesCross-Sectional StudiesDietExerciseFemaleGlycated HemoglobinHealth StatusCholesterolGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID29385202
PMCPMC5792001

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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.