Evidence map›Paper›PMID 29659706›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2019

Body Composition Remodeling and Incident Mobility Limitations in African Ancestry Men.

Adam J Santanasto, Iva Miljkovic, Ryan C Cvejkus, Christopher L Gordon, Clareann H Bunker, Allen L Patrick, Victor W Wheeler, Joseph M Zmuda

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Thigh and Calf Myosteatosis are Strongly Associated with Muscle and Physical Function in African Caribbean Men.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. 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

8 authors at 3 institutions in 3 countries.

Adam J SantanastoDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
Iva MiljkovicDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
Ryan C CvejkusDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
Christopher L GordonDepartment of Radiology, McMaster University, Hamilton, Ontario, Canada.
Clareann H BunkerDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
Allen L PatrickTobago Health Studies Office, Scarborough, Trinidad and Tobago.
Victor W WheelerTobago Health Studies Office, Scarborough, Trinidad and Tobago.
Joseph M ZmudaDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
University of Pittsburgh · USUniversity of Trinidad and Tobago · TTMcMaster University · CA

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
Epidemiology of Bone Loss in African MenR01AR049747 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZMUDA, JOSEPH M. · 2003 to 2014
$5.9M
Ectopic adiposity in black men with high type 2 diabetes riskR01DK097084 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MILJKOVIC, IVA · 2013 to 2016
$1.9M
NIAMS NIH HHS R01 AR049747NIA NIH HHS P30 AG024827NIDDK NIH HHS R01 DK097084
6 · The paper itself

Abstract

backgroundMobility limitations are common, with higher prevalence in African Americans compared with whites, and are associated with disability, institutionalization, and death. Aging is associated with losses of lean mass and a shift to central adiposity, which are more pronounced in African Americans. We aimed to examine the association of body composition remodeling with incident mobility limitations in older men of African ancestry.

methodsSeven-year changes in body composition were measured using peripheral quantitative computed tomography (pQCT) of the calf and whole-body dual x-ray absorptiometry (DXA) in 505 African ancestry men aged ≥60 years and free of self-reported mobility limitations at baseline. Self-reported incident mobility limitations were assessed at 7-year follow-up. Odds of developing mobility limitations associated with baseline and change in body composition were quantified using separate logistic regression models.

resultsSeventy-five men (14.9%) developed incident mobility limitations over 6.2 ± 0.6 years. Baseline body composition was not associated with incident mobility limitations. After adjustment for covariates, gaining total and intermuscular fat were associated with incident mobility limitations (odds ratio [OR]: 1.60; 95% confidence interval [CI]: 1.21-2.13; OR: 1.51; 95% CI: 1.18-1.94). Changes in DXA lean mass were not related to mobility limitations; however, maintaining pQCT calf muscle area was protective against mobility limitations (OR: 0.65; 95% CI: 0.48-0.87).

conclusionsIncreases in body fat, and particularly intermuscular fat, and decreases in calf skeletal muscle area were associated with a higher risk of developing mobility limitations. Our findings emphasize the importance of body composition remodeling in the development of mobility limitations among African ancestry men.

Indexed as

Black PeopleBody CompositionMobility LimitationAbsorptiometry, PhotonAdultAgedBlack or African AmericanCohort StudiesHumansIncidenceLogistic ModelsMaleMiddle AgedSelf ReportTrinidad and TobagoComputed tomographyDXA and TobagoFatMuscle

Identifiers

PMID29659706
PMCPMC6376082
OpenAlexW2795455933

What OpenQuestion holds

Textmetadata
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.