Evidence map›Paper›PMID 29743327›Full record

ArticleBMJ open2018

Mid-upper arm circumference, calf circumference and mortality in Chinese long-term care facility residents: a prospective cohort study.

Chien-Hsiang Weng, Chia-Ping Tien, Chia-Ing Li, Abby L'Heureux, Chiu-Shong Liu, Chih-Hsueh Lin, Cheng-Chieh Lin, Shih-Wei Lai, Ming-May Lai, Wen-Yuan Lin

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

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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

10 authors at 3 institutions in 2 countries.

Chien-Hsiang WengDepartment of Family Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Chia-Ping TienDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Chia-Ing LiDepartment of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Abby L'HeureuxDepartment of Family Medicine, Rural Medical Partners, Grand Forks, North Dakota, USA.
Chiu-Shong LiuDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Chih-Hsueh LinDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Cheng-Chieh LinDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Shih-Wei LaiDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Ming-May LaiDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
Wen-Yuan LinDepartment of Family Medicine, China Medical University Hospital, Taichung, Taiwan.
China Medical University · TWChina Medical University Hospital · TWConcord Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between mid-upper arm circumference (MUAC), calf circumference (CC) and all-cause mortality in a Chinese population.

designProspective cohort study.

settingEight long-term care facilities in central Taiwan.

participantsA total of 329 residents age 60 years and older (median 79.0 years, range 60-101; 139 men, 190 women) were enrolled.

methodsAnthropometrics and metabolic parameters were measured at the time of enrolment to the study. Mean MUAC and CC were 24.2±3.4 cm and 27.5±4.3 cm, respectively. Mortality data were obtained from the Department of Health in Taiwan.

main outcome measureTo identify the association between all-cause mortality and MUAC or CC.

resultsThere were 255 deaths during the 7-year follow-up period. After adjusting for age, sex, cigarette smoking, betel nut chewing, alcohol use, Karnofsky Performance Status Scale score, serum albumin level, hypertension and diabetes mellitus, subjects in the highest tertile of MUAC (27.8±2.2 cm) and CC (32.1±2.6 cm) had a significantly lower mortality rate than did subjects in the lowest tertile (MUAC 20.6±1.7 cm; CC 22.8±1.9 cm). The adjusted HR for all-cause mortality in the highest versus lowest MUAC tertile was 0.64 (95% CI 0.45 to 0.90). The adjusted HR for all-cause mortality in the highest versus lowest CC tertile was 0.51 (95% CI 0.35 to 0.74).

conclusionsMUAC and CC are negative predictors for all-cause mortality in older Chinese adults living in long-term care facilities. Participants with higher MUAC and CC had lower all-cause mortality.

Indexed as

ArmLegResidential FacilitiesAcademic Medical CentersAgedAged, 80 and overBody Weights and MeasuresCohort StudiesFemaleFollow-Up StudiesHumansLong-Term CareMaleMiddle AgedProspective StudiesRisk Factorsbody mass indexcalf circumferenceelderlylong-term care facilitymid-upper arm circumferencemortality

Identifiers

PMID29743327
PMCPMC5942455
OpenAlexW2801494971

What OpenQuestion holds

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LicenceCC BY-NC
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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.