Evidence map›Paper›PMID 30048892›Full record

ArticleNeurobiology of aging2018

The association between brain volume, cortical brain infarcts, and physical frailty.

Ilse M J Kant, Jeroen de Bresser, Simone J T van Montfort, Ellen Aarts, Jorrit-Jan Verlaan, Norman Zacharias, Georg Winterer, Claudia Spies, Arjen J C Slooter, Jeroen Hendrikse and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Neurobiology of aging, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% 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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Frailty Exacerbates Disability in Progressive Multiple Sclerosis.Annals of clinical and translational neurology · 2026
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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

11 authors at 5 institutions in 2 countries.

Ilse M J KantDepartment of Intensive Care, UMC Utrecht, Utrecht, The Netherlands; Department of Radiology, UMC Utrecht, Utrecht, The Netherlands. Electronic address: i.kant-2@umcutrecht.nl.
Jeroen de BresserDepartment of Radiology, UMC Utrecht, Utrecht, The Netherlands; Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Simone J T van MontfortDepartment of Intensive Care, UMC Utrecht, Utrecht, The Netherlands.
Ellen AartsDepartment of Intensive Care, UMC Utrecht, Utrecht, The Netherlands; Department of Radiology, UMC Utrecht, Utrecht, The Netherlands.
Jorrit-Jan VerlaanDepartment of Orthopedics, UMC Utrecht, Utrecht, The Netherlands.
Norman ZachariasExperimental and Clinical Research Center (ECRC), Charité - Universitätsmedizin Berlin, Berlin, Germany; PharmaImage Biomarker Solutions GmbH, Berlin, Germany; Department of Anesthesiology and Operative Intensive Care Medicine (CCM,CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Georg WintererExperimental and Clinical Research Center (ECRC), Charité - Universitätsmedizin Berlin, Berlin, Germany; PharmaImage Biomarker Solutions GmbH, Berlin, Germany; Department of Anesthesiology and Operative Intensive Care Medicine (CCM,CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany; Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.
Claudia SpiesDepartment of Anesthesiology and Operative Intensive Care Medicine (CCM,CVK), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Arjen J C SlooterDepartment of Intensive Care, UMC Utrecht, Utrecht, The Netherlands.
Jeroen HendrikseDepartment of Radiology, UMC Utrecht, Utrecht, The Netherlands.
BioCog Consortium
Utrecht University · NLCharité - Universitätsmedizin Berlin · DEUniversity Medical Center Utrecht · NLHumboldt-Universität zu Berlin · DEUniversity of Applied Sciences Utrecht · NL

Funding

European Research Council 637024
6 · The paper itself

Abstract

Physical frailty is an age-associated syndrome of decreased reserve leading to vulnerability to physiological stressors and associated with negative outcomes. The underlying structural brain abnormalities of physical frailty are unclear. We investigated the association between brain volume, cortical brain infarcts, and physical frailty. In this multicenter study, 214 nondemented participants were classified as frail (n = 32), prefrail (n = 107), or nonfrail (n = 75) based on the Fried frailty phenotype. The associations between frailty and brain volumes and cortical brain infarcts were investigated by linear or logistic regression analyses. Participants in the frail group showed a lower total brain volume (-19.67 mL [95% confidence interval -37.84 to -1.50]) and lower gray matter volume (-12.19 mL [95% confidence interval -23.84 to -0.54]) compared to nonfrail participants. Frailty was associated with cortical brain infarcts [frail 16% [n = 5], prefrail 11% [n = 12], and nonfrail 3% [n = 2]). Reduced total brain volume and gray matter volume and increased cortical brain infarcts seem therefore to be part of the structural substrate of the physical frailty phenotype.

Indexed as

Frail ElderlyAgedBrainBrain InfarctionFemaleFrailtyHumansMagnetic Resonance ImagingMaleOrgan SizeAgingMagnetic resonance imagingNeurodegenerative brain changesNeurovascular brain changesPhysical frailty

Identifiers

PMID30048892
PMCPMC6135646
OpenAlexW2811117250

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.