Evidence map›Paper›PMID 30103697›Full record

ArticleBMC geriatrics2018

Early life stress and frailty in old age: the Helsinki birth cohort study.

M J Haapanen, M M Perälä, M K Salonen, E Kajantie, M Simonen, P Pohjolainen, A K Pesonen, K Räikkönen, J G Eriksson, M B von Bonsdorff

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
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  4. Association of Childhood Adversity With Frailty and the Mediating Role of Unhealthy Lifestyle: A Lifespan Analysis.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2024
    Article
  5. Review
  6. Article
  7. Article
  8. Early-Life Factors as Predictors of Age-Associated Deficit Accumulation Across 17 Years From Midlife Into Old Age.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Article
  9. Early-Life War Exposure and Later-Life Frailty Among Older Adults in Vietnam: Does War Hasten Aging?The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    Article
  10. Frailty Risk Prediction Model among Older Adults: A Chinese Nation-Wide Cross-Sectional Study.International journal of environmental research and public health · 2022
    Article
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  18. Drivers of Frailty from Adulthood into Old Age: Results from a 27-Year Longitudinal Population-Based Study in Sweden.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    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

10 authors at 4 institutions in 1 country.

M J HaapanenDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, PO Box 20, FI-00014, Helsinki, Finland. markus.haapanen@helsinki.fi.ORCID 0000-0002-8632-7906
M M PeräläFolkhälsan Research Center, Helsinki, Finland.
M K SalonenFolkhälsan Research Center, Helsinki, Finland.
E KajantieDepartment of Public Health Solutions, Chronic Disease Prevention Unit, National Institute for Health and Welfare, Helsinki, Finland.
M SimonenFinnish Centre of Excellence in Intersubjectivity in Interaction, University of Helsinki, Helsinki, Finland.
P PohjolainenAge Institute, Helsinki, Finland.
A K PesonenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
K RäikkönenDepartment of Psychology and Logopedics, University of Helsinki, Helsinki, Finland.
J G ErikssonDepartment of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, PO Box 20, FI-00014, Helsinki, Finland.
M B von BonsdorffFolkhälsan Research Center, Helsinki, Finland.
University of Helsinki · FIFinnish Institute for Health and Welfare · FIAge Institute · FIFolkhälsans Forskningscentrum · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence suggests that early life stress (ELS) may extend its effect into adulthood and predispose an individual to adverse health outcomes. We investigated whether wartime parental separation, an indicator of severe ELS, would be associated with frailty in old age.

methodsOf the 972 participants belonging to the present sub-study of the Helsinki Birth Cohort Study, 117 (12.0%) had been evacuated abroad unaccompanied by their parents in childhood during World War II. Frailty was assessed at a mean age of 71 years according to Fried's criteria.

resultsThirteen frail men (4 separated and 9 non-separated) and 20 frail women (2 separated and 18 non-separated) were identified. Compared to the non-separated men, men who had been separated had an increased relative risk ratio (RRR) of frailty (age-adjusted RRR 3.93, 95% CI 1.02, 15.11) that persisted after adjusting for several confounders. No associations were observed among women (RRR 0.62; 95% CI 0.13, 2.94).

conclusionsThese preliminary results suggest that ELS might extend its effects not just into adulthood but also into old age, and secondly, that men may be more vulnerable to the long-term effects of ELS.

Indexed as

World War IIAgedAged, 80 and overChildCohort StudiesFemaleFinlandFollow-Up StudiesFrail ElderlyFrailtyHumansMaleStress, PsychologicalEarly life stressFrailtyLife-courseNatural experimentRisk factor

Identifiers

PMID30103697
PMCPMC6090686
OpenAlexW2887240483

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.