Evidence map›Paper›PMID 30400833›Full record

ArticleBMC geriatrics2018

Higher levels of tumor necrosis factor β are associated with frailty in socially vulnerable community-dwelling older adults.

Carla M C Nascimento, Marisa S Zazzetta, Grace A O Gomes, Fabiana S Orlandi, Karina Gramani-Say, Fernando A Vasilceac, Aline C M Gratão, Sofia C I Pavarini, Marcia R Cominetti

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 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
2.3field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Prevalence and Impact of Social Frailty in Patients with Chronic Obstructive Pulmonary Disease.International journal of chronic obstructive pulmonary disease · 2023
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Depression and Plasma pTauGerontology & geriatric medicine
    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

9 authors at 1 institution in 1 country.

Carla M C NascimentoDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Marisa S ZazzettaDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Grace A O GomesDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Fabiana S OrlandiDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Karina Gramani-SayDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Fernando A VasilceacDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Aline C M GratãoDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Sofia C I PavariniDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil.
Marcia R CominettiDepartment of Gerontology, Federal University of São Carlos, Rod. Washington Luis, Km 235, Monjolinho, São Carlos, SP, CEP 13565-905, Brazil. mcominetti@ufscar.br.ORCID 0000-0001-6385-7392
Universidade Federal de São Carlos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe complex physiology underpinning the frailty syndrome is responsible for the absence of robust biomarkers that can be used for screening, diagnostic and/or prognostic purposes and has made clinical implementation difficult. Considering socially vulnerable populations, who have poor health status and increased morbidity and mortality, this scenario is even more complex. However, to the best of our knowledge, there are no studies available to investigate frailty biomarkers in socially vulnerable populations. Thus, the aim of this cross-sectional study was to identify potential blood-based biomarkers of frailty in a socially vulnerable population.

methodsA sample consisting of 347 community-dwelling older people living in a context of high social vulnerability was divided into non-frail (robust), pre-frail and frail groups, according to modified Fried frailty phenotype criteria. Blood samples were collected and analyzed for basic metabolic parameters and for inflammatory cytokines.

resultsLevels of Interleukin-1α (IL-1α) and Tumor Necrosis Factor α (TNF-α) were significantly higher in pre-frail subjects, compared to non-frail ones. Tumor Necrosis Factor β (TNF-β) levels presented higher values in the frail compared to non-frail individuals. Interleukin-6 (IL-6) levels in pre-frail and frail subjects were significantly higher compared to the levels of non-frail subjects. Using an ordinal regression analysis, we observed that socially vulnerable older people at higher risk of developing frailty were subjects above 80 years old (OR: 2.5; 95% CI: 1.1-5.6) and who presented higher levels of TNF-β (≥0.81 pg/mL, OR: 2.53; 95% CI: 1.3-4.9).

conclusionAs vulnerable populations continue to age, it is imperative to have a greater understanding of the frailty condition, identifying novel potential blood-based biomarkers. The results presented here could help to implement preventive healthcare strategies by evaluating frailty and at the same time measuring a set of inflammatory biomarkers, paying special attention to TNF-β plasmatic levels.

Indexed as

Independent LivingAgedAged, 80 and overBiomarkersBrazilCross-Sectional StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansIncidenceLymphotoxin-alphaMaleMiddle AgedBiomarkersLymphotoxin-alphaAgingBiomarkersFrailtyOlder peopleTumor necrosis factor β

Identifiers

PMID30400833
PMCPMC6219095
OpenAlexW2900350454

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.