Evidence map›Paper›PMID 31641727›Full record

ArticleThe journal of nutrition, health & aging2019

Allostatic Load as a Biological Substrate to Intrinsic Capacity: A Secondary Analysis of CRELES.

L M Gutiérrez-Robledo, R E García-Chanes, M U Pérez-Zepeda

Abstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

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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

3 authors.

L M Gutiérrez-RobledoLuis Miguel Gutiérrez-Robledo, MD, PhD, Instituto Nacional de Geriatría, Blvd. Adolfo Ruiz Cortines (Periférico Sur) 2767, Col. San Jerónimo Lídice, Del. La Magdalena Contreras, ciudad de México, C.P. 10200, México, E-mail address: lmgutierrez@inger.gob.mx.
R E García-Chanes
M U Pérez-Zepeda

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIntrinsic capacity (IC) is one of the latest views of positive aging. In its current status lacks a biological substrate amenable to be intervened. The aim of this study was to determine the association of allostatic load (AL) with IC.

designWe present a cross-sectional analysis of the Costa Rican Longevity and Healthy Aging Study.

settingThis report is from a representative sample of Costa Rican older adults; one of the countries that integrate the Central America region.

participants2,827, 60-year or older community-dwelling individuals.

methodsAn IC index was gathered and validated, including different domains: cognitive, psychological, sensory, vitality and locomotion. AL was integrated with: blood pressure, abdominal obesity, body mass index, HDL-cholesterol, glycosylated hemoglobin, DHEAS, cortisol, epinephrine and norepinephrine. AL was grouped in three categories according to the number of abnormal biomarkers (0-1, 2-3 and ≥4). Chronic diseases, socioeconomic level, sex and age were the adjusting variables. Ordinal logistic regression models were estimated in order to test the strength of the association.

resultsFrom a total sample of 1,888 individuals, 51% (n=962) were women, 36.4% were in the 60-69 age category. The mean score of the IC index was of 6.6 (±2.2). Odds ratio (OR) of the adjusted models were significant for the group of those with 2-3 abnormal biomarkers of AL (OR 0.67, p=0.007) and also for those with ≥4 (OR 0.56, p=0.002), when compared to the reference group of AL (0-1 abnormal biomarkers). CONCLUSIONS AND IMPLICATIONS: AL showed an incremental association with IC, even when adjusted for factors such as socioeconomic status and chronic diseases. Targeting therapeutically AL could potentially improve IC in older adults and therefore decreasing the progression to disability or to overt dependency.

Indexed as

AgedAged, 80 and overAgingAllostasisBiomarkersBlood PressureBody Mass IndexCholesterol, HDLChronic DiseaseCross-Sectional StudiesDehydroepiandrosterone SulfateEpinephrineFemaleGlycated HemoglobinHealthy AgingHispanic or LatinoBiomarkersCholesterol, HDLDehydroepiandrosterone SulfateEpinephrineGlycated HemoglobinHydrocortisoneagingallostasishealthy agingIntrinsic capacity

Identifiers

PMID31641727
PMCPMC12280660

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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.