Evidence map›Paper›PMID 31840808›Full record

Trial reportJournal of the American Geriatrics Society2020

Association between Diet Quality and Frailty Prevalence in the Physicians' Health Study.

Rachel E Ward, Ariela R Orkaby, Jiaying Chen, Tammy T Hshieh, Jane A Driver, J Michael Gaziano, Luc Djousse

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000500 (Physicians' Health Study), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 6% 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.

NCT00000500 phase3completednot on this map

Physicians' Health Study

TypeinterventionalSponsorBrigham and Women's HospitalRan1981 to 1996ConditionsCardiovascular Diseases, Coronary Disease, Heart Diseases, Myocardial IschemiaArmsaspirin, carotene
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Association Between Long-Term Aspirin Use and Frailty in Men: The Physicians' Health Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Frailty and Cardiovascular Health.Journal of the American Heart Association · 2024
    Review
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  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

7 authors at 3 institutions in 1 country.

Rachel E WardMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts.
Ariela R OrkabyNew England GRECC (Geriatric Research, Education, and Clinical Center), VA Boston Healthcare System, Boston, Massachusetts.
Jiaying ChenDivision of Aging, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Tammy T HshiehDivision of Aging, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Jane A DriverNew England GRECC (Geriatric Research, Education, and Clinical Center), VA Boston Healthcare System, Boston, Massachusetts.
J Michael GazianoNew England GRECC (Geriatric Research, Education, and Clinical Center), VA Boston Healthcare System, Boston, Massachusetts.
Luc DjousseMassachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts.
Harvard University · USBrigham and Women's Hospital · USGeriatric Research Education and Clinical Center · US

Funding

TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHALENDER BHASIN · 2008 to 2026
$23.9M
Red Blood Cell Omega-3 Fatty Acids and Coronary Artery DiseaseR21HL088081 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DJOUSSE, LUC · 2009 to 2010
$484k
Statins for Primary Prevention of Cardiovascular Disease and FrailtyIK2CX001800 · VA · VA BOSTON HEALTH CARE SYSTEM · PI ORKABY, ARIELA R · 2019 to 2023
–
CSRD VA IK2 CX001800NHLBI NIH HHS R21 HL088081NIA NIH HHS P30 AG031679
6 · The paper itself

Abstract

objectivesLimited data suggest that a healthy diet is associated with a lower risk of frailty. We sought to assess the relationship between three measures of diet quality and frailty among male physicians.

designCross-sectional analysis of a cohort study.

settingPhysicians' Health Study.

participantsA total of 9861 initially healthy US men, aged 60 years or older, who provided data on frailty status and dietary habits. MEASUREMENTS: A cumulative deficit frailty index (FI) was calculated using 33 variables encompassing domains of comorbidity, functional status, mood, general health, social isolation, and change in weight. Diet quality was measured using the Alternative Healthy Eating Index (aHEI), Mediterranean Diet Score (MDS), and Dietary Approaches to Stop Hypertension (DASH).

resultsThe FI identified 38% of physicians as non-frail, 44% as pre-frail, and 18% as frail. Multinomial logistic regression models adjusted for age, smoking status, and energy intake showed that compared with the lowest aHEI quintiles, those in the highest quintiles had lower odds of frailty and pre-frailty compared with non-frailty (odds ratio [OR] for frailty = .47; 95% confidence interval [CI] = .39-.58; for pre-frailty: OR = .75; CI = .65-.87). Exercise did not modify this association (P interaction >.1). Similar relationships were observed for DASH and MDS quintiles with frailty and pre-frailty. Restricted cubic splines showed an inverse dose-response relationship of diet quality scores with odds of frailty and pre-frailty.

conclusionCross-sectional data show an inverse dose-response relationship of diet quality with pre-frailty and frailty. Future longitudinal studies are needed to investigate whether healthier diet is a modifiable risk factor for frailty. ClinicalTrials.gov identifier: NCT00000500. J Am Geriatr Soc 68:770-776, 2020.

Indexed as

AgedCohort StudiesCross-Sectional StudiesDietary Approaches To Stop HypertensionDiet, HealthyDiet, MediterraneanDouble-Blind MethodFrailtyHumansMaleMiddle AgedPrevalenceSurveys and QuestionnairesUnited Statesdiet qualityfrailtyolder adults

Identifiers

PMID31840808
PMCPMC7156335
OpenAlexW2994909068

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.