Evidence map›Paper›PMID 31957780›Full record

ArticleAge and ageing2020

Linking early life risk factors to frailty in old age: evidence from the China Health and Retirement Longitudinal Study.

Yaxi Li, Qian-Li Xue, Michelle C Odden, Xi Chen, Chenkai Wu

Abstract read
In one paragraph

Article in Age and ageing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–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

47 citing papers in PubMed.

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  17. Joint Association of Physical Frailty and Self-Rated Health With Mortality Among Community-Dwelling Older Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  18. Article
  19. Article
  20. 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
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

5 authors.

Yaxi LiGlobal Health Research Center, Duke Kunshan University, Kunshan, China.
Qian-Li XueDepartment of Medicine, School of Medicine, John Hopkins University, Baltimore, MD, USA.
Michelle C OddenDepartment of Health Research and Policy, Stanford University, Stanford, CA, USA.
Xi ChenDepartment of Health Policy and Management, Yale School of Public Health, New Haven, CT, USA.
Chenkai WuGlobal Health Research Center, Duke Kunshan University, Kunshan, China.

Funding

Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Lauren Ferrante · 2002 to 2026
$37.9M
Technological Assessment and Solutions Core - RC4P30AG021334 · NIA · JOHNS HOPKINS UNIVERSITY · PI Jeremy D Walston · 2003 to 2026
$33.2M
Social Pension, Health, and Healthy AgingK01AG053408 · NIA · YALE UNIVERSITY · PI CHEN, XI · 2018 to 2021
$514k
NIA NIH HHS K01 AG053408NIA NIH HHS P30 AG021334NIA NIH HHS P30 AG021342
6 · The paper itself

Abstract

backgroundexposures in childhood and adolescence may impact the development of diseases and symptoms in late life. However, evidence from low- and middle-income countries is scarce. In this cross-sectional study, we examined the association of early life risk factors with frailty amongst older adults using a large, nationally representative cohort of community-dwelling Chinese sample.

methodswe included 6,806 participants aged $\ge$60 years from the China Health and Retirement Longitudinal Study. We measured 13 risk factors in childhood or adolescence through self-reports, encompassing six dimensions (education, family economic status, nutritional status, domestic violence, neighbourhood and health). We used multinomial regression models to examine the association between risk factors and frailty. We further calculated the absolute risk difference for the statistically significant factors.

resultspersons with higher personal and paternal education attainment, better childhood neighbourhood quality and better childhood health status had lower risk of being frail in old age. Severe starvation in childhood was associated with higher risk of prefrailty. The risk differences of being frail were 5.6% lower for persons with a high school or above education, 1.5% lower for those whose fathers were literate, 4.8% lower for the highest neighbourhood quality and 2.9% higher for worse childhood health status compared to their counterparts.

conclusionsunfavorable socioeconomic status and worse health condition in childhood and adolescence may increase the risk of late-life frailty amongst Chinese older adults.

Indexed as

AdolescentAgedChildChinaEducational StatusFemaleFrail ElderlyFrailtyHumansLongitudinal StudiesMaleMiddle AgedRisk FactorsSocioeconomic FactorsChinafrailtylifecourseolder people

Identifiers

PMID31957780
PMCPMC7047816

What OpenQuestion holds

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Registered trials

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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.