Evidence map›Paper›PMID 32386291›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2020

Biomarkers Associated with Physical Resilience After Hip Fracture.

Daniel C Parker, Cathleen Colόn-Emeric, Janet L Huebner, Ching-Heng Chou, Virginia Byers Kraus, Carl F Pieper, Richard Sloane, Heather E Whitson, Denise Orwig, Donna M Crabtree and 5 more

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Short- and long-term prognostic factors associated with functional recovery in elderly patients with hip fracture: A systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    Pooled it
  2. Better Mental Health and Fewer Depressive Symptoms Are Associated With Greater Psychological Resilience After Hip Fracture.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
  3. Article
  4. Examining the relevance of gait speed resiliencies to different stressors: the ARIC Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Ageing and physical resilience after health stressors.Stress and health : journal of the International Society for the Investigation of Stress · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Mechanism of CREB1 in cardiac function of rats with heart failure via regulating the microRNA-376a-3p/TRAF6 axis.Mammalian genome : official journal of the International Mammalian Genome Society · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Editorial: Resilience And Successful Aging.The journal of nutrition, health & aging · 2022
    Article
  19. Editorial: Resilience and the Future.The Journal of frailty & aging · 2022
    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

15 authors.

Daniel C ParkerDivision of Geriatrics, Duke University School of Medicine, Durham, North Carolina.
Cathleen Colόn-EmericDivision of Geriatrics, Duke University School of Medicine, Durham, North Carolina.
Janet L HuebnerDuke University School of Medicine, Duke Molecular Physiology Institute, Durham, North Carolina.
Ching-Heng ChouDuke University School of Medicine, Duke Molecular Physiology Institute, Durham, North Carolina.
Virginia Byers KrausCenter for the Study of Aging and Human Development, Duke University, Durham, North Carolina.
Carl F PieperCenter for the Study of Aging and Human Development, Duke University, Durham, North Carolina.
Richard SloaneCenter for the Study of Aging and Human Development, Duke University, Durham, North Carolina.
Heather E WhitsonDivision of Geriatrics, Duke University School of Medicine, Durham, North Carolina.
Denise OrwigDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore.
Donna M CrabtreeDuke Office of Clinical Research, Duke University Medical Center, Durham, North Carolina.
Jay MagazinerDepartment of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore.
James R BainDuke University School of Medicine, Duke Molecular Physiology Institute, Durham, North Carolina.
Michael MuehlbauerDuke University School of Medicine, Duke Molecular Physiology Institute, Durham, North Carolina.
Olga R IlkayevaDuke University School of Medicine, Duke Molecular Physiology Institute, Durham, North Carolina.
Kim M HuffmanCenter for the Study of Aging and Human Development, Duke University, Durham, North Carolina.

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Sequelae of Hip Fracture in Men: An Epidemiologic StudyR37AG009901 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 1992 to 2018
$11.3M
RESEARCH TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000262 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ANN L GRUBER-BALDINI, DENISE L ORWIG · 1998 to 2026
$8.2M
Physical Resiliencies: Indicators and Mechanisms in the Elderly CollaborativeUH3AG056925 · NIA · DUKE UNIVERSITY · PI COLON-EMERIC, CATHLEEN S · 2019 to 2021
$4.6M
The Epidemiology of Bone Strength and Muscle Composition After Hip Fracture in MeR01AG029315 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY · 2007 to 2011
$4.1M
Determinants of Recovery Following Hip FractureR01AG018668 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI MAGAZINER, JAY STEVEN · 2001 to 2004
$2.3M
Physical Resiliencies: Indicators and Mechanisms in the Elderly CollaborativeUH2AG056925 · NIA · DUKE UNIVERSITY · PI COLON-EMERIC, CATHLEEN S, WHITSON, HEATHER E. · 2017 to 2018
$2.0M
NCATS NIH HHS UL1 TR002553NIA NIH HHS P30 AG028716NIA NIH HHS P30 AG028747NIA NIH HHS R01 AG018668NIA NIH HHS R01 AG029315NIA NIH HHS R37 AG009901NIA NIH HHS T32 AG000262NIA NIH HHS UH2 AG056925NIA NIH HHS UH3 AG056925
6 · The paper itself

Abstract

backgroundClinically similar older adults demonstrate variable responses to health stressors, heterogeneity attributable to differences in physical resilience. However, molecular mechanisms underlying physical resilience are unknown. We previously derived a measure of physical resilience after hip fracture-the expected recovery differential (ERD)-that captures the difference between actual recovery and predicted recovery. Starting with biomarkers associated with physical performance, morbidity, mortality, and hip fracture, we evaluated associations with the ERD to identify biomarkers of physical resilience after hip fracture.

methodsIn the Baltimore Hip Studies (N = 304) sera, we quantified biomarkers of inflammation (TNFR-I, TNFR-II, sVCAM-1, and IL-6), metabolic and mitochondrial function (non-esterified fatty acids, lactate, ketones, acylcarnitines, free amino acids, and IGF-1), and epigenetic dysregulation (circulating microRNAs). We used principal component analysis, canonical correlation, and least absolute shrinkage and selection operator regression (LASSO) to identify biomarker associations with better-than-expected recovery (greater ERD) after hip fracture.

resultsParticipants with greater ERD were more likely to be women and less disabled at baseline. The complete biomarker set explained 37% of the variance in ERD (p < .001) by canonical correlation. LASSO regression identified a biomarker subset that accounted for 27% of the total variance in the ERD and included a metabolic factor (aspartate/asparagine, C22, C5:1, lactate, glutamate/mine), TNFR-I, miR-376a-3p, and miR-16-5p.

conclusionsWe identified a set of biomarkers that explained 27% of the variance in ERD-a measure of physical resilience after hip fracture. These ERD-associated biomarkers may be useful in predicting physical resilience in older adults facing hip fracture and other acute health stressors.

Indexed as

Adaptation, PhysiologicalAgedAged, 80 and overBaltimoreBiomarkersFemaleHip FracturesHumansMalePrincipal Component AnalysisRecovery of FunctionBiomarkersBiomarkersHip fractureResilience

Identifiers

PMID32386291
PMCPMC7518564

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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.