Evidence map›Paper›PMID 32405607›Full record

ArticleJournal of the Endocrine Society2020

Plasma Soluble αKlotho, Serum Fibroblast Growth Factor 23, and Mobility Disability in Community-Dwelling Older Adults.

Michelle Shardell, David A Drew, Richard D Semba, Tamara B Harris, Peggy M Cawthon, Eleanor M Simonsick, Rita R Kalyani, Ann V Schwartz, Stephen B Kritchevsky, Anne B Newman

Open access · goldAbstract read
In one paragraph

Article in Journal of the Endocrine Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 7 institutions in 1 country.

Michelle ShardellInstitute for Genome Sciences, Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5283-2082
David A DrewDivision of Nephrology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
Richard D SembaDepartment of Ophthalmology, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Tamara B HarrisLaboratory of Epidemiology and Population Science, National Institute on Aging Intramural Research Program, Bethesda, Maryland.
Peggy M CawthonResearch Institute, California Pacific Medical Center, San Francisco, California.
Eleanor M SimonsickTranslational Gerontology Branch, National Institute on Aging Intramural Research Program, Baltimore, Maryland.
Rita R KalyaniDepartment of Endocrinology, Metabolism, and Diabetes, Johns Hopkins Medical Institutions, Baltimore Maryland.
Ann V SchwartzDepartment of Epidemiology and Biostatistics, University of California, San Francisco, California.
Stephen B KritchevskySticht Center for Healthy Aging and Alzheimer's Prevention, Wake Forest University, Winston-Salem, North Carolina.
Anne B NewmanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.
Johns Hopkins University · USNational Institute on Aging · USUniversity of California, San Francisco · USTufts Medical Center · USUniversity of Maryland, Baltimore · USUniversity of Pittsburgh · USWake Forest University · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
The Aging Kidney: Chronic Injury, Impaired Functions and Clinical OutcomesR01AG027002 · NIA · TUFTS MEDICAL CENTER · PI PARIKH, SAMIR M, SARNAK, MARK J · 2005 to 2022
$7.3M
Statistical methods for vitamin D targets for functional outcomes in older adultsR01AG048069 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI SHARDELL, MICHELLE DENISE · 2015 to 2025
$4.3M
Oxidative stress and the pathogenesis of sarcopenia and disability in older womenR01AG027012 · NIA · JOHNS HOPKINS UNIVERSITY · PI SEMBA, RICHARD D · 2005 to 2018
$3.6M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
The association of FGF-23 and Klotho with cognitive impairment and cerebrovascular disease in chronic kidney diseaseK23DK105327 · NIDDK · TUFTS MEDICAL CENTER · PI DREW, DAVID ALAN · 2016 to 2020
$958k
NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG027002NIA NIH HHS R01 AG027012NIA NIH HHS R01 AG028050NIA NIH HHS R01 AG048069NIDDK NIH HHS K23 DK105327NINR NIH HHS R01 NR012459
6 · The paper itself

Abstract

contextαKlotho is a hormone and co-receptor for fibroblast growth factor 23 (FGF23), a hormone that downregulates active vitamin D synthesis and promotes phosphate excretion. Low αKlotho and high FGF23 occur in chronic kidney disease (CKD).

objectiveWe aimed to assess the relationships of αKlotho and FGF23 with mobility disability in community-dwelling older adults. DESIGN AND

settingWe estimated associations of plasma-soluble αKlotho and serum FGF23 concentrations with mobility disability over 6 years. Additional analyses was stratified by CKD.

participantsParticipants included 2751 adults (25.0% with CKD), aged 71 to 80 years, from the 1998 to 1999 Health, Aging, and Body Composition Study visit.

main outcome measuresWalking disability and stair climb disability were defined as self-reported "a lot of difficulty" or an inability to walk a quarter mile and climb 10 stairs, respectively.

resultsMedian (interquartile range [IQR]) serum FGF23 and plasma soluble αKlotho concentrations were 46.6 (36.7, 60.2) pg/mL and 630.4 (478.4, 816.0) pg/mL, respectively. After adjustment, higher αKlotho concentrations were associated with lower walking disability rates (Rate Ratio [RR] highest vs. lowest tertile = 0.74; 95% confidence interval l [CI] = 0.62, 0.89;

conclusionsHigher plasma soluble αKlotho and lower serum FGF23 concentrations were associated with lower walking disability rates in community-dwelling older adults, particularly those without CKD.

Indexed as

agingchronic kidney diseasefibroblast growth factor 23mobility disabilityαKlotho

Identifiers

PMID32405607
PMCPMC7209777
OpenAlexW3022013634

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.