Evidence map›Paper›PMID 33155627›Full record

ArticleThe journal of nutrition, health & aging2020

Peak Expiratory Flow as an Index of Frailty Syndrome in Older Adults: A Cross-Sectional Study.

J A Magave, S J S Bezerra, A P Matos, A C P N Pinto, M S Pegorari, D G Ohara

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06974006 (Integrated Monitoring for Independent Living in Rural Settings), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% 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.

NCT06974006 recruitingnot on this mapstarted 2025, after this paper: background citation

Integrated Monitoring for Independent Living in Rural Settings

TypeobservationalSponsorEuropean University Miguel de CervantesRan2025 to 2027Enrolled82ConditionsAged 60 Years or OlderArmsDevices: Kardia Mobile 6L, Omron M7 BP, Beurer PO30, Datospir Peak-10, NUTRILAB BIA 101 BIVA® PRO
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  6. Effects of the Vitality Acupunch Exercise Program on Older Adults With Probable Sarcopenia: A Mixed Methods Pilot Study.Journal of holistic nursing : official journal of the American Holistic Nurses' Association · 2025
    Article
  7. Longitudinal Changes in Peak Expiratory Flow Predict Risk for Incident Dementia.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  8. Article
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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

6 authors at 1 institution in 1 country.

J A MagaveMaycon Sousa Pegorari, Federal University of Amapá, Department of biological and health sciences, Physical Therapy Course, Road Juscelino Kubitschek, Km - 02, Jardim Marco Zero, Macapá - AP, CEP 68903-419 - Phone number: (+55 96) 4009-2944 E-mail: mayconpegorari@yahoo.com.br.
S J S Bezerra
A P Matos
A C P N Pinto
M S Pegorari
D G Ohara
Universidade Federal do Amapá · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesto compare the obtained and predicted peak expiratory flow (PEF) values between frail, pre-frail, and non-frail older adults; verify the association between PEF and FS; and establish cut-off points for PEF as determinants of frailty syndrome (FS).

designCross-sectional study. LOCATION: Macapá, Amapá, Brazil.

participantsCommunity-based study community-dwelling older people.

methodsPEF was evaluated using a peak-flow meter and FS was evaluated using Fried's frailty phenotype. The statistical analyses performed included a multinomial logistic regression model and Receiver Operating Characteristic (ROC) curves to establish cut-off points for discriminating FS.

results409 older adults with a mean age of 70.09±7.22 years were evaluated; of these, 58.7% were pre-frail, and 12.7% were frail. PEF was lower in frail than in pre-frail participants, and lower in pre-frail than in non-frail. Frail and pre-frail older adults obtained lower PEF values than predicted. PEF (% Predicted) was inversely associated with frailty and pre-frailty even after adjustment. Cut-off points were established to discriminate the presence of frailty in older men (PEF≤350L/min; AUC=0.669; sensitivity=76.92%; specificity=52%) and women (PEF≤220L/min; AUC=0.597; sensitivity=71.79%; specificity=46.98%).

conclusionsFrail and pre-frail older adults presented significantly lower PEF than non-frail participants, and these values were lower than predicted. PEF was inversely associated with frailty and pre-frailty. PEF cut-off points can be used as a complementary method to indicate frailty in community-dwelling older adults.

Indexed as

AgedAged, 80 and overBrazilCross-Sectional StudiesFemaleFrail ElderlyFrailtyGeriatric AssessmentHumansIndependent LivingMalePeak Expiratory Flow RateAgingfrail elderlypeak expiratory flow raterespiratory function testsrespiratory muscles

Identifiers

PMID33155627
PMCPMC12280685
OpenAlexW3037352960

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.