Evidence map›Paper›PMID 33731775›Full record

ArticleScientific reports2021

Self-rated health in individuals with and without disease is associated with multiple biomarkers representing multiple biological domains.

L Kananen, L Enroth, J Raitanen, J Jylhävä, A Bürkle, M Moreno-Villanueva, J Bernhardt, O Toussaint, B Grubeck-Loebenstein, M Malavolta and 25 more

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

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

  1. Pooled it
  2. Article
  3. Self-rated health and inflammation: Associations among partnered sexual minority and heterosexual adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Environmental exposure-related health worries, work ability and health, surveyed by occupational health services.International journal of occupational medicine and environmental health · 2025
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

35 authors.

L KananenFaculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland.
L EnrothFaculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland.
J RaitanenFaculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland.
J JylhäväGerontology Research Center (GEREC), Tampere, Finland.
A BürkleMolecular Toxicology Group, University of Konstanz, Konstanz, Germany.
M Moreno-VillanuevaMolecular Toxicology Group, University of Konstanz, Konstanz, Germany.
J BernhardtBioTeSys GmbH, 73728, Esslingen, Germany.
O ToussaintResearch Unit On Cellular Biology, University of Namur, Rue de Bruxelles, 61, 5000, Namur, Belgium.
B Grubeck-LoebensteinResearch Institute for Biomedical Aging Research, University of Innsbruck, Rennweg, 10, 6020, Innsbruck, Austria.
M MalavoltaAdvanced Technology Center for Aging Research, Scientific Technological Area, IRCCS INRCA, Ancona, Italy.
A BassoAdvanced Technology Center for Aging Research, Scientific Technological Area, IRCCS INRCA, Ancona, Italy.
F PiacenzaAdvanced Technology Center for Aging Research, Scientific Technological Area, IRCCS INRCA, Ancona, Italy.
S CollinoNestlé Research, Nestlé Institute of Health Sciences, EPFL Innovation Park, 1015, Lausanne, Switzerland.
E S GonosInstitute of Biology, Medicinal Chemistry and Biotechnology, National Hellenic Research Foundation, Athens, Greece.
E SikoraLaboratory of the Molecular Bases of Ageing, Nencki Institute of Experimental Biology, Polish Academy of Sciences, 3 Pasteur Street, 02-093, Warsaw, Poland.
D GradinaruCarol Davila University of Medicine and Pharmacy, Bucharest, Romania.
E H J M JansenNational Institute for Public Health and the Environment (RIVM), Centre for Health Protection, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands.
M E T DolléNational Institute for Public Health and the Environment (RIVM), Centre for Health Protection, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands.
M SalmonStraticell, Science Park Crealys, Rue Jean Sonet 10, 5032, Les Isnes, Belgique.
W StuetzInstitute of Nutritional Sciences (140), University of Hohenheim, 70593, Stuttgart, Germany.
D WeberDepartment of Molecular Toxicology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany.
T GruneDepartment of Molecular Toxicology, German Institute of Human Nutrition Potsdam-Rehbruecke (DIfE), Nuthetal, Germany.
N BreusingInstitute of Nutritional Medicine (180), University of Hohenheim, 70593, Stuttgart, Germany.
A SimmDepartment of Cardiothoracic Surgery, University Hospital Halle, Ernst-Grube Str. 40, 06120, Halle (Saale), Germany.
M CapriDIMES- Department of Experimental, Diagnostic and Specialty Medicine, ALMA MATER STUDIORUM, CIG-Interdepartmental Center "L.Galvani", University of Bologna, 40126, Bologna, Italy.
C FranceschiDIMES- Department of Experimental, Diagnostic and Specialty Medicine, ALMA MATER STUDIORUM, CIG-Interdepartmental Center "L.Galvani", University of Bologna, 40126, Bologna, Italy.
P E SlagboomSection of Molecular Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands.
D C S TalbotUnilever Science and Technology, Beauty and Personal Care, Sharnbrook, UK.
C LibertCenter for Inflammation Research, VIB, Ghent, Belgium.
S KoskinenNational Institute for Health and Welfare, Helsinki, Finland.
H BruunsgaardDepartment of Clinical Immunology, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
Å M HansenDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
R LundDepartment of Public Health, University of Copenhagen, Copenhagen, Denmark.
M HurmeGerontology Research Center (GEREC), Tampere, Finland.
M JylhäFaculty of Social Sciences (Health Sciences), Tampere University, Tampere, Finland. marja.jylha@tuni.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-rated health (SRH) is one of the most frequently used indicators in health and social research. Its robust association with mortality in very different populations implies that it is a comprehensive measure of health status and may even reflect the condition of the human organism beyond clinical diagnoses. Yet the biological basis of SRH is poorly understood. We used data from three independent European population samples (N approx. 15,000) to investigate the associations of SRH with 150 biomolecules in blood or urine (biomarkers). Altogether 57 biomarkers representing different organ systems were associated with SRH. In almost half of the cases the association was independent of disease and physical functioning. Biomarkers weakened but did not remove the association between SRH and mortality. We propose three potential pathways through which biomarkers may be incorporated into an individual's subjective health assessment, including (1) their role in clinical diseases; (2) their association with health-related lifestyles; and (3) their potential to stimulate physical sensations through interoceptive mechanisms. Our findings indicate that SRH has a solid biological basis and it is a valid but non-specific indicator of the biological condition of the human organism.

Indexed as

BiomarkersDiagnostic Self EvaluationHealth StatusSelf ReportAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedYoung AdultBiomarkers

Identifiers

PMID33731775
PMCPMC7969614

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.