Evidence map›Paper›PMID 36164455›Full record

Trial reportDiabetes, metabolic syndrome and obesity : targets and therapy2022

Visceral Fat Obesity Correlates with Frailty in Middle-Aged and Older Adults.

Bixi Li, Yun Li, Yaxin Zhang, Pan Liu, Yu Song, Yaru Zhou, Lina Ma

Abstract readCase ReportsClinical Trial
In one paragraph

Trial report in Diabetes, metabolic syndrome and obesity : targets and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
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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

7 authors.

Bixi LiDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Yun LiDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Yaxin ZhangDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Pan LiuDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Yu SongDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Yaru ZhouDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, Beijing, People's Republic of China.
Lina MaDepartment of Geriatrics, Xuanwu Hospital Capital Medical University, National Clinical Research Center for Geriatric Diseases, Beijing, People's Republic of China.ORCID 0000-0001-7630-6960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Frailty and obesity are associated with poor outcomes in older adults. Previous studies have shown that excessive visceral fat leads to frailty by promoting inflammation. However, the association between visceral fat obesity (VFO) and frailty has not been elucidated. We aimed to investigate the correlation between VFO and frailty in middle-aged and older adults. Methods: A total of 483 adults aged ≥45 years were recruited. Estimated visceral fat area (eVFA) and total fat (TF) were determined by bioimpedance analysis. Waist circumference, body mass index (BMI), and waist-to-hip ratio (WHR) were recorded. Frailty was assessed using the Fried frailty phenotype. Logistic regression analysis was used to analyze the association between frailty and other variables. Spearman correlation coefficients were calculated to assess the correlations between the frailty phenotype score, eVFA/TF, and other factors. Results: Frail adults were older and had higher waist circumference, eVFA metabolic indicators, and coronary artery disease incidence. Participants with frailty had a higher prevalence of VFO than those without. After adjusting for age, sex, and chronic diseases, frailty was associated with eVFA but not waist circumference, WHR, or BMI. Spearman correlation analysis showed that the frailty phenotype score was positively associated with eVFA and BMI in women but not men. After adjusting for age, frailty was not associated with BMI or WHR. The eVFA/TF ratio was negatively correlated with grip strength and walking speed and positively correlated with the clinical frailty scale score in middle-aged and older adults. Conclusion: Middle-aged and older adults with VFO had a higher risk of frailty. Frailty was associated with a higher eVFA but not with BMI or WHR. The frailty score was positively associated with eVFA and BMI in women, but not in men. A higher eVFA was correlated with worse physical function, even after adjusting for TF.

Indexed as

frailtymiddle-aged and older adultsvisceral fat areavisceral fat obesity

Identifiers

PMID36164455
PMCPMC9508679

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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.