Evidence map›Paper›PMID 36377255›Full record

ArticleJournal of cachexia, sarcopenia and muscle2023

Frailty is characterized by biomarker patterns reflecting inflammation or muscle catabolism in multi-morbid patients.

Bastian Kochlik, Kristina Franz, Thorsten Henning, Daniela Weber, Andreas Wernitz, Catrin Herpich, Franziska Jannasch, Volkan Aykaç, Ursula Müller-Werdan, Matthias B Schulze and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Association between metal co-exposure and frailty: exploring the potential explanatory pathway of inflammation.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
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  7. Review
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  11. Frailty in Cancer: Why Bother and Ways Forward.Journal of cachexia, sarcopenia and muscle · 2025
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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

12 authors at 5 institutions in 3 countries.

Bastian KochlikDepartment of Nutrition and Gerontology, German Institute of Human Nutrition Potsdam - Rehbruecke, Nuthetal, Germany.ORCID 0000-0003-0214-7092
Kristina FranzDepartment of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Thorsten HenningDepartment of Molecular Toxicology, German Institute of Human Nutrition Potsdam - Rehbruecke, Nuthetal, Germany.
Daniela WeberNutriAct - Competence Cluster Nutrition Research Berlin-Potsdam, Nuthetal, Germany.
Andreas WernitzDepartment of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.
Catrin HerpichDepartment of Nutrition and Gerontology, German Institute of Human Nutrition Potsdam - Rehbruecke, Nuthetal, Germany.
Franziska JannaschNutriAct - Competence Cluster Nutrition Research Berlin-Potsdam, Nuthetal, Germany.
Volkan AykaçDepartment of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Ursula Müller-WerdanDepartment of Geriatrics and Medical Gerontology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Matthias B SchulzeNutriAct - Competence Cluster Nutrition Research Berlin-Potsdam, Nuthetal, Germany.
Tilman GruneNutriAct - Competence Cluster Nutrition Research Berlin-Potsdam, Nuthetal, Germany.
Kristina NormanDepartment of Nutrition and Gerontology, German Institute of Human Nutrition Potsdam - Rehbruecke, Nuthetal, Germany.ORCID 0000-0003-2029-9102
University of Potsdam · DECharité - Universitätsmedizin Berlin · DENutrasource · CAGerman Institute of Human Nutrition · DEUniversity of Vienna · AT

Funding

Federal Ministry of Education and Research 01EA1806A-H
6 · The paper itself

Abstract

backgroundFrailty development is partly dependent on multiple factors like low levels of nutrients and high levels of oxidative stress (OS) and inflammation potentially leading to a muscle-catabolic state. Measures of specific biomarker patterns including nutrients, OS and inflammatory biomarkers as well as muscle related biomarkers like 3-methylhistidine (3MH) may improve evaluation of mechanisms and the complex networks leading to frailty.

methodsIn 220 multi-morbid patients (≥ 60 years), classified as non-frail (n = 104) and frail (n = 116) according to Fried's frailty criteria, we measured serum concentrations of fat-soluble micronutrients, amino acids (AA), OS, interleukins (IL) 6 and 10, 3MH (biomarker for muscle protein turnover) and serum spectra of fatty acids (FA). We evaluated biomarker patterns by principal component analysis (PCA) and their cross-sectional associations with frailty by multivariate logistic regression analysis.

resultsTwo biomarker patterns [principal components (PC)] were identified by PCA. PC1 was characterized by high positive factor loadings (FL) of carotenoids, anti-inflammatory FA and vitamin D

conclusionsWe conclude that two specific patterns reflecting either inflammation-related or muscle-related biomarkers are both significantly associated with frailty among multi-morbid patients and that these specific biomarker patterns are more informative than single biomarker analyses considering frailty identification.

Indexed as

FrailtyBiomarkersCross-Sectional StudiesHumansInflammationInterleukin-6MusclesBiomarkersInterleukin-6BiomarkerFrailInflammationMethylhistidineMicronutrientsMuscle

Identifiers

PMID36377255
PMCPMC9891921
OpenAlexW4309026861

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.