Evidence map›Paper›PMID 37919648›Full record

ArticleBMC geriatrics2023

Sex-modified association between grip strength and mild cognitive impairment: a cross-sectional and follow-up study in rural China.

Wenjing Feng, Qian Chen, Mingfeng Ma, Jiahui Xu, Hui Guo, Wei Yuan, Ruixue Li, Hanshu Gao, Cuiying Gu, Yanan Ma and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Differential Improvement in Memory and Executive Functions: Personalized Exercise versus Acupuncture for Mild Cognitive Impairment in Stroke-prone Individuals.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    Article
  3. Article
  4. Article
  5. Physical fitness and incident mild cognitive impairment: a systematic review.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2025
    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

13 authors at 4 institutions in 1 country.

Wenjing Feng *The International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Qian Chen *Department of Neurology, Shengjing Hospital of China Medical University, Shenyang, China.
Mingfeng Ma *Department of Cardiology, Fenyang Hospital of Shanxi Province, Fenyang, Shanxi, China.
Jiahui XuThe International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Hui GuoDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Wei YuanDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Ruixue LiDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Hanshu GaoDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Cuiying GuDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Yanan MaDepartment of Biostatistics and Epidemiology, School of Public Health, China Medical University, Shenyang, China.
Zhaoqing Sun *Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, China. sunzhaoqing@vip.163.com.
Nan Tuo *The International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. tuonan@sjtu.edu.cn.
Liqiang Zheng *The International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. liqiangzheng@126.com.ORCID 0000-0003-0101-9398
China Medical University · CNShanghai Jiao Tong University · CNInternational Peace Maternity & Child Health Hospital · CNShanxi Fenyang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe sex difference in the association between grip strength and mild cognitive impairment (MCI) remains controversial and unclear.

methodsThis is a part of a chronic disease cohort study conducted in rural areas, Fuxin, Liaoning Province, China. At the baseline survey, a total of 2633 participants aged 35- 85 were included in the cross-sectional study. Handgrip strength (HGS, kg) was measured by a dynamometer (Jamar +). MCI were assessed using the Chinese version of the Montreal Cognitive Assessment-Basic (MOCA-BC). Then, a total of 1667 cognitively normal individuals (NCs) were planed to follow up and to assess the incident MCI after two years. We used logistic regression to examine the association between HGS (as a continuous variable and quintiles) and MCI and analyzed the interaction between sex and HGS on MCI. Models stratified by sex were adjusted for demographic information (age, ethnicity, education, marital status, income, physical labor level), modifiable risk factors (body mass index, smoking, drinking) and disease history (hypertension, diabetes, dyslipidemia and coronary heart disease). Baseline MOCA-BC scores were additionally adjusted in the longitudinal study.

resultsIn the cross-sectional study, participants were on average 56.6 ± 9.8 years, and 1713 (65.1%) were females. In the cohort study, 743 individuals were followed up with an average age of 55.9 ± 9.6 years, which included 530 (71.3%) females. The cumulative incidence of MCI over a two-year period was 17.1%. In the cross-sectional study, compared to the highest quintile of HGS, the lowest HGS was associated with higher risk of MCI in males (odds ratio [OR]: 2.66; 95% confidence interval [CI]: 1.54, 4.64) and females (OR: 1.70; 95% CI: 1.17, 2.49) with adjustment of potential confounding factors. In the cohort study, compared to the highest quintile of HGS, the lowest HGS was associated with an increased risk of incident MCI in females (OR: 3.93; 95% CI: 1.39, 13.01) but not in males (OR: 0.56; 95% CI: 0.11, 2.94, P

conclusionsLower grip strength is a risk factor for mild cognitive impairment and predicts a higher risk of MCI in females.

Indexed as

Cognitive DysfunctionHand StrengthAgedChinaCohort StudiesCross-Sectional StudiesFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleCohort studyCross-sectional studyHandgrip strengthMild cognitive impairmentSex

Identifiers

PMID37919648
PMCPMC10623700
OpenAlexW4388221002

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.