Evidence map›Paper›PMID 37985990›Full record

ArticleBMC public health2023

The L-shaped association of mid-upper arm circumference with all-cause and cause-specific mortality in US adults: a population-based prospective cohort study.

Xinran Hou, Jie Hu, E Wang, Qulian Guo, Xian Zhang, Minjing Yang, Zhuoyi Liu, Jian Wang, Zongbin Song

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Xinran HouDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Jie HuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
E WangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Qulian GuoDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Xian ZhangDepartment of Occupational and Environmental Health, Xiangya School of Public Health, Central South University, Changsha, China.
Minjing YangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Zhuoyi LiuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Jian WangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
Zongbin SongDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China. songzb@csu.edu.cn.
Central South University · CNXiangya Hospital Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe arm circumference is a feasible and reliable indicator in evaluating the nutritional status of children. However, its application in general adults has yet to be thoroughly investigated.

objectiveThis study aimed to evaluate the association between mid-upper arm circumferences (MUACs) and mortality in general adults.

methodsThe nationally representative cohort from the National Health and Nutrition Examination Survey (1999-2018) was analyzed with mortality information obtained through linkage to the National Death Index. The baseline MUACs were collected as exposure. Survey-weighted Cox proportional hazard regressions were performed to estimate the hazard ratios (HRs) and 95% confidential intervals (CIs) of mortality risk for individuals with different MUACs. Restricted cubic spline analyses were performed to examine the nonlinear association of MUAC with all-cause and cause-specific mortality.

resultsA total of 52,159 participants were included in this study. During a median follow-up time of 117 months, 7157 deaths were documented, with leading causes of cardiovascular disease (CVD), cancer, and respiratory disease. Individuals in the first quartile (Q1) of MUAC tended to have higher all-cause mortality risk than the rest after full adjustment. Similarly, CVD mortality risk in Q1 was higher than that in the second quartile (Q2) and the third quartile (Q3); respiratory mortality risk in Q1 was higher than in Q2. MUAC was non-linearly associated with all-cause mortality and CVD mortality. Individuals in Q1 MUAC (≤ 29.3) tended to have higher all-cause mortality risk, with HRs (95% CIs) estimated to be 0.76 (0.67-0.87) for Q2 (29.4, 32.5), 0.69 (0.59-0.81) for Q3 (32.6, 36.0), and 0.59 (0.46-0.75) for Q4 (≥ 36.1) after adjustment of demographic, lifestyle, and comorbidity covariates. Similarly, compared with Q1, HRs (95% CIs) for CVD mortality were estimated to be 0.73 (0.58-0.93) for Q2 and 0.57 (0.43-0.47) for Q3; HRs (95% CIs) for respiratory mortality was estimated to be 0.57 (95% CI, 0.37-0.87) for Q2 with other differences not significant.

conclusionThe MUAC was inversely associated with long-term mortality in general adults in the United States and may serve as a valuable measurement in adult health evaluations.

Indexed as

Cardiovascular DiseasesRespiratory Tract DiseasesAdultArmCause of DeathChildHumansNutrition SurveysProspective StudiesUnited StatesAll-cause mortalityCancerCardiovascular diseaseMid-upper arm circumferenceNHANESRespiratory disease

Identifiers

PMID37985990
PMCPMC10662296
OpenAlexW4388834286

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.