Evidence map›Paper›PMID 39117995›Full record

ArticleBMC geriatrics2024

Cardiovascular disease risk factors and frailty syndrome in community-dwelling older adults: Results from the Amirkola Health and Aging Project Cohort Study.

Abbas Shamsalinia, Seyed Reza Hosseini, Ali Bijani, Reza Ghadimi, Kiyana Saadati, Mohammad Reza Kordbageri, Fatemeh Ghaffari

Abstract read
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Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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.

Abbas ShamsaliniaNursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID http://orcid.org/0000-0003-0731-0215
Seyed Reza HosseiniSocial Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID http://orcid.org/0000-0003-1440-3022
Ali BijaniSocial Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID http://orcid.org/0000-0003-2233-8726
Reza GhadimiSocial Determinants of Health (SDH) Research Centre, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID http://orcid.org/0000-0002-4296-2836
Kiyana SaadatiStudent research committee, Ramsar campus, Mazandaran University of Medical Sciences, Ramsar, Iran.ORCID http://orcid.org/0000-0003-2299-6016
Mohammad Reza KordbageriShahid Beheshti University (SBU), Tehran, Iran.ORCID http://orcid.org/0000-0002-9901-4423
Fatemeh GhaffariNursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. ghafarifateme@yahoo.com.ORCID http://orcid.org/0000-0003-1940-1579

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly diagnosis and control of risk factors affecting frailty syndrome (FS) in older adults may lead to changes in the health/disease process, prevention of disability and dependency in the older adults, and reduction of health care costs and mortality rates. The aim of this study was to determine the predictive role of CVD risk factors and FS in community-dwelling older adults of Amirkola city in Iran.

methodsThis descriptive-analytic cross-sectional study is part of the second phase of the Amirkola Health and Aging Project (AHAP) cohort study conducted since 2011 on all individuals ≥ 60 years in the city of Amirkola in northern Iran. Totally, 1000 older adults were included in the study and divided into three groups: frail (n = 299), pre-frail (n = 455), and non-frail (n = 246) older adults. In the present study, age ≥ 60 years, female sex, fasting blood sugar (FBS) ≥ 126 mg/dl, affected diabetes mellitus (DM), body mass index (BMI) ≥ 27 kg/m², waist circumference (WC) or abdominal obesity > 102 cm in men and > 88 cm in women, low-density lipoprotein (LDL) > 100 mg/dl, triglyceride > 150 mg/dl, cholesterol > 200 mg/dl, high-density lipoprotein (HDL) < 40 mg/dl and blood pressure (BP) > 90/140 mmHg, uric acid > 7 mg/dl and a positive smoking history were considered CVD risk factors.

resultsThe results showed that with each centimeter increase in WC, the odds of frailty compared with non-frailty was 79% higher, and the odds of frailty compared with pre-frailty was 1.43 times higher in older adults. In addition, the prevalence of pre-frailty compared with non-frailty, pre-frailty, and non-frailty was 10.59 times, 6.08 times, and 73.83 times higher in older individuals > 84 years old, respectively. The results of the present study indicated that the prevalence of pre-frailty compared with non-frailty, frailty compared with pre-frailty, and frailty compared with non-frailty was 2.86 times, 3.01 times, and 14.83 times higher in older adults women, respectively. The comparison between frail and non-frail groups represented that in DM older adults, the prevalence of frailty compared with non-frailty was 1.84 times higher and that of frailty compared with pre-frailty was 98% higher. The older adults with an FBS ≥ 126 mg/dl were 53% more likely to become frail, and with each unit increase in uric acid, the odds of becoming frail increased 2.05 times compared with non-frail older adults, and pre-frail compared with non-frail increased 99%.

conclusionThe results demonstrated that CVD risk factors predictive of FS included central obesity, age > 84 years, female sex, DM, FBS ≥ 126, and uric acid > 7. This problem highlights the need for preventive strategies in the older adults who are simultaneously vulnerable to CVD and frailty.

Indexed as

Cardiovascular DiseasesFrailtyIndependent LivingAgedAged, 80 and overAgingCohort StudiesCross-Sectional StudiesFemaleFrail ElderlyHeart Disease Risk FactorsHumansIranMaleMiddle AgedRisk FactorsCardiovascular risk factorsDisabilityFrailty syndromeMuscle weaknessOlder adults

Identifiers

PMID39117995
PMCPMC11308143

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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.