Evidence map›Paper›PMID 39305017›Full record

ArticleMovement disorders clinical practice2024

Cross-Sectional and Prospective Associations between Parkinsonism and Parkinson's Disease with Frailty in Latin America.

Dani J Kim, Nusrat Khan, Juan J Llibre-Rodriguez, Miao Jiang, Ana M Rodriguez-Salgado, Isaac Acosta, Ana Luisa Sosa, Daisy Acosta, Ivonne Z Jimenez-Velasquez, Mariella Guerra and 7 more

Abstract read
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Neural embedding of frailty in cognitively unimpaired aging and dementia across Latin America.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  2. Review
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

17 authors.

Dani J KimHealth Service and Population Research Department, Institute of Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-6605-3338
Nusrat KhanPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-3928-0022
Juan J Llibre-RodriguezDementia Research Unit, Medical University of Havana, Havana, Cuba.
Miao JiangInstitute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland.
Ana M Rodriguez-SalgadoGlobal Brain Health Institute, University of San Francisco California, San Francisco, California, USA.
Isaac AcostaLaboratory of the Dementias, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Ana Luisa SosaLaboratory of the Dementias, National Institute of Neurology and Neurosurgery, Mexico City, Mexico.
Daisy AcostaUniversidad Nacional Pedro Henriquez Ureña (UNPHU), Internal Medicine Department, Geriatric Section, Santo Domingo, Dominican Republic.
Ivonne Z Jimenez-VelasquezInternal Medicine Department, Geriatrics Program, School of Medicine, Medical Sciences Campus, University of Puerto Rico, San Juan, Puerto Rico.
Mariella GuerraInstituto de la Memoria Depresion y Enfermedades de Riesgo IMEDER, Lima, Peru.
Aquiles SalasMedicine Department, Caracas University Hospital, Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela.
Nedelys Díaz SánchezInstitute of Public Health, Faculty of Biomedical Sciences, Università della Svizzera italiana, Lugano, Switzerland.
Ricardo López-ContrerasMemory Clinic, Neurology Service, Salvadoran Social Security Institute, San Salvador, El Salvador.
Heike HesseObservatorio Covid-19, Universidad Tecnológica Centroamericana, Tegucigalpa, Honduras.
Caroline TannerDepartment of Neurology, Weill Institute for Neurosciences, University of California-San Francisco, San Francisco, California, USA.
Jorge J Llibre-GuerraDepartment of Neurology, Washington University in St. Louis School of Medicine, St. Louis, Missouri, USA.ORCID https://orcid.org/0000-0002-2137-7750
Matthew PrinaHealth Service and Population Research Department, Institute of Health Service and Population Research Department, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.

Funding

Understanding Alzheimer disease heterogeneity in Hispanic populations.K01AG073526 · NIA · WASHINGTON UNIVERSITY · PI Jorge Jesus Llibre-Guerra · 2022 to 2026
$511k
Alzheimer's Association 24HPE-1287320Michael J. Fox Foundation for Parkinson's Research MJFF-020770National Institute on Aging - National Institutes of Health (NIH) K01AG073526NIA NIH HHS K01 AG073526
6 · The paper itself

Abstract

backgroundLittle is known about the relationship between parkinsonism or Parkinson's disease (PD) and frailty in Latin America.

objectiveThe study aimed to determine the cross-sectional and prospective associations between parkinsonism and PD with frailty in a large multi-country cohort in Latin America. Frailty was assessed using three different models to explore which definitions are more appropriate to screen for frailty in a PD population.

methods12,865 older adults (aged ≥65 years) from the 10/66 population-based cohort study in six Latin American countries were analyzed. Logistic regression models assessed the cross-sectional association between parkinsonism/PD with baseline frailty. Individual country analyses were combined via fixed-effect meta-analysis. In non-frail participants who were followed up for 4 years, Cox proportional hazards regression models assessed the prospective association between parkinsonism/PD with incident frailty accounting for competing risk of mortality.

resultsAt baseline, the prevalence of parkinsonism and PD was 7% and 2%, respectively, and the prevalence of frailty varied across the three models with rates of 18% for frailty phenotype, 20% for frailty index and 30% for multidimensional frailty model. PD was associated with baseline and incident frailty after accounting for age, sex, and education: odds ratios and 95% confidence intervals (95% CI) for frailty were 2.49 (95% CIs 1.87-3.31), 2.42 (95% CIs 1.80-3.25), and 1.57 (95% CIs 1.16-2.21), and cause-specific hazard ratios were 1.66 (95% CIs 1.07-2.56), 1.78 (95% CIs 1.05-3.03), and 1.58 (95% CIs 0.91-2.74). Similar results were found for parkinsonism.

conclusionParkinsonism and PD were cross-sectionally and prospectively associated with frailty in Latin America. Routine screening for frailty in PD patients may aid earlier detection of those at greater risk of adverse outcomes.

Indexed as

FrailtyParkinson DiseaseParkinsonian DisordersAgedAged, 80 and overCohort StudiesCross-Sectional StudiesFemaleFrail ElderlyHumansLatin AmericaMalePrevalenceProspective StudiesepidemiologyfrailtyLatin AmericaParkinson's disease

Identifiers

PMID39305017
PMCPMC11648000

What OpenQuestion holds

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LicenceCC BY-NC
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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.