Evidence map›Paper›PMID 40180396›Full record

ArticleBMJ open2025

Association between serum neurofilament light chain levels and grip strength among US adults: a cross-sectional study using National Health and Nutrition Examination Survey data from 2013 to 2014.

Diliyaer Dilixiati, Kaisaierjiang Kadier, Bingzhang Qiao, Weijie Zhang, Daniyaer Nuerdebieke, Abudureheman Zebibula, Ying Yang, Mulati Rexiati

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Interpreting p-tau217 on the ward: frailty and plasma biomarkers in acutely admitted older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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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

8 authors.

Diliyaer Dilixiati *Department of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.ORCID http://orcid.org/0000-0002-7603-9126
Kaisaierjiang Kadier *Department of Cardiology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.ORCID http://orcid.org/0000-0002-1178-4854
Bingzhang QiaoDepartment of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Weijie ZhangDepartment of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Daniyaer NuerdebiekeDepartment of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China.
Abudureheman ZebibulaDepartment of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China yy15022944632@163.com 11618010@zju.edu.cn muratrixat@126.com.
Ying YangState Key Laboratory of Molecular Oncology and Department of Radiation Oncology, National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China yy15022944632@163.com 11618010@zju.edu.cn muratrixat@126.com.
Mulati RexiatiDepartment of Urology, Xinjiang Medical University Affiliated First Hospital, Urumqi, Xinjiang, China yy15022944632@163.com 11618010@zju.edu.cn muratrixat@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to investigate the relationship between serum neurofilament light chain (NfL) and grip strength using data from the 2013-2014 US National Health and Nutrition Examination Survey (NHANES).

designSecondary analysis of cross-sectional, population-based data.

settingNHANES sample, 2013-2014.

participantsWe studied 1925 participants aged 20-75 years. OUTCOME MEASURES AND ANALYSIS: We applied a multivariable generalised linear regression model, adjusted for several potential confounders, and restrictive cubic spline models to evaluate the association between serum NfL and grip strength. Subgroup analyses were conducted using stratified multivariable linear regression analysis.

resultsWe included 1925 participants (average age: 44.8±0.44 years) from the NHANES database. Participants with higher serum NfL levels had a significantly higher prevalence of medical conditions (hypertension, diabetes, cardiovascular disorder, chronic kidney disease (CKD) and cancer) compared with those with lower NfL levels (all p<0.001). After adjusting for confounding factors, there was a negative association between serum NfL and grip strength (β=-2.07; 95% CI -3.47, -0.67; p=0.007). In addition, significant interactions were found between NfL and grip strength stratified by age, physical activity and CKD (p value for interaction=0.002, 0.023 and 0.006). The results of the restricted cubic splines (RCS) analysis showed no evidence against a linear association of serum NfL levels with grip strength. (p for non-linearity=0.334).

conclusionOur study demonstrates a strong, negative and linear correlation between elevated serum NfL levels and grip strength. Notably, our findings indicate that individuals aged between 60 and 75 years, those with physical inactivity and those with CKD exhibit a more pronounced reduction in grip strength with increasing serum NfL levels.

Indexed as

Hand StrengthNeurofilament ProteinsAdultAgedBiomarkersCross-Sectional StudiesFemaleHumansLinear ModelsMaleMiddle AgedNutrition SurveysUnited StatesYoung AdultBiomarkersneurofilament protein LNeurofilament ProteinsCross-Sectional StudiesMotor neurone diseaseNeuromuscular disease

Identifiers

PMID40180396
PMCPMC11969582

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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.