Evidence map›Paper›PMID 40476047›Full record

ArticleLancet regional health. Americas2025

Health impact of a hypothetical intervention on immune burden of cytomegalovirus (CMV) among older adults in the US: a prospective analysis of the Health and Retirement Study Cohort.

Yuelin He, Jessica Faul, Kate Duchowny, Chihua Li, Rebecca Stebbins, Grace A Noppert

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Cytomegalovirus and Aging-How Can the Field Move Forward?The Journal of infectious diseases · 2026
    Article
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

6 authors.

Yuelin HeSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Jessica FaulSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Kate DuchownySurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Chihua LiSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
Rebecca StebbinsRobert N. Butler Columbia Aging Center, Mailman School of Public Health, Columbia University, New York, NY, USA.
Grace A NoppertSurvey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody, RAYMOND L YUNG · 2004 to 2026
$29.2M
Socioeconomic, Cardiovascular, and Psychosocial Sources of Cross-National Variation in Cognitive Health Among Older AdultsR01AG070953 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alden L. Gross, Lindsay C Kobayashi · 2021 to 2026
$4.6M
Expanding the RAND HRS Data System to Better Support Research on Health and AgingR01AG073289 · NIA · RAND CORPORATION · PI SUSANN ROHWEDDER, DAVID R. WEIR · 2022 to 2026
$3.7M
Immunosenescence, socioeconomic disadvantage and dementia in the US aging populationR01AG075719 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Allison E Aiello, Grace A Noppert · 2022 to 2026
$3.6M
Biological Underpinnings of Socioeconomic Differentials in Health and MortalityR01AG060110 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CRIMMINS, EILEEN M · 2018 to 2022
$2.6M
Social Disadvantage and Its Impact on Pathogen Burden and Immune Dysfunction Across the Life CourseR00AG062749 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI NOPPERT, GRACE A · 2021 to 2023
$747k
Examining the role of the neighborhood environment on muscle function in older adultsR00AG066846 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DUCHOWNY, CATHERINE · 2023 to 2025
$742k
NIA NIH HHS P30 AG024824NIA NIH HHS R00 AG062749NIA NIH HHS R00 AG066846NIA NIH HHS R01 AG060110NIA NIH HHS R01 AG070953NIA NIH HHS R01 AG073289NIA NIH HHS R01 AG075719NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

Background: Cytomegalovirus (CMV) infection has been indicted in the etiology of multiple aging-related diseases. We aimed to quantify the proportion of diseases that could be prevented with a potential CMV treatment among US older individuals. Methods: We analyzed disease prevalence among 8934 eligible individuals from the US Health and Retirement Study (HRS) in 2016-2020. In our hypothetical intervention, the treatment would improve immune control of CMV and shift the distribution of continuous CMV IgG antibody levels from the highest quartile to the lower 3 quartiles. We estimated top-quartile CMV level attributable fractions for 7 outcomes: heart diseases, stroke, high blood pressure, high cholesterol, cancers, diabetes, and difficulty with Activities of Daily Living using a novel logistic regression-based approach which allows for continuous covariate adjustment for counterfactual prevalence, stratified by gender and race/ethnicity. Findings: In the study sample, a hypothetical intervention that decreased CMV IgG below the highest quartile level in 2016 would result in a 3·57 (95% Confidence Interval: 1·54, 5·60) percentage points reduction of diabetes cases and a 1·81 (95% CI: 0·75, 2·86) percentage points reduction of high blood pressure cases among Non-Hispanic White (NHW) women. Among NHW men, the same intervention would lead to a 2·43 (95% CI: 0·49, 4·37) percentage points reduction of diabetes, a 2·89 (95% CI: 0·93, 4·86) percentage points reduction of heart diseases and a 2·52 (95% CI: 1·39, 3·65) percentage points reduction of high blood pressure. Interpretation: Our findings provide initial evidence for the potential population health impact of CMV intervention, specifically on high blood pressure, diabetes, and heart diseases. Funding: National Institutes of Health, National Institute on Aging.

Indexed as

AgingChronic diseaseCytomegalovirusGeroscience

Identifiers

PMID40476047
PMCPMC12137167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.