Evidence map›Paper›PMID 40530516›Full record

ArticleJournal of the American Heart Association2025

Associations of Sarcopenia and Its Components With Cardiovascular Risk: Five-Year Longitudinal Evidence From China Health and Retirement Longitudinal Study.

Yang Chen, Ziyi Zhong, Konstantinos Prokopidis, Ying Gue, Garry McDowell, Yang Liu, Coleen Ditchfield, Muath Alobaida, Bi Huang, Gregory Y H Lip

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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
–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

5 citing papers in PubMed.

  1. Differential impact of cumulative cerebral small-vessel disease burden on ischemic versus hemorrhagic stroke recurrence in hemorrhage-prone patients.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Trial
  2. Review
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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

10 authors.

Yang ChenLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0002-2808-6286
Ziyi ZhongLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0003-3344-2019
Konstantinos ProkopidisLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0002-6264-9388
Ying GueLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0001-9994-8915
Garry McDowellLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.
Yang LiuLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0003-4430-3452
Coleen DitchfieldDepartment of Medicine for Older People Whiston Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust Prescot United Kingdom.
Muath AlobaidaLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0003-1257-1428
Bi HuangLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.
Gregory Y H LipLiverpool Centre for Cardiovascular Science University of Liverpool, Liverpool John Moores University and Liverpool Heart & Chest Hospital Liverpool United Kingdom.ORCID 0000-0002-7566-1626

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia, an age-related condition, has an unclear association with cardiovascular disease (CVD) risk. We aimed to analyze whether sarcopenia and its individual components are associated with new-onset CVD in middle-aged and older adults. METHODS AND

resultsData were derived from the China Health and Retirement Longitudinal Study, with sarcopenia defined by the Asian Working Group for Sarcopenia 2019 criteria. The primary outcome was composite CVD, comprising heart disease and stroke. Multivariable Cox proportional hazards regression analysis and Fine-Gray subdistribution hazards models were used to calculate hazard ratios (HRs), subdistribution hazard ratios (SHRs), and 95% CIs. A total of 10 649 participants (mean age 64.5±10.7 years, 47.6% male) were included. During mean follow-up of 4.60±1.06 years, there were 1649 (15.5%) cases of new-onset CVD. Possible sarcopenia was linked to increased new-onset composite CVD risk (HR, 1.21 [95% CI, 1.06-1.37]; SHR, 1.20 [95% CI, 1.05-1.35]), whereas sarcopenia and severe sarcopenia showed no association. Restricted cubic spline analysis revealed that 5-time chair stand test (5-CST) was associated with new-onset composite CVD, with significant sex-specific interaction (

conclusionPossible sarcopenia was associated with increased risk of new-onset composite CVD, suggesting that progression to definite sarcopenia may not parallel cardiovascular risk. Longer 5-CST was linked to higher risk of new-onset composite CVD, with sex-specific association.

Indexed as

Cardiovascular DiseasesSarcopeniaAgedChinaFemaleHeart Disease Risk FactorsHumansIncidenceLongitudinal StudiesMaleMiddle AgedRetirementRisk AssessmentRisk FactorsTime Factors5‐time chair stand testall‐cause mortalitycardiovascular diseaseheart diseasesarcopeniastroke

Identifiers

PMID40530516
PMCPMC12449978

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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.