Evidence map›Paper›PMID 40668168›Full record

ArticleJACC. Asia2025

Joint Associations of Frailty and Cardiometabolic Diseases With Risk of All-Cause and Cardiac Mortality.

Chen Zhu, Tianqi Ma, Lingfang He, Xunjie Cheng, Yongping Bai

Abstract read
In one paragraph

Article in JACC. Asia, 2025. 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.

  1. 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

5 authors.

Chen ZhuDepartment of Cardiovascular Medicine, Xiangya Hospital, Central South University, Changsha, P.R. China; Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, P.R. China.
Tianqi MaDepartment of Cardiovascular Medicine, Xiangya Hospital, Central South University, Changsha, P.R. China; Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, P.R. China.
Lingfang HeCenter of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, P.R. China; Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, China.
Xunjie ChengDepartment of Cardiovascular Medicine, Xiangya Hospital, Central South University, Changsha, P.R. China; Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, P.R. China; Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, China. Electronic address: chengcsu319@csu.edu.cn.
Yongping BaiDepartment of Cardiovascular Medicine, Xiangya Hospital, Central South University, Changsha, P.R. China; Center of Coronary Circulation, Xiangya Hospital, Central South University, Changsha, P.R. China; National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, P.R. China; Department of Geriatric Medicine, Xiangya Hospital, Central South University, Changsha, China. Electronic address: baiyongping@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiometabolic diseases (CMDs) are common for middle-aged and older adults. Whether frailty exacerbates CMD-related risk of mortality outcomes is unclear.

objectivesThe authors sought to investigate the joint associations of frailty and CMDs with mortality risk.

methodsThis prospective cohort study included 467,406 participants from UK biobank. Frailty was assessed using frailty phenotype and frailty index (FI). CMD status was defined as no CMD, single CMD, and cardiometabolic multimorbidity (CMM, coexistence of ≥2 CMDs). Multiplicative and additive interactions between frailty and CMDs two exposures on all-cause and cardiac mortality were examined, and then the joint association of coexisting frailty and CMDs with outcomes were estimated.

resultsDuring median follow-up of 13.08 years, 33,435 participants (7.2%) died, with 6,709 (1.4%) experiencing cardiac mortality. For frailty phenotype measurement, significant multiplicative and additive interactions existed with CMD status. Coexisting frailty phenotype and CMM were associated with a 4.91 (95% CI: 4.49-5.38) times and 8.33 (95% CI: 7.13-9.72) times higher risk of all-cause and cardiac mortality, with 23% and 36% attributable to the additive interaction, respectively. For FI measurements, a significant multiplicative interaction was observed with CMDs, and similar frailty-CMD joint associations with mortality outcomes were also observed.

conclusionsCoexisting frailty and CMDs were associated with an accumulatively increased risk of mortality. Comprehensive screening and management of frailty and CMDs is advisable in aged populations.

Indexed as

cardiovascular diseasesdiabetes mellitusfrailtymortalitymultimorbidity

Identifiers

PMID40668168
PMCPMC12426639

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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.