Evidence map›Paper›PMID 40765217›Full record

ArticleGeriatrics & gerontology international2025

Frailty and its components and cardiovascular outcomes in older adults: A nationwide epidemiological study.

Kensuke Ueno, Toshiyuki Ko, Yuta Suzuki, Hidehiro Kaneko, Kentaro Kamiya, Akira Okada, Katsuhito Fujiu, Norifumi Takeda, Hiroyuki Morita, Koichi Node and 2 more

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

12 authors.

Kensuke UenoDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Toshiyuki KoDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Yuta SuzukiDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Hidehiro KanekoDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.ORCID https://orcid.org/0000-0003-2553-6170
Kentaro KamiyaDepartment of Rehabilitation, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan.ORCID https://orcid.org/0000-0002-7706-9511
Akira OkadaDepartment of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Katsuhito FujiuDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Norifumi TakedaDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Hiroyuki MoritaDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.
Koichi NodeDepartment of Cardiovascular Medicine, Saga University, Saga, Japan.
Hideo YasunagaDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, Tokyo, Japan.
Norihiko TakedaDepartment of Cardiovascular Medicine, The University of Tokyo, Tokyo, Japan.

Funding

Ministry of Education, Culture, Sports, Science and Technology 20H03907Ministry of Education, Culture, Sports, Science and Technology 21H03159Ministry of Education, Culture, Sports, Science and Technology 21K08123Ministry of Health Labour and Welfare Japan 23AA2003
6 · The paper itself

Abstract

aimAlthough frailty is the result of multifactorial vulnerability, such as physical, cognitive, and socio-psychological factors, the association of multifactor-defined frailty and its components with cardiovascular disease (CVD) has not been investigated. The goal of this paper is to clarify the association between multifactor-defined frailty and its components and CVD in older adults.

methodsUsing a nationwide claims database, we included 66 948 participants aged ≥65 years without a history of CVD who were assessed using a simple questionnaire-based approach covering physical, cognitive, oral, nutritional, and social aspects of frailty. The primary outcome was composite CVD events, including ischemic heart disease, heart failure, and stroke.

resultsDuring a mean follow-up period of 280 ± 153 days, 3721 CVD events were observed. Compared with robust individuals, frailty was associated with an increased risk of developing CVD (adjusted hazard ratio [HR] 1.41, 95% confidence interval [CI] 1.31-1.52). This association was consistent across CVD subtypes. All components of comprehensive measures of frailty, such as physical function (HR 2.32, 95% CI 1.85-2.91), nutritional status (HR 1.46, 95% CI 1.10-1.93), oral function (HR 1.18, 95% CI 1.05-1.32), cognitive function (HR 1.44, 95% CI 1.30-1.60), and social aspects (HR 1.39, 95% CI 1.13-1.72), were also associated with an increased risk of developing CVD.

conclusionsThe multifactorial assessment of frailty significantly stratifies CVD risk in Japanese older adults. Moreover, each component of frailty independently contributes to the likelihood of CVD, underscoring the importance of comprehensive frailty evaluations in preventive care for the aging population. Geriatr Gerontol Int 2025; 25: 1239-1246.

Indexed as

Cardiovascular DiseasesFrail ElderlyFrailtyAgedAged, 80 and overFemaleGeriatric AssessmentHumansJapanMaleRisk Factors12 frailty‐related itemscardiovascular diseaseepidemiologyfrailtyolder adults

Identifiers

PMID40765217
PMCPMC12439238

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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.