Evidence map›Paper›PMID 41055841›Full record

ArticleAging clinical and experimental research2025

Inflammaging and the sex-frailty paradox.

Beatrice Arosio, Greta Salafia, Evelyn Ferri, Daniela Mari, Eleonora Tobaldini, Giovanni Vitale, Nicola Montano

Abstract read
In one paragraph

Article in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Beatrice ArosioDepartment of Clinical Sciences and Community Health, Dipartimento di Eccellenza 2023-2027, University of Milan, Via della Commenda 19, Milan, 20122, Italy. beatrice.arosio@unimi.it.ORCID http://orcid.org/0000-0002-0615-3580
Greta SalafiaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Milan, 20122, Italy.
Evelyn FerriFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Milan, 20122, Italy.
Daniela MariLaboratory of Geriatric and Oncologic Neuroendocrinology Research, IRCCS, Istituto Auxologico Italiano, Via Zucchi 18, Cusano Milanino, 20095, Italy.
Eleonora TobaldiniDepartment of Clinical Sciences and Community Health, Dipartimento di Eccellenza 2023-2027, University of Milan, Via della Commenda 19, Milan, 20122, Italy.
Giovanni VitaleLaboratory of Geriatric and Oncologic Neuroendocrinology Research, IRCCS, Istituto Auxologico Italiano, Via Zucchi 18, Cusano Milanino, 20095, Italy.
Nicola MontanoDepartment of Clinical Sciences and Community Health, Dipartimento di Eccellenza 2023-2027, University of Milan, Via della Commenda 19, Milan, 20122, Italy.

Funding

Italian Ministry of Health RCR-2022-23682286
6 · The paper itself

Abstract

backgroundThe "sex-frailty paradox" is a concept that indicates how women despite being more frail are less susceptible to death than men. The roots of this paradox may lie in the different combination of biological, behavioural, and social factors between the two sexes. The aim of this study is to deepen our understanding of the different biological mechanisms underlying frailty and longevity in men and women, thus shedding further light on the sex-frailty paradox.

methodsWe studied 452 subjects (315 women and 137 men) stratifying them by age (≤ 80, 81-99 and ≥ 100 years) and sex. A 47-item frailty index was calculated. Plasma concentrations of inflammatory markers were analysed by next-generation ELISA.

resultsWomen aged ≤ 80 years were less frail while those aged ≥ 100 years were more frail than their male counterparts. Interestingly, the 81-99-year-old group showed similar frailty degree between females and males. Most of the biomarkers increased with age in both sexes, while being associated differently with frailty, indicating that there are specific biological roots in the two sexes that influence frailty.

conclusionsTrying to delineate the unique molecular profile of older women and men becomes essential for understanding the mechanisms underlying the sex-frailty paradox. Further research on sex-specific determinants is required to enhance our understanding of aging and develop effective strategies to promote health and longevity in both sexes.

Indexed as

AgingFrailtyInflammationAgedAged, 80 and overBiomarkersFemaleFrail ElderlyHumansLongevityMaleSex FactorsBiomarkersAgingCytokinesFrailtyGender-differencesInflammation

Identifiers

PMID41055841
PMCPMC12504336

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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.