Evidence map›Paper›PMID 41081266›Full record

ArticleCirculation reports2025

Association Between Serum N-Terminal Prohormone of Brain Natriuretic Peptide (NT-proBNP) Levels and Frailty in Community-Dwelling Old-Old Older Adults - SONIC Study.

Saya Terada, Kayo Godai, Mai Kabayama, Michiko Kido, Yuya Akagi, Marlon Maus, Hiroshi Akasaka, Yoichi Takami, Takeshi Nakagawa, Saori Yasumoto and 7 more

Abstract read
In one paragraph

Article in Circulation reports, 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. 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

17 authors.

Saya TeradaDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.
Kayo GodaiDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.
Mai KabayamaDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.
Michiko KidoDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.
Yuya AkagiDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.
Marlon MausSchool of Public Health, University of California Berkeley CA USA.
Hiroshi AkasakaDepartment of Geriatric and General Medicine, University of Osaka Graduate School of Medicine Osaka Japan.
Yoichi TakamiDepartment of Geriatric and General Medicine, University of Osaka Graduate School of Medicine Osaka Japan.
Takeshi NakagawaDepartment of Clinical Thanatology and Geriatric Behavioral Sciences, University of Osaka Graduate School of Human Sciences Osaka Japan.
Saori YasumotoOffice of International Exchange, University of Osaka Graduate School of Human Sciences Osaka Japan.
Yasuyuki GondoDepartment of Clinical Thanatology and Geriatric Behavioral Sciences, University of Osaka Graduate School of Human Sciences Osaka Japan.
Kazunori IkebeFaculty of Dentistry, University of Osaka Graduate School of Dentistry Osaka Japan.
Yasumichi AraiCenter for Supercentenarian Medical Research, Keio University School of Medicine Tokyo Japan.
Yukie MasuiResearch Team for Human Care, Tokyo Metropolitan Institute of Gerontology Tokyo Japan.
Takumi HirataResearch Team for Human Care, Tokyo Metropolitan Institute of Gerontology Tokyo Japan.
Koichi YamamotoDepartment of Geriatric and General Medicine, University of Osaka Graduate School of Medicine Osaka Japan.
Kei KamideDepartment of Health Sciences, University of Osaka Graduate School of Medicine Osaka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heart failure (HF) and frailty are increasing among aging populations, but because data on the association between potential cardiac overload or asymptomatic HF, measured by the serum level of N-terminal prohormone of brain natriuretic peptide (NT-proBNP), and frailty among community-dwelling old-old older adults (≥75 years) are limited, we examined this association. Methods and Results: A cross-sectional analysis was conducted using data from a longitudinal cohort study. Frailty was assessed using the Japanese version of the Cardiovascular Health Study (J-CHS) criteria. Association between log-transformed NT-proBNP levels and frailty were examined using multinomial logistic regression. The discriminative ability of NT-proBNP for frailty was assessed using receiver operating characteristic (ROC) curve analysis. A total of 588 participants (46.9% female, median age: 77 (76-86) years) were included. Log-transformed NT-proBNP was significantly associated with frailty compared to robust (OR 1.69; 95% CI 1.23-2.32; P=0.001), even after adjusting for potential confounding factors. NT-proBNP had modest discriminative ability for frailty (AUC 0.64; 95% CI 0.59-0.70; P<0.001), with an optimal cutoff of 94.5 pg/mL. Conclusions: Elevated serum NT-proBNP levels are independently associated with frailty onset in community-dwelling old-old older adults, driven by the interaction between potential cardiac overload or asymptomatic HF and frailty. Serum NT-proBNP may be a useful tool for identifying frailty associated with cardiac overload.

Indexed as

Community-dwelling adultsFrailtyHeart failureNT-proBNPOlder adults

Identifiers

PMID41081266
PMCPMC12510977

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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.