Evidence map›Paper›PMID 41152701›Full record

ArticleBMC geriatrics2025

Value shift in response to aging: a longitudinal study based on healthy aging.

Yiran Shen, Ruoyun Cao, Xue Sang, Ruyue Lin, Hongpeng Sun, Chaoyang Yan

Abstract read
In one paragraph

Article in BMC geriatrics, 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

6 authors.

Yiran Shen *School of Public Health, Suzhou Medical college of Soochow University, Suzhou, China.
Ruoyun Cao *School of Public Health, Suzhou Medical college of Soochow University, Suzhou, China.
Xue Sang *School of Public Health, Suzhou Medical college of Soochow University, Suzhou, China.
Ruyue Lin *School of Public Health, Suzhou Medical college of Soochow University, Suzhou, China.
Hongpeng SunSchool of Public Health, Suzhou Medical college of Soochow University, Suzhou, China. hpsun@suda.edu.cn.
Chaoyang YanSchool of Public Health, Suzhou Medical college of Soochow University, Suzhou, China. cyyan1212@suda.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHealthy aging is considered an effective way to deal with the challenges of aging. Intrinsic capacity (IC, A composite indicator of physical and mental ability) and functional ability (FA, including the inherent capabilities of the individual, the environment in which the individual lives, and the interaction of people with their environment.) are two key elements of this concept. However, the structure, intensity, and mediation analysis of longitudinal changes in IC and FA have not been specifically studied.

methodsA theoretical model was constructed by analyzing the concept of "health aging". A national database (China Health and Retirement Longitudinal Study, CHARLS) was used as the data source for the study. A range of physical and mental measures were employed to construct intrinsic abilities using factor analysis, and a measure of disability was used as a proxy for FA. Descriptive and regression analyses were also conducted to preliminarily assess the distribution of the variables on the IC). This study used cross-lagged models to examine structural and effect differences between IC and FA in the longitudinal study, along with mediation analysis to analyze the mechanism of the two.

resultsIC shows a normal distribution and is positively correlated with education and income. In the structural analysis, IC and FA indicate significant cross-lagged effects in the longitudinal direction. The effect of IC on FA is also greater than that of FA on IC; such an effect also tends to intensify over time. Furthermore, multimorbidity mediates the effect of IC on FA, but the mediating effect is not very large. Finally, social participation did not significantly mediate the effect of FA on IC.

conclusionBy analyzing the structure, strength, and interaction path between IC and FA, research has found that diseases are just a process of FA development. However, the source variable - patient's IC - has received less attention. This suggests that policymakers should not only focus on identifying a disease, but also on assessing, maintaining, and providing intervention before the disease. The authorities should also promote the implementation of people-centered rather than disease-centered measures in the health delivery system to achieve value transformation.

Indexed as

Activities of Daily LivingAgingHealthy AgingAgedAged, 80 and overChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedCross-lagged modelHealthy agingLongitudinal studyValue shift

Identifiers

PMID41152701
PMCPMC12560432

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LicenceCC BY-NC-ND
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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.