Evidence map›Paper›PMID 41490086›Full record

ArticlePloS one2026

Allostatic load and progression of cardio-renal multimorbidity: A UK biobank study.

Qianshen Zhu, Lingling Xu, Zhixing Fan, Hongbo Li

Abstract read
In one paragraph

Article in PloS one, 2026. 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

4 authors.

Qianshen ZhuDepartment of Nephrology, Traditional Chinese and Western Medicine Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Lingling XuDepartment of Hematology and Rheumatology, Wuhan Sixth Hospital Affiliated to Jianghan University, Wuhan, China.
Zhixing FanDepartment of Cardiology, The First College of Clinical Medical Science, China Three Gorges University and Yichang Central People's Hospital, Yichang, China.
Hongbo LiDepartment of Nephrology, Traditional Chinese and Western Medicine Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.ORCID https://orcid.org/0009-0007-5024-6489

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardio-renal multimorbidity (CRM), the coexistence of cardiovascular disease (CVD) and chronic kidney disease (CKD), imposes a significant healthcare burden. Allostatic load (AL), indicating cumulative physiological dysregulation from chronic stress, may be a modifiable risk factor for CRM.

methodsThis study included 396,927 participants with a median follow-up of 13.67 years. AL was assessed via 10 biomarkers. Multistate models were used to analyze transitions from health to first cardio-renal disease (FCRD), to CRM, and to death.

resultsHigher AL was significantly associated with increased risks of progression from health to FCRD, to CRM, and to death. The transition from FCRD to CRM was most affected by high AL. AL also had a stronger association with the transition from health to CKD than to CVD. Stratified analyses showed more pronounced associations in younger participants, those with higher socioeconomic status (SES), and unhealthy diets.

conclusionAL is a significant upstream factor in CRM development and progression. Early identification of individuals with high AL could aid in risk assessment and prevention strategies for CRM.

Indexed as

AllostasisCardiovascular DiseasesMultimorbidityRenal Insufficiency, ChronicAdultAgedBiological Specimen BanksBiomarkersDisease ProgressionFemaleHumansMaleMiddle AgedRisk FactorsUK BiobankUnited KingdomBiomarkers

Identifiers

PMID41490086
PMCPMC12768364

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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.