Evidence map›Paper›PMID 41692968›Full record

ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2026

Associations of common infections with frailty and mortality in two UK cohort studies.

Demelza Smeeth, Charlotte Warren-Gash, Rebecca E Green, Julia Butt, Tim Waterboer, Alun D Hughes, Nishi Chaturvedi, Dylan M Williams

Abstract read
In one paragraph

Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 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. ASP-COMPLEX: redefining antimicrobial stewardship to improve outcomes in high-risk patients with severe infections.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2026
    Review
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

8 authors.

Demelza SmeethUnit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.ORCID 0000-0001-5631-367X
Charlotte Warren-GashFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Rebecca E GreenUnit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.
Julia ButtDivision of Infections and Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany.ORCID 0000-0001-7738-8611
Tim WaterboerDivision of Infections and Cancer Epidemiology, German Cancer Research Center, Heidelberg, Germany.ORCID 0000-0002-0616-6963
Alun D HughesUnit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.ORCID 0000-0001-5432-5271
Nishi ChaturvediUnit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.
Dylan M WilliamsUnit for Lifelong Health and Ageing at UCL, University College London, London, United Kingdom.

Funding

MRC National Survey of Health and Development MC_UU_00019/1MRC National Survey of Health and Development MR/Y014022/1
6 · The paper itself

Abstract

backgroundSome common infections are associated with poorer age-related health outcomes; however, findings are limited to a small number of pathogens and frequently inconclusive. This study aimed to expand the range of pathogens investigated in relation to frailty and mortality in older age.

methodsWe investigated relationships between seropositivity for 18 viruses, bacteria and protozoa with concurrent frailty and prospective mortality in middle-aged and older adults within two UK population-based cohorts: UK Biobank (N = 9427; aged 40-70 years) and Medical Research Council National Survey of Health and Development (N = 1791; aged 60-65 years). Multiplex serological assays were used to identify seropositivity for each pathogen and frailty was assessed using a frailty index measuring the accumulation of age-related health deficits. Mortality was determined from linked administrative records.

resultsAdjusting for sex, age, income and education, previous infection with Toxoplasma gondii ((β = 0.77%; 95% CI, 0.42-1.11) and Helicobacter pylori (0.63%; 95% CI, 0.28-0.97) were associated with higher frailty equivalent to 3.8 or 3.1 years of aging, as was inflammation-weighted pathogen burden (0.41%/SD, 95% CI, 0.25-0.57; 0.42%/SD, 95% CI, 0.26-0.58). Previous infection with Chlamydia trachomatis, human herpes simplex virus 1 and cytomegalovirus were associated with increased frailty after adjustment for sex and age, although relationships were confounded by socioeconomic circumstances. No common infections were robustly associated with mortality.

conclusionsOur results indicate that infection with H. pylori and T. gondii, and the combined burden of infection may detrimentally impact ageing health. These pathogens may warrant targeting beyond current clinical measures to mitigate the development of frailty.

Indexed as

FrailtyAdultAgedCohort StudiesFemaleFrail ElderlyHumansMaleMiddle AgedProspective StudiesUK BiobankUnited KingdomEpidemiologyFrailtyInfectionLongevity

Identifiers

PMID41692968
PMCPMC13031002

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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.