Evidence map›Paper›PMID 41798851›Full record

ArticleFrontiers in nutrition2026

Association between Geriatric Nutritional Risk Index (GNRI) and all-cause mortality in centenarians, with a focus on nonlinear and threshold effects: a multi-method observational study.

Xuhui Liu, Yihan Tang, Xujie Wang, Rongfei Xie, Yun Huang, Qiao Zhu, Xining Zheng

Abstract read
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Article in Frontiers in nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xuhui Liu *Department of Neurology, The Second Hospital of Lanzhou University, Lanzhou, China.
Yihan Tang *Department of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Xujie WangDepartment of Emergency ICU, The Affiliated Hospital of Qinghai University, Xining, China.
Rongfei XieDepartment of Emergency ICU, The Affiliated Hospital of Qinghai University, Xining, China.
Yun HuangDepartment of Gastroenterology, The Affiliated Hospital of Qinghai University, Xining, China.
Qiao ZhuCentral Laboratory, Hainan Hospital of Chinese People's Liberation Army General Hospital, Sanya, China.
Xining ZhengDepartment of Neurology, The Affiliated Hospital of Qinghai University, Xining, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The Geriatric Nutritional Risk Index (GNRI) is a simple index for assessing nutritional status in older adults. Its association with mortality has been shown in general elderly populations, but data in centenarians are scarce. We aimed to examine the relationship between GNRI and all-cause mortality in centenarians. Methods: We included 1,002 centenarians with complete clinical and follow-up data and categorized them into quartiles according to GNRI. All-cause mortality was the primary endpoint. Cox proportional hazards models, restricted cubic splines, subgroup analyses and sensitivity analyses were used to evaluate the association between GNRI and mortality. To enhance robustness, propensity score matching (PSM) was performed. Results: Among the 1,002 centenarians (18% male), the overall mortality rate was 92.7%. In multivariable Cox models, GNRI was inversely associated with mortality (per 1-unit increase: HR 0.97, 95% CI 0.96-0.98, Conclusion: GNRI is strongly and nonlinearly associated with all-cause mortality in centenarians, with a key threshold around 96. This threshold may provide a quantitative target for individualized nutritional assessment and intervention in this extremely old population.

Indexed as

all-cause mortalitycentenariansGeriatric Nutritional Risk Indexmalnutritionnutritional risk assessment

Identifiers

PMID41798851
PMCPMC12962923

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