Evidence map›Paper›PMID 41991691›Full record

ArticleNature metabolism2026

Longitudinal multimorbidity trajectories shape personalized glycaemic patterns.

Ke Zhang, Jieteng Chen, Yan Yan, Huijun Wang, Zelei Miao, Wanglong Gou, Congmei Xiao, Ruiqi Shi, Xiaofang Jia, Wenwen Du and 6 more

Abstract read
PubMed Publisher
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Ke Zhang *Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Jieteng Chen *Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Yan Yan *Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Huijun Wang *National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Zelei MiaoAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Wanglong GouAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Congmei XiaoAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Ruiqi ShiAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.ORCID http://orcid.org/0000-0002-8375-4427
Xiaofang JiaNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Wenwen DuNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Yujing HuangAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.
Tiannan GuoAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China.ORCID http://orcid.org/0000-0003-3869-7651
Chang SuNational Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing, China. suchang@ninh.chinacdc.cn.
Yuanqing FuAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. fuyuanqing@westlake.edu.cn.ORCID http://orcid.org/0000-0002-3955-9376
Yu-Ming ChenGuangdong Provincial Key Laboratory of Food, Nutrition and Health, Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. chenyum@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0003-1658-5528
Ju-Sheng ZhengAffiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, China. zhengjusheng@westlake.edu.cn.ORCID http://orcid.org/0000-0001-6560-4890

Funding

Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01HD30880, R01AG065357, P30DK056350, and R01HD38700National Natural Science Foundation of China (National Science Foundation of China) 2374112, 82574077, 82073546, 82404242, 82404243
6 · The paper itself

Abstract

Older individuals often live with diverse combinations of chronic diseases. However, whether multimorbidity contributes to glycaemic dysregulation remains unclear. Here we show that cumulative disease trajectories shape interindividual glycaemic variability throughout the ageing process. Tracking 1,398 participants in the Guangzhou Nutrition and Health Study cohort over 12 years, we develop a systemic multimorbidity index (MMI-system) that reflects the cumulative burden of chronic disorders. We also measure individual glycaemic dynamics and responses to dietary challenges using continuous glucose monitoring at the latest follow-up visit (mean age, 69.2 years). MMI-system exhibits dose-dependent associations with glycaemic variability and sensitivity to dietary challenges, independent of diabetes status. Longitudinal proteome mapping reveals that lipid homeostasis proteins explain 12.9% of the association between MMI-system and personalized dietary responses. These findings are independently validated in the China Health and Nutrition Survey cohort. Overall, our study suggests that integrating longitudinal multimorbidity profiling with circulating proteomics may enhance precision glycaemic management, offering actionable insights for dietary interventions in the older population.

Indexed as

Blood GlucoseMultimorbidityAgedChinaFemaleHumansLongitudinal StudiesMaleMiddle AgedProteomicsBlood Glucose

Identifiers

PMID41991691

What OpenQuestion holds

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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.