Evidence map›Paper›PMID 33527771›Full record

ArticleJournal of cachexia, sarcopenia and muscle2021

Association of regular aerobic exercises and neuromuscular junction variants with incidence of frailty: an analysis of the Chinese Longitudinal Health and Longevity Survey.

Yu-Jie Zhang, Yao Yao, Pei-Dong Zhang, Zhi-Hao Li, Pei Zhang, Fu-Rong Li, Zheng-He Wang, Dan Liu, Yue-Bin Lv, Lin Kang and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

12 authors at 5 institutions in 1 country.

Yu-Jie ZhangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Yao YaoCenter for Healthy Aging and Development Studies, National School of Development, Peking University, Beijing, China.
Pei-Dong ZhangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Zhi-Hao LiDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Pei ZhangSchool of Life Science, Beijing Institute of Technology, Beijing, China.
Fu-Rong LiDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Zheng-He WangDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Dan LiuDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Yue-Bin LvNational Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Lin KangDepartment of Geriatrics, Peking Union Medical College Hospital, Beijing, China.
Xiao-Ming ShiNational Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Chen MaoDepartment of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China.
Southern Medical University · CNChinese Center For Disease Control and Prevention · CNBeijing Institute of Technology · CNPeking Union Medical College Hospital · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCandidate genes of neuromuscular junction (NMJ) pathway increased risk of frailty, but the extent and whether can be offset by exercises was unclear. The aim of this study was to investigate the association between aerobic exercises and incident frailty regardless of NMJ pathway-related genetic risk.

methodsA cohort study on participants from Chinese Longitudinal Healthy Longevity Survey was conducted from 2008 to 2011. A total of 7006 participants (mean age of 80.6 ± 10.3 years) without frailty at baseline were interviewed to record aerobic exercise status, and 4053 individuals among them submitted saliva samples. NMJ pathway-related genes were genotyped and weighted genetic risk scores were constructed.

resultsDuring a median follow-up of 3.1 years (19 634 person-years), there were 1345 cases (19.2%) of incident frailty. Persistent aerobic exercises were associated with a 26% lesser frailty risk [adjusted hazard ratio (HR) = 0.74, 95% confidence interval (CI) = 0.64-0.85]. This association was stronger in a subgroup of 1552 longevous participants (age between 90 and 111 years, adjusted HR = 0.72, 95% CI = 0.60-0.87). High genetic risk was associated with a 35% increased risk of frailty (adjusted HR = 1.35, 95% CI = 1.16-1.58). Of the participants with high genetic risk and no persistent aerobic exercises, there was a 59% increased risk of frailty (adjusted HR = 1.59, 95% CI = 1.20-2.09). HRs for the risk of frailty increased from the low genetic risk with persistent aerobic exercise to high genetic risk without persistent aerobic exercise (P trend <0.001).

conclusionsBoth aerobic exercises and NMJ pathway-related genetic risk were significantly associated with frailty. Persistent aerobic exercises can partly offset NMJ pathway-related genetic risk to frailty in elderly people.

Indexed as

ExerciseFrailtyAgedAged, 80 and overChinaCohort StudiesFrail ElderlyHumansIncidenceNeuromuscular Junctionfrailtyneuromuscular junctionregular aerobic exercises

Identifiers

PMID33527771
PMCPMC8061381
OpenAlexW3127604231

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.