Evidence map›Paper›PMID 39262164›Full record

ArticleBrain and behavior2024

Association between geriatric nutritional risk index and cognitive function in older adults with/without chronic kidney disease.

Shan Wang, Jiajia Zhang, Jiaru Zhuang, Yuan Wang, Dewu Xu, Yibo Wu

Abstract read
In one paragraph

Article in Brain and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Prevalence and associated factors of cognitive frailty in older patients with lung cancer undergoing chemotherapy: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  6. Comparison of Body Mass Index Range Criteria and Their Association with Nutrition-Related Risk: A Cross-Sectional Study in Polish Older Adults.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. 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

6 authors.

Shan Wang *Obstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.ORCID https://orcid.org/0009-0007-3183-7072
Jiajia Zhang *Obstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.
Jiaru ZhuangObstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.
Yuan WangObstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.
Dewu XuDepartment of Medical Education, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.
Yibo WuObstetrics, Gynecology and Reproduction Research, Affiliated Hospital of Jiangnan University, Wuxi, P. R. China.

Funding

Beijing Bethune charitable Foundation 2022-YJ-085-J-Z-ZZ-011Leading Talents in Medical and Health Profession 4532001THMDTop Talent Support Program for Young and Middle-aged people of Wuxi Health Committee BJ2020047
6 · The paper itself

Abstract

backgroundCognitive impairment is highly prevalent among patients with chronic kidney disease, who face an increased risk of cognitive decline. The aim of this study was to investigate the relationship between the Geriatric Nutritional Risk Index (GNRI) and cognitive function in older individuals, both with and without chronic kidney disease (CKD).

methodsIn this study, we analyzed data from 2728 participants in the 2011-2014 National Health and Nutrition Examination Survey (NHANES). Cognitive function was measured using the Consortium to Establish a Registry for the Alzheimer's Disease Word Learning subtest (CERAD W-L), the animal fluency test (AFT), the digit symbol substitution test (DSST), and the global cognitive z-score. The GNRI, representing whole-body nutritional status, was calculated based on serum albumin, body weight, and ideal body weight. We employed weighted multiple linear regression analyses and subgroup analyses to assess the independent association of GNRI with cognitive function in CKD and non-CKD populations. Smoothing techniques were used to fit curves, and interaction tests were used to assess the robustness and specificity of the findings.

resultsOur analyses revealed a significant positive association between higher GNRI levels and cognitive function in the older US population (for global z-score: β = 0.01; 95% confidence interval [CI] = 0.00, 0.01). This association remained consistent across various subgroup analyses, including those for different gender groups, age groups, smoking statuses, diabetes statuses, hypertension statuses, individuals with a BMI below 25, individuals who consumed alcohol, and non-Hispanic white individuals. Smoothed curve-fitting analyses indicated that the GNRI was linearly related to cognitive function. No statistically significant interactions were detected among these variables.

conclusionOur findings emphasize the positive association between GNRI and cognitive health in individuals with or without CKD, especially when combined with other risk factors. Consequently, enhancing the nutritional status of the elderly may serve as a viable strategy to thwart the onset of cognitive decline.

Indexed as

CognitionCognitive DysfunctionNutritional StatusNutrition SurveysRenal Insufficiency, ChronicAgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleMiddle AgedRisk FactorsUnited Statescognitive functionelderlygeriatric nutritional risk indexNHANES

Identifiers

PMID39262164
PMCPMC11391018

What Socratic holds

Textmetadata
LicenceCC BY
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.