Evidence map›Paper›PMID 40469684›Full record

ArticleFrontiers in nutrition2025

U-shaped relationship between frailty and non-HDL-cholesterol in the elderly: a cross-sectional study.

Yu Pan, Yan Yuan, Juan Yang, Zhu Qing Feng, Xue Yin Tang, Yi Jiang, Gui Ming Hu, Jiang Chuan Dong

Erratum issuedAbstract read
In one paragraph

Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Frailty and Cardiovascular Risk.European cardiology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Yu Pan *Department of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yan Yuan *Department of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Juan Yang *Department of Integrated of Chinese and Western Medicine, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Zhu Qing FengDepartment of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xue Yin TangDepartment of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yi JiangDepartment of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Gui Ming HuDepartment of Geriatrics, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jiang Chuan DongOncology Treatment Center of Traditional Chinese Medicine, Affiliated Cancer Hospital of Chongqing University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The modulation of lipid metabolism has been explored as a potential treatment for frailty, yet the association between non-high-density lipoprotein-cholesterol (non-HDL-C) and frailty remains unclear. Methods: This study utilized data from five cycles of the National Health and Nutrition Examination Survey (NHANES) and two cycles of the China Health and Retirement Longitudinal Study (CHARLS) to investigate this relationship. A 40-item frailty index scale, encompassing various dimensions of somatic functioning, psychological evaluation, and illness, was developed and individually evaluated for each participant. The variables underwent screening through Least Absolute Shrinkage and Selection Operator (LASSO) regression, univariate logistic regression, and Light Gradient Boosting Machine (LightGBM), with models developed through multivariate logistic regression and the LightGBM algorithm. Subsequently, subgroup analyses and interaction tests were conducted to substantiate correlations. Results: The U-shaped nonlinear association between non-HDL-C and frailty in older adults was validated using the LightGBM algorithm. Non-HDL cholesterol levels in the range of 117.54-194.64 mg/dL were less likely to be frailty, while the likelihood of developing frailty was higher at 47.99-63.87 or 274.01-259.65 mg/dL. Subgroup analyses and interaction tests confirm these results. Conclusion: It is plausible that an intricate nonlinear association between non-HDL-C and frailty in the elderly exists, though further rigorously designed studies are imperative to validate this relationship.

Indexed as

CHARLScross-sectional studyfrailtyNHANESnon-HDL-cholesterol

Identifiers

PMID40469684
PMCPMC12135341

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.