ArticleJournal of cachexia, sarcopenia and muscle2025
Peak Expiratory Flow and Its Trajectories Associated With Frailty in Older Adults: A Prospective Cohort Study.
Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Peak Expiratory Flow and Its Trajectories Associated With Frailty in Older Adults: A Prospective Cohort Study.Journal of cachexia, sarcopenia and muscle · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundCurrent evidence indicates an association between peak expiratory flow (PEF) and frailty in older adults, yet critical gaps persist regarding: the longitudinal dynamics of PEF trajectories, their temporal relationships with frailty progression and underlying biological mechanisms. This study aimed to investigate the associations of baseline PEF and its longitudinal trajectories with incident frailty risk, while elucidating potential mechanistic pathways in older adults.
methodsA prospective cohort study was conducted of general community-dwelling adults aged ≥ 65 years from 2006 to 2022 in the Health and Retirement Study from the United States. PEF trajectories were identified using group-based trajectory modelling. Frailty was assessed by the Fried frailty phenotype, encompassing five key components: weight loss, exhaustion, physical activity, gait speed and grip strength. Participants were classified as frailty if they met three or more. Cox proportional hazard models were applied to estimate the associations.
resultsA total of 5686 participants with a median age of 72.5 (interquartile range: 68-77) years and 3262 (57.37%) females were included and followed up for 34 052 person-years with an incidence density of frailty of 31.69 per 1000 person-years. The proportion of White, Black and other ethnic populations was 83.45%, 12.56% and 3.99%, respectively. Compared with participants in the Q
conclusionsLow PEF over both short and extended periods was significantly associated with an increased risk of frailty in older adults. These findings highlight the importance of monitoring pulmonary function as a potential marker for frailty risk and suggest that PEF may influence different frailty phenotypes to varying extents.
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Registered trials
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