Evidence map›Paper›PMID 41689736›Full record

ArticleClinical rheumatology2026

Association between estimated cardiorespiratory fitness and arthritis in older adults: evidence from four large cohorts.

Jiang-Yu Tu, Tao-Ping Yi, Meng-Qin Tu

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Article in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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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

1 citing paper in PubMed.

  1. Observational
4 · The record

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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

3 authors.

Jiang-Yu TuThe First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Tao-Ping YiDepartment of Respiratory Medicine, Second People's Hospital of Yubei District, Chongqing, China.
Meng-Qin TuEndocrinology Department of the Second People's Hospital of Yubei District, Chongqing, China. 17823279207@163.com.ORCID http://orcid.org/0009-0001-8983-5033

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArthritis is a common and debilitating condition, particularly in older adults. Cardiorespiratory fitness (CRF) is a known indicator of cardiovascular health and has been associated with various chronic conditions. This study explores the association between estimated cardiorespiratory fitness (eCRF) and arthritis in older adults.

methodsData were obtained from the English Longitudinal Study of Ageing (ELSA), Health and Retirement Study (HRS), National Health and Nutrition Examination Survey (NHANES), and China Health and Retirement Longitudinal Study (CHARLS). Logistic regression was used to examine the relationship between eCRF levels and arthritis across different cohorts, adjusting for various confounders. Sensitivity analysis was performed to assess the robustness of our results.

resultsHigher eCRF was consistently associated with lower odds of arthritis in Western populations. In Eastern populations, although a negative correlation was observed, the significance was relatively weaker. Each 1-SD increase in eCRF was associated with 40% lower odds of arthritis in ELSA (OR 0.60, 0.54-0.67), 31% lower odds in HRS (OR 0.69, 0.63-0.75), 32% lower odds in NHANES (OR 0.68, 0.63-0.73), and 11% lower odds in CHARLS (OR 0.89, 0.77-1.03). In the Western cohorts, compared to the low eCRF group, the moderate eCRF and high eCRF groups had significantly lower odds of arthritis (all p < 0.05). However, in the Eastern cohorts, only the moderate eCRF group showed a statistically significant association with lower odds of arthritis (OR 0.79, 0.65-0.97, p = 0.025).

conclusionsIn these cross-sectional analyses, eCRF was associated with the presence of self-reported, physician-diagnosed arthritis among older adults, with the association being weaker in the Eastern cohort than in the Western cohorts. Future prospective research should investigate the complex and potentially different mechanisms linking eCRF with arthritis in Eastern and Western populations.

Indexed as

ArthritisCardiorespiratory FitnessAgedChinaFemaleHumansLogistic ModelsLongitudinal StudiesMaleMiddle AgedNutrition SurveysUnited StatesArthritisCardiorespiratory fitnessCHARLSELSAHRSNHANES

Identifiers

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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 Socratic graph.