Evidence map›Paper›PMID 42387398›Full record

ArticleBMC geriatrics2026

The role of depression in the association between handgrip strength and mild cognitive impairment among Chinese older adults.

Zhaozhao Hui, Xinqiong Liu, Jiawei Zhang, Wenfeng Zou, Xinge Li, Yanjun Huang, Ziyi Teng, Peiyao Zhu, Mingxu Wang, Yi Ding and 1 more

Abstract read
In one paragraph

Article in BMC geriatrics, 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

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

1 citing paper in PubMed.

  1. 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

11 authors.

Zhaozhao HuiXi'an Jiaotong University Health Science Center, Xi'an, China.
Xinqiong LiuDepartment of Endocrinology, Tongchuan People's Hospital, Tongchuan, China.
Jiawei ZhangXi'an Jiaotong University Health Science Center, Xi'an, China.
Wenfeng ZouXi'an Jiaotong University Health Science Center, Xi'an, China.
Xinge LiXi'an Jiaotong University Health Science Center, Xi'an, China.
Yanjun HuangXi'an Jiaotong University Health Science Center, Xi'an, China.
Ziyi TengXi'an Jiaotong University Health Science Center, Xi'an, China.
Peiyao ZhuXi'an Jiaotong University Health Science Center, Xi'an, China.
Mingxu WangXi'an Jiaotong University Health Science Center, Xi'an, China.
Yi DingJiangsu Province Engineering Research Center of Development and Translation of Key Technologies for Chronic Disease Prevention and Control, Suzhou Vocational Health College, Suzhou, China.
Shuangyan LeiDepartment of Radiotherapy, Shaanxi Provincial Cancer Hospital, Xi'an, China. shuangyan724@163.com.

Funding

Jiangsu Province Engineering Research Center of Development and Translation of Key Technologies for Chronic Disease Prevention and Control CDSGK1202502Jiangsu Province Engineering Research Center of Development and Translation of Key Technologies for Chronic Disease Prevention and Control CDSGK1202508Natural Science Basic Research Project of Shaanxi Province 2025JC-YBQN-1109Social Science Fund of Shaanxi Province 2024F016
6 · The paper itself

Abstract

backgroundHandgrip strength (HGS) is an accessible marker of muscle function and a potential indicator of cognitive health in older adults. However, the relationship between HGS and mild cognitive impairment (MCI) and the potential role of depression in that association, remains unclear.

methodsIn this cross-sectional study, 1289 Chinese older adults were recruited between April 2024 and June 2025. HGS was measured using an electronic hand dynamometer, depression was assessed using the 15-item Geriatric Depression Scale, and cognitive function was evaluated using the Mini-Mental State Examination. Logistic regression, restricted cubic splines, stratified analyses, and joint association analyses were performed. An exploratory mediation analysis was conducted to examine whether depression was associated with the relationship between HGS and cognitive function.

resultsParticipants had a mean age of 73.27 ± 12.11 years, and 41.82% were male. Higher absolute and relative HGS were independently associated with lower odds of MCI (highest vs. lowest quartile: OR = 0.40, 95%CI: 0.25, 0.64; OR = 0.47, 95%CI: 0.30, 0.74, respectively; P for trend < 0.001). Dose-response analyses revealed linear inverse associations. Joint analyses showed that coexisting HGS weakness/decreased relative HGS and depression was associated with the highest odds of MCI. Exploratory mediation analyses suggested that depression statistically explained part of the association between HGS and cognitive function, with an estimated proportion mediated of 20.4% for absolute HGS and 19.7% for relative HGS.

conclusionsBoth absolute and relative HGS are inversely associated with odds of MCI in Chinese older adults, and depression appeared to account for a portion of these cross-sectional associations. Prospective and interventional studies are needed to determine whether changes in HGS or depression lead to subsequent improvements of cognitive outcomes.

Indexed as

Cognitive DysfunctionDepressionHand StrengthAgedAged, 80 and overChinaCross-Sectional StudiesEast Asian PeopleFemaleGeriatric AssessmentHumansMaleDepressionHandgrip strengthMediation analysisMild cognitive impairmentOlder adults

Identifiers

PMID42387398
PMCPMC13595538

What Socratic holds

Textmetadata
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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.