The relationship between respiratory symptoms and frailty: findings from observational and Mendelian randomization analyses
2024

Respiratory Symptoms and Frailty

Sample size: 14021 publication 10 minutes Evidence: high

Author Information

Author(s): Ruan Zhishen, Li Dan, Cong Xiaodong, Yuan Shasha, Fan Yiling, Xu Bo, Miao Qing

Primary Institution: Xiyuan Hospital of Chinese Academy of Chinese Medical Sciences, Beijing, China

Hypothesis

What is the relationship between respiratory symptoms and frailty?

Conclusion

The study found a potential association between frailty and respiratory symptoms, with inflammation and aging as key mediators.

Supporting Evidence

  • Cough, sputum, wheezing, and dyspnea are associated with an elevated risk of frailty.
  • Inflammation and age mediate the relationship between respiratory symptoms and frailty.
  • 32.3% of participants were found to be frail.

Takeaway

If you have trouble breathing, like coughing or wheezing, it might mean you're getting weaker as you get older.

Methodology

The study used cross-sectional and Mendelian randomization analyses with data from NHANES and GWAS.

Potential Biases

Potential bias from self-reported diagnoses of respiratory symptoms and frailty.

Limitations

Self-reported data may introduce bias, and the study's observational design limits causal inference.

Participant Demographics

Participants were aged 40 and older, with a mean age of 61.2 years; 51.6% were white and 49.5% were male.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI% 1.44, 2.09 for cough; 95% CI% 1.57, 2.22 for sputum; 95% CI% 1.68, 2.40 for wheezing; 95% CI% 2.28, 2.97 for dyspnea

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1007/s40520-024-02905-5

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