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Association of inflammatory biomarkers with physical and cognitive frailty in a Spanish population of older adults

dc.contributor.authorLema-Arranz, Carlota
dc.contributor.authorHemadeh, Ali
dc.contributor.authorFernández-Bertólez, Natalia
dc.contributor.authorCibeira, Nuria
dc.contributor.authorLópez-López, Rocío
dc.contributor.authorCosta, Solange
dc.contributor.authorMillán-Calenti, José Carlos
dc.contributor.authorLorenzo-López, Laura
dc.contributor.authorValdiglesias, Vanessa
dc.contributor.authorLaffon, Blanca
dc.date.accessioned2026-02-23T10:40:54Z
dc.date.available2026-02-23T10:40:54Z
dc.date.issued2025-10-16
dc.description.abstractFrailty is a multifactorial geriatric syndrome characterized by increased vulnerability to stressors and associated with a higher risk of adverse health outcomes. Chronic low-grade inflammation has been proposed as a key pathophysiological mechanism underlying physical frailty, although its role in cognitive frailty remains undefined. In this cross-sectional study, we assessed the relationship between frailty status, both physical and cognitive, and plasma concentrations of six inflammatory biomarkers-C-reactive protein (CRP), interleukin 6 (IL-6), tumour necrosis factor alpha (TNF-α), soluble TNF-α receptor type II (sTNF-RII), high-temperature requirement serine protease A1 (HTRA1), and growth differentiation factor 15 (GDF15)-in a cohort of Spanish older adults (N = 150, ≥ 65 years old), classified according to Fried's frailty phenotype and frailty index. The results showed notable differences between frailty phenotype and frailty index, and highlighted CRP, TNF-α, sTNF-RII, and GDF15 as key biomarkers significantly associated with physical frailty status, with CRP and TNF-α also discriminating pre-frail individuals. sTNF-RII stood out for its high predictive capacity, while GDF15 added value as an indicator of sustained cellular stress. Regarding cognitive frailty, CRP, TNF-α, and GDF15 displayed significant associations with this condition. sTNF-RII and HTRA1, scarcely studied in this context, showed promising and significant associations (specific for cognitive frailty in the case of HTRA1) that justify their inclusion in future research aimed at better understanding the inflammatory mechanisms involved in cognitive frailty.eng
dc.description.sponsorshipOpen Access funding provided thanks to the CRUE-CSIC agreement with Springer Nature. This work was supported by the Spanish Ministry of Science and Innovation: MCIN/AEI/https://doi.org/10.13039/501100011033 (Grant PID2020-113788RB-I00) and Xunta de Galicia (ED431B 2022/16). Funding for open access charge: Universidade da Coruña/CISUG.
dc.identifier.citationGeroscience. 2025 Oct 16. doi: 10.1007/s11357-025-01931-z. Online ahead of print
dc.identifier.doi10.1007/s11357-025-01931-z
dc.identifier.issn2509-2715
dc.identifier.pmid41102479
dc.identifier.urihttp://hdl.handle.net/10400.18/10980
dc.language.isoen
dc.peerreviewedyes
dc.publisherSpringer
dc.relation.hasversionhttps://link.springer.com/article/10.1007/s11357-025-01931-z
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCognitive Frailty
dc.subjectInflammageing
dc.subjectInflammatory Biomarkers
dc.subjectOlder Adults
dc.subjectPhysical Frailty
dc.subjectDeterminantes da Saúde e da Doença
dc.titleAssociation of inflammatory biomarkers with physical and cognitive frailty in a Spanish population of older adultseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleGeroScience
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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