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September 10, 2026Experimental GerontologyOpen Access

Association between circadian syndrome and frailty progression among middle-aged and older adults in China: A longitudinal study based on CHARLS

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Authors

FYFeng YeHangzhou Normal UniversityYZYiying ZhuHangzhou Normal UniversityJDJiaolan DuHangzhou Normal University

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Implication

Longitudinal cohort study reveals that circadian syndrome accelerates frailty progression in older adults, highlighting disrupted biological rhythms as key drivers of physical decline.

Key Points

  • To examine the longitudinal relationship between circadian syndrome, its specific component burden, and frailty progression trajectories in middle-aged and older adults.
  • Analyzed data from 7,330 participants enrolled in the China Health and Retirement Longitudinal Study (CHARLS), evaluating circadian syndrome (CircS) across seven cardiometabolic components.
  • Identified frailty trajectories over time using group-based trajectory modeling based on the frailty index (FI), assessing associations with multinomial logistic regression and linear mixed-effects models.
  • Identified three distinct frailty trajectories: low-stable (63.71%, n=4,670), moderate-rising (28.77%, n=2,109), and high-stable (7.52%, n=551).
  • Baseline CircS significantly increased the risk of falling into the moderate-rising trajectory (RRR = 2.48, 95% CI: 2.17 to 2.84, p < 0.001) and the high-stable trajectory (RRR = 4.37, 95% CI: 3.51 to 5.45, p < 0.001).
  • Having 4, 5, and ≥6 CircS components led to additional annual increases in FI of 0.0022 (95% CI: 0.0011 to 0.0033, p < 0.001), 0.0020 (95% CI: 0.0007 to 0.0033, p < 0.01), and 0.0033 (95% CI: 0.0016 to 0.0049, p < 0.001), respectively, compared to fewer than 4 components.

Cite This Study

Ye et al. (2026) studied this question.

synapsesocial.com/papers/6aa27a7f58559d80afc73115https://doi.org/10.1016/j.exger.2026.113309
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