Evidence map›Paper›PMID 25387728›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2015

A physical activity intervention to treat the frailty syndrome in older persons-results from the LIFE-P study.

Matteo Cesari, Bruno Vellas, Fang-Chi Hsu, Anne B Newman, Hani Doss, Abby C King, Todd M Manini, Timothy Church, Thomas M Gill, Michael E Miller and 2 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03574662 (A Prospective Trial to Evaluate the Utility of Focused Frailty Interventions on Patients With Advanced Heart Failure), which is not on this map. Cited by 173 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 5 pooled it
19.1field-weighted citation impact, top 1% of its field
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.

NCT03574662 nacompletednot on this mapstarted 2018, after this paper: background citation

A Prospective Trial to Evaluate the Utility of Focused Frailty Interventions on Patients With Advanced Heart Failure

TypeinterventionalSponsorMayo ClinicRan2018 to 2018Enrolled1ConditionsHeart FailureArmsFrailty assessment, Quality of life assessment
3 · Its place in the literature

Who cites it

173 citing papers in PubMed, 5 syntheses or guidelines pooled it, 378 citations in OpenAlex.

  1. Pooled it
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  3. Delaying and reversing frailty: a systematic review of primary care interventions.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
    Pooled it
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  5. Predicting risk and outcomes for frail older adults: an umbrella review of frailty screening tools.JBI database of systematic reviews and implementation reports · 2017
    Pooled it
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  10. Associations Between Deficit Accumulation Frailty and Baseline Markers of Lifestyle in the U.S. POINTER Trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Trial
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  18. Association of Intensive Lifestyle and Metformin Interventions With Frailty in the Diabetes Prevention Program Outcomes Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
    Trial
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113 more citing papers are in PubMed but not listed here.

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

12 authors at 8 institutions in 2 countries.

Matteo CesariGérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. Institut national de la santé et de la recherche médicale (UMR1027), Université de Toulouse III Paul Sabatier, France. macesari@gmail.com.
Bruno VellasGérontopôle, Centre Hospitalier Universitaire de Toulouse, Toulouse, France. Institut national de la santé et de la recherche médicale (UMR1027), Université de Toulouse III Paul Sabatier, France.
Fang-Chi HsuDepartment of Biostatistical Sciences, Wake Forest University Health Sciences, Winston Salem, North Carolina.
Anne B NewmanDepartment of Epidemiology, University of Pittsburgh, Pennsylvania.
Hani DossDepartment of Statistics, University of Florida, Gainesville.
Abby C KingDepartment of Health Research and Policy and Stanford Prevention Research Center, Stanford University, Palo Alto, California.
Todd M ManiniDepartment of Aging and Geriatric Research, Institute on Aging, University of Florida, Gainesville.
Timothy ChurchPennington Biomedical Research Center, Louisiana State University System, Baton Rouge.
Thomas M GillDepartment of Medicine, Yale University, New Haven, Connecticut.
Michael E MillerDepartment of Biostatistical Sciences, Wake Forest University Health Sciences, Winston Salem, North Carolina.
Marco PahorDepartment of Health Research and Policy and Stanford Prevention Research Center, Stanford University, Palo Alto, California.
LIFE Study Group
Université Fédérale de Toulouse Midi-Pyrénées · FRUniversity of Florida · USWake Forest University · USPennington Biomedical Research Center · USStanford Health Care · USStanford University · USUniversity of Pittsburgh · USYale University · US

Funding

UF FIELD CENTERU01AG022376 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI PAHOR, MARCO · 2003 to 2015
$83.3M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Wake Forest Claude D. Pepper OAIC - RenewalP30AG021332 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Jamie Nicole Justice · 2002 to 2026
$36.4M
VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
Research Training in Disability &Disabling DisordersK24AG021507 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2003 to 2012
$1.6M
ACADEMIC LEADERSHIP AWARD IN DISABILITY AND DISABLING DISORDERSK07AG043587 · NIA · YALE UNIVERSITY · PI GILL, THOMAS MICHAEL · 2013 to 2017
$645k
NIA NIH HHS 1-P30-AG21332NIA NIH HHS K24 AG021507NIA NIH HHS K24AG021507NIA NIH HHS P30 AG021332NIA NIH HHS P30 AG024827NIA NIH HHS P30-AG024827
6 · The paper itself

Abstract

backgroundThe frailty syndrome is as a well-established condition of risk for disability. Aim of the study is to explore whether a physical activity (PA) intervention can reduce prevalence and severity of frailty in a community-dwelling elders at risk of disability.

methodsExploratory analyses from the Lifestyle Interventions and Independence for Elders pilot, a randomized controlled trial enrolling 424 community-dwelling persons (mean age=76.8 years) with sedentary lifestyle and at risk of mobility disability. Participants were randomized to a 12-month PA intervention versus a successful aging education group. The frailty phenotype (ie, ≥3 of the following defining criteria: involuntary weight loss, exhaustion, sedentary behavior, slow gait speed, poor handgrip strength) was measured at baseline, 6 months, and 12 months. Repeated measures generalized linear models were conducted.

resultsA significant (p = .01) difference in frailty prevalence was observed at 12 months in the PA intervention group (10.0%; 95% confidence interval = 6.5%, 15.1%), relative to the successful aging group (19.1%; 95% confidence interval = 13.9%,15.6%). Over follow-up, in comparison to successful aging participants, the mean number of frailty criteria in the PA group was notably reduced for younger subjects, blacks, participants with frailty, and those with multimorbidity. Among the frailty criteria, the sedentary behavior was the one most affected by the intervention.

conclusionsRegular PA may reduce frailty, especially in individuals at higher risk of disability. Future studies should be aimed at testing the possible benefits produced by multidomain interventions on frailty.

Indexed as

ExerciseFrail ElderlyAgedAged, 80 and overBlack or African AmericanBlack PeopleComorbidityGaitHand StrengthHealth BehaviorHumansLinear ModelsPilot ProjectsSedentary BehaviorSingle-Blind MethodUnited StatesClinical trials.FrailtyPhysical activityPhysical functionSuccessful aging

Identifiers

PMID25387728
PMCPMC4311184
OpenAlexW2113862965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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 OpenQuestion graph.