Evidence map›Paper›PMID 31450502›Full record

ArticleJournal of Alzheimer's disease : JAD2019

Frailty and Risk of Incident Motoric Cognitive Risk Syndrome.

Sanish Sathyan, Emmeline Ayers, Tina Gao, Sofiya Milman, Nir Barzilai, Kenneth Rockwood, Joe Verghese

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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.

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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  13. Gray Matter Covariance Networks Associated With Parental Longevity-Results From the LonGenity Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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  14. Motoric Cognitive Risk Syndrome and Risk of Cardiovascular Disease: A Population-Based Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
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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

7 authors at 2 institutions in 2 countries.

Sanish SathyanDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Emmeline AyersDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Tina GaoDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Sofiya MilmanDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Nir BarzilaiDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Kenneth RockwoodDivisions of Geriatric Medicine & Neurology, Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Joe VergheseDepartment of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert Einstein College of Medicine · USDalhousie University · CA

Funding

Einstein's Nathan Shock Center of Excellence in Basic Biology of AgingP30AG038072 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI VIJG, JAN · 2010 to 2024
$10.8M
ROLE OF NUTRIENTS IN AGE-RELATED INSULIN RESISTANCEP01AG021654 · NIA · YESHIVA UNIVERSITY · PI BARZILAI, NIR J · 2003 to 2007
$10.6M
Role of exceptional longevity genotypes in protection against frailty in agingR01AG044829 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Sofiya Milman, JOE VERGHESE · 2014 to 2026
$5.4M
LGP/LongenityR01AG046949 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BARZILAI, NIR J · 2013 to 2017
$2.4M
The biological underpinnings of Motoric Cognitive Risk syndrome: a multi-center studyR56AG057548 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI VERGHESE, JOE · 2017 to 2017
$1.2M
Effect of longevity genomes on the GH/IGF-1 phenotype and disease-free survivalK23AG051148 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MILMAN, SOFIYA · 2015 to 2018
$791k
NIA NIH HHS K23 AG051148NIA NIH HHS P01 AG021654NIA NIH HHS P30 AG038072NIA NIH HHS R01 AG044829NIA NIH HHS R01 AG046949NIA NIH HHS R56 AG057548
6 · The paper itself

Abstract

backgroundFrailty is highly prevalent among older adults, and associated with cognitive decline. Relationship between frailty and motoric cognitive risk syndrome (MCR), a pre-dementia syndrome characterized by the presence of subjective cognitive complaints and slow gait, is yet to be elucidated.

objectiveTo examine whether frailty increases the risk of developing incident MCR.

methodsWe analyzed 641 adults, aged 65 and above, participating in the LonGenity study. Frailty was defined using a 41-point cumulative deficit frailty index (FI). MCR was diagnosed at baseline and annual follow-up visits using established criteria. Cox proportional hazard models were used to study the association of baseline frailty with incident MCR, and reported as hazard ratio (HR) with 95% confidence intervals (CI) adjusted for age, sex, and education.

resultsAt baseline, 70 participants (10·9%) had prevalent MCR. Of the remaining 571 non-MCR participants (mean age 75.0, 57.3% women), 70 developed incident MCR (median follow-up 2.6 years). Higher frailty scores at baseline were associated with an increased risk of incident MCR (HR for each 0.01 increase in the FI: 1.07; 95% CI 1.03-1.11; p = 0.0002). The result was unchanged even after excluding mobility related or chronic illnesses items from the FI as well as accounting for reverse causation, competing risk of death, baseline cognitive status, social vulnerability, and excluding participants with mild cognitive impairment syndrome.

conclusionsHigher levels of frailty increase risk for developing MCR and suggest shared mechanisms. This association merits further study to identify strategies to prevent cognitive decline.

Indexed as

AgedAgingCognitive DysfunctionFemaleFollow-Up StudiesFrailtyHumansIncidenceMaleMovement DisordersPrevalenceProspective StudiesRiskSyndromeCognitioncumulative frailty scoredementiaslow gait

Identifiers

PMID31450502
PMCPMC7734468
OpenAlexW2969612601

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.