ArticleBMC geriatrics2022
Social support and subsequent cognitive frailty during a 1-year follow-up of older people: the mediating role of psychological distress.
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Global Prevalence of Cognitive Frailty in Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis.Asia-Pacific psychiatry : official journal of the Pacific Rim College of Psychiatrists · 2026Pooled it
- Multidimensional determinants of depression and non-depression in older adults: evidence from national data.BMC geriatrics · 2026Article
- The association between social support and depressive symptoms in rural older adults with cardiometabolic multimorbidity: a network analysis.BMC public health · 2026Article
- Digital Engagement and Cognitive Function Among Older Adults in China: Cross-Sectional Questionnaire Study and Moderated Mediation Model Analysis.Journal of medical Internet research · 2026Article
- Progress in research on cognitive frailty in the older adults: a narrative review.Frontiers in medicine · 2026Review
- Analysis of Determinants Based on the Health Belief Model: A Study Predicting Cognitive Impairment Among Community-Dwelling Older Adults in China.Journal of multidisciplinary healthcare · 2026Article
- Informal care and cognitive frailty among Chinese older adults: the mediating role of social participation.BMC geriatrics · 2025Article
- Childhood adversity, current adversity and cognitive frailty among older adults in rural China: does social support play a role?European journal of psychotraumatology · 2025Article
- Advances and prospects of ergothioneine in the treatment of cognitive frailty.Annals of medicine · 2025Review
- Perceived social support and psychological resilience as mediators between social frailty and the frailty of older patients with heart failure: a cross-sectional study.BioPsychoSocial medicine · 2025Article
- Associations between social support and frailty and the mediating role of mental and physical health: evidence from CHARLS.BMC geriatrics · 2025Article
- The Impact of Frailty and Age on Older Patients Undergoing Plastic Surgery at a Quaternary Center in Brazil.Plastic and reconstructive surgery. Global open · 2025Article
- The relationship between psychological distress and frailty in stroke patients: the mediating effect of depression.BMC psychology · 2025Article
- Enhancing Occupational Well-Being Among Chinese Nurses: Exploring the Mediation of Job Stress in the Relationship Between Social Support and Occupational Well-Being.Journal of nursing management · 2025Article
- Reimagining the frailty review: meaning, metrics, and the missed opportunity in global ageing care.Frontiers in medicine · 2025Article
- Which Social Variables Predict Diabetes Onset? Robust Findings in Two National Surveys.The Gerontologist · 2024Article
- Exploring the Role of Social Factors in Cognitive Frailty among South Korean Older Adults.Healthcare (Basel, Switzerland) · 2024Article
- Prevalence and modifiable risk factors of cognitive frailty in patients with chronic heart failure in China: a cross-sectional study.BMC cardiovascular disorders · 2024Article
- Variations in health literacy and influential factors affecting the categories of social support among rural patients with diabetes mellitus.Frontiers in public health · 2024Article
- Longitudinal associations between social support and sarcopenia: findings from a 5-year cohort study in Chinese aged ≥50 years.The journal of nutrition, health & aging · 2024Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFrailty and cognitive impairment are two common geriatric symptoms linking adverse health-related outcomes. However, cognitive frailty, a new definition defined by an international consensus group, has been shown to be a better predictor of increased disability, mortality, and other adverse health outcomes among older people than just frailty or cognitive impairment. This study estimated the prospective association between social support and subsequent cognitive frailty over 1 year follow-up, and whether psychological distress mediated the association.
methodsThe data was drawn from a prospective repeated-measures cohort study on a sample of participants aged 60 and over. A total of 2785 older people who participated in both of the baseline and 1-year follow-up survey were included for the analysis. Cognitive frailty was measured by the coexistence of physical frailty and cognitive impairment without dementia. Control variables included sex, age, education, marital status, economic status, smoking status, alcohol drinking status, chronic conditions, and functional disability. Path analyses with logistic function were performed to examine the direct effects of social support (predictors) on subsequent cognitive frailty (outcome) at 1-year follow-up and the mediating role of psychological distress (mediator) in this link.
resultsAfter adjusting for covariates and prior cognitive frailty status, social support was negatively associated with psychological distress (β = - 0.098, 95% CI = - 0.137 to - 0.066, P < 0.001) and was negatively associated with the log-odds of cognitive frailty (β = - 0.040, 95% CI = - 0.064 to - 0.016, P < 0.001). The magnitude of mediation effects from social support to cognitive frailty via psychological distress was a*b = - 0.009, and the ratio of a*b/(a*b + c') was 24.32%.
conclusionsLower social support is associated with increased rates of subsequent cognitive frailty over 1-year follow-up, and this link is partially mediated through psychological distress, suggesting that assessing and intervening psychological distress and social support may have important implications for preventing cognitive frailty among older people.
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