Evidence map›Paper›PMID 37285817›Full record

ArticleGerontology2023

Risk Factors of Progression to Cognitive Frailty: Singapore Longitudinal Ageing Study 2.

Shuen Yee Lee, Ma Shwe Zin Nyunt, Qi Gao, Xinyi Gwee, Denise Qian Ling Chua, Keng Bee Yap, Shiou Liang Wee, Tze Pin Ng

Abstract read
In one paragraph

Article in Gerontology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

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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

8 authors.

Shuen Yee LeeHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Ma Shwe Zin NyuntOffice of the Senior Deputy President and Provost, National University of Singapore, Singapore, Singapore.
Qi GaoNational Public Health and Epidemiology Unit, National Centre for Infectious Diseases, Singapore, Singapore.
Xinyi GweeDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Denise Qian Ling ChuaDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Keng Bee YapDepartment of Geriatric Medicine, Ng Teng Fong General Hospital, Singapore, Singapore.
Shiou Liang WeeHealth and Social Sciences Cluster, Singapore Institute of Technology, Singapore, Singapore.
Tze Pin NgDepartment of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCognitive frailty is associated with higher risk of dementia and adverse health outcomes. However, multidimensional factors that influence cognitive frailty transitions are not known. We aimed to investigate risk factors of incident cognitive frailty.

methodsProspective cohort study participants were community-dwelling adults without dementia and other degenerative disorders and baseline and follow-up, including N = 1,054 participants aged ≥55 free of cognitive frailty at baseline, with complete baseline (March 6, 2009, to June 11, 2013) and follow-up data at 3-5 years later (January 16, 2013, to August 24, 2018). Incident cognitive frailty was defined by one or more criteria of the physical frailty phenotype and <26 of Mini-Mental State Examination (MMSE) score. Potential risk factors assessed at baseline included demographic, socioeconomic, medical, psychological and social factors, and biochemical markers. Data were analyzed using least absolute shrinkage selection operator (LASSO) multivariable logistic regression models.

resultsA total of 51 (4.8%) participants, including 21 (3.5%) of the cognitively normal and physically robust participants, 20 (4.7%) of the prefrail/frail only, and 10 (45.4%) of cognitively impaired only, transited to cognitive frailty at follow-up. Risk factors for transition to cognitive frailty were having eye problem (OR = 2.6, 95% CI 1.24-5.43) and low HDL cholesterol (OR = 4.1, 95% CI 2.03-8.40), while protective factors for cognitive frailty transition were higher levels of education (OR = 0.3, 95% CI 0.10-0.74) and participation in cognitive stimulating activities (OR = 0.4, 95% CI 0.17-0.82).

conclusionMulti-domain modifiable factors especially related to leisure activities predict cognitive frailty transition and may be targeted for prevention of dementia and associated adverse health outcomes.

Indexed as

Cognitive DysfunctionDementiaFrailtyAgedAgingCognitionFrail ElderlyGeriatric AssessmentHumansIndependent LivingLongitudinal StudiesProspective StudiesRisk FactorsSingaporeCognitive frailty predictorsCognitive frailty transitionLeast absolute shrinkage selection operator regressionMahjongPsychosocial risk factorsSocial activities

Identifiers

PMID37285817
PMCPMC10614261

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Registered trials

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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.