Evidence map›Paper›PMID 39016447›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Sustained frailty remission and dementia risk in older adults: A longitudinal study.

Shuomin Wang, Qianyuan Li, Shanshan Wang, Chongmei Huang, Qian-Li Xue, Sarah L Szanton, Minhui Liu

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Microglia in Brain Aging and Age-Related Diseases: Friends or Foes?International journal of molecular 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.

Shuomin WangXiangya School of Nursing, Central South University, Changsha, China.
Qianyuan LiXiangya School of Nursing, Central South University, Changsha, China.
Shanshan WangSchool of Nursing, Hong Kong Polytechnic University, Hong Kong, China.
Chongmei HuangSchool of Nursing, Ningxia Medical University, Yinchuan, China.
Qian-Li XueJohns Hopkins Center on Aging and Health, Johns Hopkins University, Baltimore, Maryland, USA.
Sarah L SzantonSchool of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.
Minhui LiuSchool of Nursing, Ningxia Medical University, Yinchuan, China.ORCID 0000-0002-4554-3135

Funding

Key R&D Program Project of Hunan Province 2023SK2009
6 · The paper itself

Abstract

introductionPhysical frailty is reversible, but little is known about the sustainability of frailty remission and its impact on dementia.

methodsData were derived from the National Health and Aging Trends Study (NHATS) (2011 to 2021). Physical frailty was assessed using the Fried frailty phenotype, and frailty transition patterns across three waves were defined. The relationship of sustained frailty remission with incident dementia was examined using Cox proportional regression, stratified by age and gender.

resultsAmong 1931 participants, 348 (18.0%) were capable of sustained frailty remission. During the 8-year follow-up, 279 participants developed dementia. In a fully adjusted model, sustained remission was associated with a lower risk of dementia (hazard ratio = 0.66, 95% confidence interval = 0.47 to 0.93). The association was more pronounced among younger-old and male participants but not observed among their counterparts. DISCUSSION: Sustained frailty remission was associated with a reduced risk of developing dementia. Physical frailty could be an essential forewarning of dementia and a target for interventions. HIGHLIGHTS: We provided new insights into the natural progression of frailty and its impact on dementia risk using a nationally representative sample Sustained frailty remission reduced risk of incident dementia. Age and gender played a role in the frailty-dementia link, and thus individualized dementia risk screening is necessary. Physical frailty could be an essential forewarning of cognitive decline and an ideal target for interventions to prevent dementia.

Indexed as

DementiaFrailtyAgedAged, 80 and overFemaleFrail ElderlyHumansLongitudinal StudiesMaleRisk Factorsdementiafrailty remissionincidenceolder adultstransition patterns

Identifiers

PMID39016447
PMCPMC11497677

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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.