Evidence map›Paper›PMID 39354435›Full record

SynthesisBMC public health2024

Effect of non-pharmacological interventions in people with cognitive frailty: a systematic review and network meta-analysis.

Junjie Peng, Renjie Chang, Xinghong Wei, Zhimin Yin, Qin Liu

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Prevalence and associated factors of cognitive frailty in older patients with lung cancer undergoing chemotherapy: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  9. Article
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

5 authors.

Junjie Peng *School of Nursing, Yunnan University of Chinese Medicine, Kunming, 650500, China.
Renjie Chang *Digestive Endoscopy Center, Department of Spleen and Gastroenterology, Yunnan Provincial Hospital of Traditional Chinese Medicine, Kunming, 650021, China.
Xinghong WeiSchool of Nursing, Yunnan University of Chinese Medicine, Kunming, 650500, China.
Zhimin YinSchool of Nursing, Yunnan University of Chinese Medicine, Kunming, 650500, China.
Qin LiuSchool of Nursing, Yunnan University of Chinese Medicine, Kunming, 650500, China. 2312509504@qq.com.

Funding

School of Nursing, Yunnan University of Chinese Medicine K2023The First Affiliated Hospital of Yunnan University of Traditional Chinese Medicine (Yunnan Provincial Hospital of Traditional Chinese Medicine) The second batch of "Outstanding Young Talents" program
6 · The paper itself

Abstract

absrtact

objectiveTo evaluate the effects of various non-pharmacological interventions on patients with cognitive impairment by systematic search and network meta-analysis, and to rank the effects of the included non-pharmacological interventions.

methodsThe databases of PubMed, Cochrane Library, EMbase, Web of Science, CNKI, VIP, WANFANG, and SinoMed were searched by computer. All randomized controlled trials (RCTs) of non-pharmacological interventions for people with cognitive frailty were collected. The search was conducted from 2000 to February 2024. Two reviewers independently screened the studies, extracted data, and assessed the risk of bias of the included studies, and then used Stata15 and R4.3.1 software to conduct network meta-analysis, with physical function and cognitive function as the main outcome indicators.

resultsA total of 19 randomized controlled trials involving 1738 patients were included. The results of network meta-analysis showed that among the non-pharmacological interventions, nutritional support had the best effect on improving frailty scores and cognitive function scores in patients with cognitive frailty. Aerobic training combined with resistance training is best for improving grip strength. For improving the patient's motor status, cognitive training had the best effect on improving TUG test scores. High-speed resistance training is best for improving walking speed.

conclusionThis review analyses the current study of non-pharmacological interventions to improve physical performance in patients with cognitive frailty. Current evidence suggests that nutritional support is most effective at improving physical frailty and cognitive decline in patients with cognitive frailty, and that exercise and cognitive training interventions significantly improve grip strength and motor ability.

trial registrationThis meta-analysis was prospectively registered with PROSPERO (registration number: CRD42023486881).

Indexed as

Cognitive DysfunctionFrailtyAgedExercise TherapyFrail ElderlyHumansRandomized Controlled Trials as TopicCognitive frailtyIntervention studiesNetwork meta-analysisRandomized controlled trialsSystematic review

Identifiers

PMID39354435
PMCPMC11443714

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.