Evidence map›Paper›PMID 40604674›Full record

ArticleBMC public health2025

Infections and cognitive function, depression, and frailty: a cross-sectional study in the longitudinal aging study in India (LASI).

Georgia R Gore-Langton, Kathryn E Mansfield, Prithvee Ravi, Arrisonia Doubatty, Suvarna Alladi, Sanjay Kinra, Charlotte Warren-Gash

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Risk aversion and time preference among elderly: does frailty matter?International journal of health economics and management · 2026
    Article
  2. Article
  3. 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

7 authors.

Georgia R Gore-LangtonDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK. georgia.gore-langton@lshtm.ac.uk.
Kathryn E MansfieldSchool of Health and Care Sciences, University of Lincoln, Lincoln, UK.
Prithvee RaviDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Arrisonia DoubattyDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Suvarna AlladiNational Institute of Mental Health and Neurosciences, Bengaluru, India.
Sanjay KinraDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.
Charlotte Warren-GashDepartment of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK.

Funding

Wellcome Career Development award 225868/Z/22/ZWellcome Trust 225868
6 · The paper itself

Abstract

introductionInfections may be associated with an increased risk of poor brain health and frailty among older people, but evidence from low-and-middle-income countries (LMICs) is limited. We aimed to investigate associations between nine infections and cognition, depression, and frailty in India.

methodsWe conducted a cross-sectional study using data from Wave 1 (2017–2019) of the Longitudinal Aging Study in India (LASI) survey of adults (≥ 45years) from 35 of India’s 36 states and union territories. Data were collected via face-to-face interviews and direct health measurements. We investigated the association between nine infections, either self-reported ever (periodontal disease) or in the two years before interview (jaundice/hepatitis, malaria, tuberculosis, typhoid, chikungunya, diarrhoea/gastroenteritis, dengue, urinary tract infection [UTI]), and measured global cognitive function, depression, and frailty. We used survey-weighted multivariable logistic regression to compare odds of impaired cognition, depression, and frailty in people with and without infections, overall and for individual infections.

resultsWe included 64,682 respondents; median age 59 years (IQR:50–67), 53.5% female, 35% reported at least one infection. After controlling for demographic, social/environmental and lifestyle factors, and chronic health conditions, we saw evidence of associations between infection and both depression (OR: 1.28 [95%CI: 1.22–1.35]) and frailty (OR: 1.74 [95%CI: 1.65–1.84]). UTIs were associated with the highest odds of both depression (OR: 1.33 [95%CI: 1.14, 1.55) and frailty (OR: 2.94 [95%CI: 2.51, 3.44]). Reporting at least one infection was associated with reduced odds of impaired cognition (OR: 0.80 [95%CI: 0.74–0.86]).

conclusionsOur results suggest infections are associated with increased depression and frailty in adults over 45 in India. Our finding of association between reported infections and better cognition, is potentially explained by preferential infection recall in those with better cognition. Longitudinal studies are needed to investigate potential causal links between infections and adverse brain health and frailty and guide interventions to improve the health of older people in India and other LMICs.

Indexed as

CognitionCognitive DysfunctionDepressionFrailtyInfectionsAgedCross-Sectional StudiesFemaleHumansIndiaLongitudinal StudiesMaleMiddle AgedCognitive functionCross-sectional surveyDepressionFrailtyIndiaInfections

Identifiers

PMID40604674
PMCPMC12220408

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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.