Evidence map›Paper›PMID 40898138›Full record

Trial reportBMC geriatrics2025

The effect of resistance training for older adults with cognitive frailty: a randomized controlled trial.

TingTing Wu, XiaoXia Wang, Yifei Xu, Chufan Zhang, MeiZhen Huang, Hong Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Microglia in Brain Aging and Age-Related Diseases: Friends or Foes?International journal of molecular sciences · 2025
    Review
  7. 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

6 authors.

TingTing Wu *Department of Nursing, the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
XiaoXia Wang *School of Nursing, Fujian Medical University, No.1 Xuefu North Road, Minhou County, Fuzhou City, Fujian Province, 35001, China.
Yifei XuJiangsu Disabled Assistance Equipment Service Center, Jiangsu Disabled Persons Federation, Nanjing, China.
Chufan ZhangOncology Interventional Therapy Department, Fujian Cancer Hospital, Fuzhou, China.
MeiZhen HuangDepartment of Nursing, Xiamen Medical College, Xiamen, China.
Hong LiSchool of Nursing, Fujian Medical University, No.1 Xuefu North Road, Minhou County, Fuzhou City, Fujian Province, 35001, China. leehong99@126.com.

Funding

Joint Funds for the Innovation of Science and Technology of Fujian Province. No:2020Y9021Scientific Research Project Funded by Talent Recruitment at the First Affiliated Hospital of Fujian Medical University NO:YJRC4219
6 · The paper itself

Abstract

backgroundCognitive decline and the progression to dementia are hastened in individuals with cognitive frailty. Exercise interventions benefit cognitive function in patients with Mild Cognitive Impairment (MCI) or frailty. While the optimal implementation of resistance training for cognitive frailty is still being explored. The aims of this study were to develop and evaluate the effect of a novel, hybrid online-offline resistance training regimen for the cognitive frailty cohort.

methodsIn this single-blind, randomized controlled trial, 68 individuals with MCI and frailty or pre-frailty were enrolled and allocated to either a resistance training program or a standard senior fitness exercise regimen. The resistance training, designed based on the intervention mapping framework, comprised a 12-week hybrid intervention, blending online and offline sessions, conducted three times a week. The primary outcomes measured were global cognitive function and physical function. Data analysis was conducted meticulously using covariance analysis, with a commitment to the intention-to-treat principle.

resultsThe hybrid online-offline resistance training regimen was both safe and feasible. Participants in the resistance training group exhibited significantly greater improvements in global cognitive function as measured by MoCA (F = 6.289, p = 0.011) and 4-meter walk time (F = 10.951, P = 0.002), with least squares mean difference of 1.299 (95% CI: 0.306 to 2.291) and - 0.576 (95% CI: -0.924 to -0.228), and with effect size of 0.095, 1.114, respectively. Furthermore, resistance training proved more effective in boosting attention and enhancing quality of life. Between the groups, no significant differences were noted in executive, language, and memory functions, as well as in measures of anxiety, depression, and self-efficacy, among other aspects.

conclusionsOur study demonstrated that a hybrid online-offline resistance training model is safe and effective for older people with cognitive frailty, providing modest benefits over traditional exercises in enhancing global cognitive function, attention, physical function, and quality of life.

trial registrationChiCTR2100043826 was registered on 4 March 2021.

Indexed as

Cognitive DysfunctionFrail ElderlyFrailtyResistance TrainingAgedAged, 80 and overCognitionFemaleHumansMaleSingle-Blind MethodCognitive functionFrailtyMild cognitive impairmentPhysical functionResistance training

Identifiers

PMID40898138
PMCPMC12406349

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.