Evidence map›Paper›PMID 41076505›Full record

ArticleGeroScience2026

Machine learning assessment of cognitive reserve using functional near-infrared spectroscopy in older adults with cognitive frailty.

Wanrui Wei, Shuaifang Wei, Wei Han, Kairong Wang, Huan Zhang, Gabriella Engstrom, Azita Emami, Zheng Li

Abstract read
In one paragraph

Article in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Wanrui WeiSchool of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Shijingshan District, No. 33 Ba Da Chu Road, Beijing, 100144, China.ORCID http://orcid.org/0000-0003-2840-2100
Shuaifang WeiSchool of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Shijingshan District, No. 33 Ba Da Chu Road, Beijing, 100144, China.
Wei HanDepartment of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100005, China.
Kairong WangDepartment of Nursing, Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongdan Campus, Beijing, 100730, China.
Huan ZhangSchool of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Shijingshan District, No. 33 Ba Da Chu Road, Beijing, 100144, China.
Gabriella EngstromCharles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road, Boca Raton, FL, 33431, USA.
Azita EmamiSchool of Nursing, Yale University, 400 West Campus Drive, Orange, CT, 06477, USA.
Zheng LiSchool of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Shijingshan District, No. 33 Ba Da Chu Road, Beijing, 100144, China. zhengli@pumc.edu.cn.ORCID http://orcid.org/0000-0001-8935-9359

Funding

School of Nursing, Peking Union Medical College (CN) PUMCSON202101
6 · The paper itself

Abstract

Cognitive reserve mitigates aging-related cognitive decline and frailty, yet current assessments lack neurobiological specificity. We aimed to develop a noninvasive, functional near infrared spectroscopy (fNIRS)-based machine learning model to classify cognitive reserve levels in older adults with cognitive frailty. Seventy-one community-dwelling adults underwent resting-state and task-based (Stroop, n-back) fNIRS scans. Graph theory metrics and task-related β-values were extracted. Support vector machine classifiers were trained on 70% of the dataset and tested on 30%. Models incorporating β-values from significantly activated channels during the Stroop, 0-back, and 1-back tasks achieved the best performance (accuracy = 0.727, recall = 0.857, area under the curve [AUC] = 0.829). Resting-state features alone yielded lower performance (AUC = 0.714), while combining both resting-state and task-based features improved it moderately (AUC = 0.790). fNIRS-based modeling enables objective classification of cognitive reserve levels in older adults with cognitive frailty. This approach offers a portable, scalable, real-time strategy for early risk stratification and may support precision interventions in both clinical and community settings.

Indexed as

Cognitive DysfunctionCognitive ReserveFrailtyMachine LearningAgedAged, 80 and overClassification AlgorithmsFemaleFrail ElderlyGeriatric AssessmentHumansMaleSpectroscopy, Near-InfraredBiomarkerCognitive frailtyCognitive reserveFunctional near infrared spectroscopyNeuroimagingSupport vector machine

Identifiers

PMID41076505
PMCPMC13574757

What OpenQuestion holds

Textmetadata
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.