Evidence map›Paper›PMID 41206406›Full record

ArticleGeroScience2026

Low intrinsic capacity is associated with risk of developing mild cognitive impairment in the English Longitudinal Study of Ageing (ELSA).

Rosa Birchenough, Ingrid Buller-Peralta, Alejandra Marroig, Graciela Muniz-Terrera

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. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

4 authors.

Rosa Birchenough *Medicine (MBChB), Edinburgh Medical School, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, UK.
Ingrid Buller-Peralta *Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK. ingrid.buller@ed.ac.uk.ORCID http://orcid.org/0000-0002-4427-9897
Alejandra MarroigInstituto de Estadística, Universidad de La República, Montevideo, Uruguay.ORCID http://orcid.org/0000-0003-0716-174X
Graciela Muniz-TerreraEdinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.ORCID http://orcid.org/0000-0002-4516-0337

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intrinsic capacity (IC) is a composite that includes five different domains related to a person's capacities: sensory, locomotion, vitality, psychological and cognitive. IC represents part of a global effort to promote healthy ageing, one aspect of which is healthy cognitive functioning. This study aimed to elucidate the association of IC and cognitive decline in older adults. Using data from the English Longitudinal Study of Ageing (ELSA, wave 6), IC composite was derived through z-score and item-response theory (IRT) methods in a sample of cognitively normal older adults (n = 731, aged 70.1 ± 6.77 years). Global cognition (GC) was derived by categorizing Mini-mental State Examination scores obtained in the same population 4-5 years later (ELSA-HCAP, 2018). After algorithm selection, GC categories were regressed on IC scores, demographic and lifestyle covariates. The IRT algorithm showed better model fit and strong associations with age, sex and education. Lower IC was associated with higher likelihood of developing mild cognitive impairment (MCI) 4 to 5 years after IC assessment. Increased age and lower education were also strong predictors of GC, whereas no significant effects were found for sex, physical activity, or number of comorbidities in the fully adjusted model. Although bivariate regressions showed that reduced moderate or vigorous physical activity and increased number of comorbidities are associated with higher odds of developing later MCI, the lack of associations between these covariates and GC in the fully adjusted model suggests a possible mediation effect on IC. No study had previously explored the association of IC on later cognitive impairment. Results agree with previous evidence associating low IC to females, older ages and lower education. Further research to reveal possible underlying mechanisms explaining this association is needed to improve our understanding and relevance of IC for healthy ageing.

Indexed as

AgingCognitionCognitive DysfunctionAgedAged, 80 and overEnglandFemaleGeriatric AssessmentHumansLongitudinal StudiesMaleRisk FactorsGlobal cognitionHealthy ageingItem-response theoryMini-mental State Examination

Identifiers

PMID41206406
PMCPMC13575003

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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.