Evidence map›Paper›PMID 41397903›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2026

Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial.

Johanna Pöyhönen, Hanna-Maria Roitto, Jenni Lehtisalo, Esko Levälahti, Timo Strandberg, Miia Kivipelto, Jenni Kulmala, Riitta Antikainen, Hilkka Soininen, Jaakko Tuomilehto and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 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. Article
  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

12 authors.

Johanna PöyhönenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0009-0003-1524-6134
Hanna-Maria RoittoDepartment of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.
Jenni LehtisaloDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0000-0002-8818-0848
Esko LevälahtiDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Timo StrandbergDepartment of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.
Miia KivipeltoDivision of Clinical Geriatrics, Center for Alzheimer Research, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
Jenni KulmalaDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Riitta AntikainenCenter for Life Course Health Research/Geriatrics, University of Oulu, Oulu, Finland.ORCID 0000-0001-5262-362X
Hilkka SoininenInstitute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland.
Jaakko TuomilehtoNational School of Public Health, Madrid, Spain.
Tiina LaatikainenInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Tiia NganduDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0000-0002-3698-2021

Funding

Juho Vainio Foundation
6 · The paper itself

Abstract

backgroundCognitive frailty (CF), a condition with physical frailty and mild cognitive impairment (MCI) without dementia, is potentially reversible and linked to adverse outcomes. We aimed to investigate the impact of a multidomain lifestyle intervention on temporal dynamics of CF in older adults at risk of dementia.

methodsIn the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER), 1259 participants, aged 60-77, were randomized to a 2-year multidomain lifestyle intervention or standard health advice. Frailty was defined by the modified Fried phenotype, and MCI by the lowest quintile in the neuropsychological test battery z score. Having pre-frailty/frailty and MCI was classified as CF. Transition probabilities and predictiveness of CF by 4 different baseline groups (healthy, MCI, pre-frail/frail, CF) were examined using multinomial logistic regression.

resultsAt baseline, 219 participants (18%) had CF. The risk for developing CF at 2 years was higher in the control group (risk ratio [RR], 1.88, p = .003). The intervention effect was not modified by baseline CF (p = .493). Reversal from CF to no-CF group was more likely in the intervention group, and progression to or persisting with CF was more likely in the control group. Compared with healthy participants (n = 401) at baseline, the MCI group (n = 244) had an RR of 5.10, pre-frail/frail (n = 336) of 3.06, and CF of 30.61 for having CF at 2 years, with no difference between MCI and pre-frail/frail groups (p = .116).

conclusionsThe 2-year multidomain lifestyle intervention was effective in preventing and reversing CF. Participants with MCI or pre-frailty/frailty were both at increased risk for CF compared with healthy participants.

Indexed as

Cognitive DysfunctionFrail ElderlyFrailtyLife StyleAgedFemaleFinlandGeriatric AssessmentHumansMaleMiddle AgedNeuropsychological TestsClinical trialsCognitionFrailtyMild cognitive impairment

Identifiers

PMID41397903
PMCPMC12832955

What OpenQuestion holds

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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.