Evidence map›Paper›PMID 41587726›Full record

ArticleJournal of advanced research2026

Longitudinal dynamics in frailty and incident all-cause dementia: a multicohort study.

Yihong Ding, Zhaoping Wang, Jiabei He, Jie Shen, Changzheng Yuan, Di He, Yimin Zhu

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. 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. Dynamic frailty exposure and cognitive aging trajectories: A multicohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 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.

Yihong DingDepartment of Respiratory Disease, Sir Run Run Shaw Hospital, and Department of Epidemiology and Biostatistics, School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Zhaoping WangDepartment of Respiratory Disease, Sir Run Run Shaw Hospital, and Department of Epidemiology and Biostatistics, School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jiabei HeSchool of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Jie ShenSchool of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Changzheng YuanSchool of Public Health, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China; Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA. Electronic address: chy478@zju.edu.cn.
Di HeDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China; Zhejiang Key Laboratory of Cardiovascular Intervention and Precision Medicine, Hangzhou, Zhejiang, China; Engineering Research Center for Cardiovascular Innovative Devices of Zhejiang Province, Hangzhou, Zhejiang, China. Electronic address: hedisrrsh@zju.edu.cn.
Yimin ZhuDepartment of Respiratory Disease, Sir Run Run Shaw Hospital, and Department of Epidemiology and Biostatistics, School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. Electronic address: zhuym@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFrailty changes over time, but how these changes relate to the risk of dementia remains uncertain.

objectiveTo explore the temporal relationship between dynamic changes in frailty and incident all-cause dementia.

methodsWe included adults aged ≥ 60 years from four prospective cohorts in this pooled analysis. Frailty was assessed using a modified Fried phenotype at two separate time points, allowing the identification of longitudinal frailty transition patterns. The outcome was all-cause dementia, identified through active follow-up assessments or passive data collection. Hazard ratios (HRs) and 95% confidence intervals (CIs) were derived from Cox proportional hazards analyses.

resultsAmong 15,897 participants (51.3% female, mean age: 66.9 years), 1015 developed incident dementia over 131,621.3 person-years of follow-up. An increased risk of dementia was observed among robust participants who progressed to pre-frail/frail status, compared to those with stable robustness (pooled HR: 1.62, 95% CI: 1.06-2.47; I

conclusionsProgression in frailty was associated with an increased risk of dementia, while reversal of pre-frailty reduced the risk. Our results highlight the importance of continuous monitoring and personalized interventions for managing frailty in older adults.

Indexed as

DementiaFrailtyAgedAged, 80 and overFemaleFrail ElderlyHumansIncidenceLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk FactorsDementiaDynamic changesFrailtyMulticohort studyOlder adults

Identifiers

PMID41587726
PMCPMC13669609

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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.