Evidence map›Paper›PMID 41652155›Full record

ArticleGeroScience2026

Biopsychosocial frailty and the incident risk of cardio- and cerebrovascular diseases: an 8-year follow-up of the italian longitudinal study on aging.

Vincenzo Solfrizzi, Emanuele Scafato, Madia Lozupone, Carlo Custodero, Vittorio Dibello, Donato Cirrottola, Claudio Pace, Marika Rizzato, Andrea Schilardi, Claudia Gandin and 5 more

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Vincenzo Solfrizzi"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy. vincenzo.solfrizzi@uniba.it.
Emanuele ScafatoOsservatorio Nazionale Alcol, Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.
Madia LozuponeDepartment of Translational Biomedicine and Neuroscience "DiBrain", University of Bari Aldo Moro, Bari, Italy.
Carlo CustoderoDepartment of Interdisciplinary Medicine, University of Bari "Aldo Moro", Bari, Italy.
Vittorio Dibello"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Donato Cirrottola"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Claudio Pace"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Marika Rizzato"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy.
Andrea SchilardiDSS BA 04, Altamura, Bari, Italy.
Claudia GandinOsservatorio Nazionale Alcol, Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.
Silvia GhiriniOsservatorio Nazionale Alcol, Centro Nazionale Dipendenze e Doping, Istituto Superiore di Sanità, Rome, Italy.
Rodolfo SardoneLocal Healthcare Authority of Taranto, Taranto, Italy.
Antonio DanieleDepartment of Neuroscience, Catholic University of Sacred Heart, Rome, Italy.
Francesco Panza"Cesare Frugoni" Internal and Geriatri Medicine and Memory Unit, University of Bari "Aldo Moro", Bari, Italy. f_panza@hotmail.com.ORCID http://orcid.org/0000-0002-7220-0656
Italian Longitudinal Study on Aging Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Biopsychosocial frailty, a new construct combining modifiable physical, psychological, and social domains, was associated with increased risk of dementia, mild cognitive impairment, and their subtypes. The aim of the present study was to estimate the role of biopsychosocial frailty on the incident risk of cardio- and cerebrovascular disease, i.e., myocardial infarction, peripheral artery disease (PAD), and definite stroke. From the eight municipalities of the population-based Italian Longitudinal Study on Aging, we examined 2410 older individuals in a longitudinal analysis with an 8-year follow-up. Biopsychosocial frailty operationalization was based on the results of a previous comprehensive geriatric assessment and the presence of physical frailty. Generalized estimating equation models assessed the independent contribution at three different follow-ups of baseline individuals with biopsychosocial frailty on occurring new events of myocardial infarction, PAD, and stroke. The prevalence of biopsychosocial frailty in older individuals with myocardial infarction was 10.9%, in older subjects with PAD was 8.9%, and in older individuals with definite stroke was 23.7%. After 8 years of follow-up, participants with biopsychosocial frailty showed an increased odds ratio (OR) of definite stroke [OR 2.67; 95% confidence interval 1.11-6.40]. No statistically significant associations between biopsychosocial frailty and myocardial infarction or PAD were observed. Over an 8-year follow-up, in a large, older cohort, a biopsychosocial frailty phenotype was associated with incident cerebrovascular disease, in particular with definite stroke. This complex phenotype of frailty has several modifiable components and could be an optimal target for potential interventions and prevention strategies.

Indexed as

Cardiovascular DiseasesCerebrovascular DisordersFrail ElderlyFrailtyAgedAged, 80 and overAgingFemaleFollow-Up StudiesGeriatric AssessmentHumansIncidenceItalyLongitudinal StudiesMaleMyocardial InfarctionBiopsychosocial frailtyCardiovascular diseasesCerebrovascular diseasesMyocardial infarctionPeripheral artery diseaseStroke

Identifiers

PMID41652155
PMCPMC13638893

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.