Evidence map›Paper›PMID 41748116›Full record

ArticleGeriatrics & gerontology international2026

Incidental Lifestyle Physical Activity and Its Relationships With Overall Frailty and Frailty Domains in Community-Dwelling Older Japanese.

Yaya Li, Michiko Kido, Yuya Akagi, Hiroko Yoshida, Mei Nishida, Yuri Tominaga, Liyu Shi, Marlon Maus, Gary Yu, Kei Kamide and 2 more

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 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

12 authors.

Yaya LiDepartment of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.ORCID https://orcid.org/0000-0002-4301-4205
Michiko KidoDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Yuya AkagiDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Hiroko YoshidaDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Mei NishidaDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Yuri TominagaDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Liyu ShiDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Marlon MausSPH UC Berkeley Investigator, Health Research for Action Center, The University of California, Berkeley, California, USA.
Gary YuDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, New York, USA.
Kei KamideDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.ORCID https://orcid.org/0000-0003-1720-2218
Hanayo KoetakaDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.
Mai KabayamaDepartment of Health Sciences, Graduate School of Medicine, The University of Osaka, Osaka, Japan.ORCID https://orcid.org/0000-0003-1394-1152

Funding

Japan Society for the Promotion of Science 23K19802Japan Society for the Promotion of Science 23K24672Osaka Prefecture National Health Insurance Health-Up Support Project
6 · The paper itself

Abstract

aimBeyond structured physical activity, emerging evidence suggests the potential health benefits of incidental lifestyle physical activity (ILPA). However, the relationship between ILPA and frailty or frailty domains in older populations remains unclear.

methodsA total of 15 302 community-dwelling adults aged 65 years and older in Osaka, Japan, were invited to participate in a mailed survey. The survey included a single-item question asking about participants' ILPA: "Are you trying to be physically active in your daily life, for example, through housework or transportation?" Frailty outcomes, including overall frailty and frailty domains (physical, nutritional, oral, social, cognitive, and mental), were assessed using the validated Kihon Checklist based on its scoring manual. Logistic regressions were used to investigate associations between ILPA and overall frailty and each frailty domain. Age and sex differences were determined using subgroup analysis and interaction analysis.

resultsThe response rate was 49.03%. Logistic regression analyses revealed ILPA is negatively associated with overall frailty and domains including physical, nutritional, oral, social, cognitive, and mental domains of frailty. Most associations were evident regardless of age and sex, while the association between ILPA and the physical domain of frailty was stronger in males (p for interaction = 0.01), while the association with the mental domain of frailty was stronger in females (p for interaction = 0.007).

conclusionsIn community-dwelling older Japanese adults, ILPA was negatively associated with overall frailty and multiple domains of frailty. While structured physical activity remains critical, the findings underscore the importance of promoting increased ILPA in daily experience.

Indexed as

ExerciseFrail ElderlyFrailtyGeriatric AssessmentLife StyleActivities of Daily LivingAgedAged, 80 and overAging in PlaceCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanMaleSurveys and Questionnairesfrailtyfrailty domainsincidental lifestyle physical activityJapanolder adults

Identifiers

PMID41748116
PMCPMC12945476

What OpenQuestion holds

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LicenceCC BY-NC
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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.