Evidence map›Paper›PMID 42097118›Full record

SynthesisThe journal of nutrition, health & aging2026

Effects of multidomain interventions on health outcomes in older adults: A systematic review and meta-analysis.

Eleonora Pagan, Chukwuma Okoye, Luca Cuffaro, Alice Margherita Ornago, Alberto Finazzi, Federico Emanuele Pozzi, Maria Cristina Ferrara, Carlo Custodero, Vittorio Dibello, Alessandra Palladini and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The journal of nutrition, health & aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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.

Eleonora PaganDepartment of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy. Electronic address: eleonora.pagan@unimib.it.
Chukwuma OkoyeSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Acute Geriatrics Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy.
Luca CuffaroSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy; Department of Neurology, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Alice Margherita OrnagoAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Alberto FinazziSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Federico Emanuele PozziSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy; Department of Neurology, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Maria Cristina FerraraSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Carlo CustoderoClinica Medica "Augusto Murri", Department of Precision and Regenerative Medicine and Ionian Area (DiMePrev-J), University of Bari Aldo Moro, Bari, Italy.
Vittorio DibelloClinica Medica "Cesare Frugoni" Internal and Geriatric Medicine and Memory Unit, Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Bari, Italy; Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands.
Alessandra PalladiniPaul Langerhans Institute Dresden, Group of Membrane Biochemistry, Dresden, Germany.
Gessica SalaSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy.
Vincenzo SolfrizziClinica Medica "Cesare Frugoni" Internal and Geriatric Medicine and Memory Unit, Department of Interdisciplinary Medicine, University of Bari Aldo Moro, Bari, Italy.
Antonella ZambonDepartment of Statistics and Quantitative Methods, University of Milano-Bicocca, Milan, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy; Biostatistic Unit, IRCCS Istituto Auxologico Italiano, Milan, Italy.
Carlo FerrareseSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy; Department of Neurology, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giuseppe BellelliSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy; Acute Geriatrics Unit, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy; Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith rising global aging, healthcare systems face challenges from multimorbidity, functional decline, and cognitive impairment. Multidomain interventions offer a promising approach to promoting healthy aging. This systematic review and meta-analysis evaluated the effects of multidomain interventions (≥3 domains) on motor-functional, cognitive, and psychological outcomes in older adults without moderate/severe dementia.

methodsFollowing PRISMA guidelines, PubMed and Embase were searched up to April 30, 2024. Eligible studies included clinical trials or observational studies involving adults ≥60 years receiving multidomain interventions versus control/standard care. Standardized mean differences (SMDs) with 95% confidence intervals (CIs) were calculated.

resultsThirty-eight studies (57 comparisons) were included (median age: 75.3 intervention, 75.1 control; >60% female). Intervention lasted 2-36 months (median 6.0). All studies targeted the physical domain, 78.9% cognitive, 81.6% nutritional, and 84.2% additional domains. Motor-functional outcomes improved significantly (e.g., Short Physical Performance Battery: SMD = 0.40, 95% CI 0.14 to 0.66; Cardiovascular Health Study frailty criteria: SMD = -0.14, 95% CI -0.23 to -0.05), with diminishing effects over time. Other indicators (e.g., handgrip strength), showed modest improvements. Cognitive improvements were limited to Montreal Cognitive Assessment (MoCA; SMD = 0.23, 95% CI 0.06 to 0.40). Psychological benefits included reduced depressive symptoms (Geriatric Depression Scale: SMD = -0.35, 95% CI -0.57 to -0.12). Effect estimates for Timed Up and Go and RBANS were attenuated in sensitivity analysis excluding high-risk-of-bias studies.

conclusionsMultidomain interventions improve motor-functional and psychological well-being. Moderate cognitive benefits are observed primarily using the MoCA. These findings support large-scale implementation in geriatric care and highlight the need for strategies to sustain long-term effectiveness.

Indexed as

Healthy AgingAgedAged, 80 and overCognitionFemaleHumansMalePhysical Functional PerformanceCognitive functionFunctional capacityGeriatric careHealthy ageingMultidomain intervention

Identifiers

PMID42097118
PMCPMC13265428

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.