Evidence map›Paper›PMID 42865808›Full record

ArticleFrontiers in public health2026

Association between frailty and cognitive function in hospitalized older adults: a moderated serial mediation analysis involving functional status, depression, and social support.

Jingrong Dai, Jing Huang, Fang Liu, Yangfan Hu, Hong Huang, Yan Li, Tingjun Wang

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jingrong Dai *Department of General Practice, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Jing Huang *Department of General Practice, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Fang LiuDepartment of General Practice, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Yangfan HuDepartment of General Practice, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Hong HuangDepartment of Geriatrics, Yunnan First People's Hospital, Kunming, China.
Yan LiDepartment of Geriatrics, Yunnan First People's Hospital, Kunming, China.
Tingjun WangDepartment of General Practice, National Regional Medical Center, Binhai Campus of the First Affiliated Hospital, Fujian Medical University, Fuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to examine whether impaired basic activities of daily living (BADL) and depression accounted for the association between frailty and cognitive function in hospitalized older adults, and whether social support moderated these relationships. Methods: A cross-sectional design was adopted in this study, including hospitalized older adults aged 60 years and above. Data were collected using a digital comprehensive geriatric assessment system, including mini mental state examination (MMSE), frailty scale, BADL scale, geriatric depression scale (GDS), and social support rating scale (SSRS). Hierarchical regression, serial mediation, and moderated mediation analyses were performed using PROCESS macro (Model 92) with 5,000 bootstrap resamples to examine potential statistical pathways from frailty to cognitive function and the moderating role of social support. Results: Among 1,611 hospitalized older adults, frailty was statistically associated with lower MMSE scores. After adjustment for demographic, socioeconomic, and lifestyle-related variables, the direct association was not significant ( Conclusion: The relationship between frailty and cognitive function was mainly characterized by indirect associations involving BADL impairment and depression, with the depression pathway contributing the most statistically. Social support moderated specific associations within this statistical framework. These findings suggest that functional, psychological, and social factors should be considered together in efforts to maintain cognitive health and promote healthy aging among older adults.

Indexed as

CognitionDepressionFrail ElderlyFrailtyFunctional StatusHospitalizationSocial SupportActivities of Daily LivingAgedAged, 80 and overCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleMediation Analysisactivities of daily livingcognitive functiondepressionfrailtysocial support

Identifiers

PMID42865808
PMCPMC13655232

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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.