Evidence map›Paper›PMID 39549282›Full record

Trial reportThe journals of gerontology. Series A, Biological sciences and medical sciences2025

Associations Between Deficit Accumulation Frailty and Baseline Markers of Lifestyle in the U.S. POINTER Trial.

Mark A Espeland, Yitbarek N Demesie, KayLoni Olson, Samuel N Lockhart, Sarah E Tomaszewski Farias, Maryjo L Cleveland, Christy C Tangney, Lucia Crivelli, Heather M Snyder, Michele K York and 5 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journals of gerontology. Series A, Biological sciences and medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03688126 (U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk), which is not on this 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.

NCT03688126 nacompletednot on this map

U.S. Study to Protect Brain Health Through Lifestyle Intervention to Reduce Risk

TypeinterventionalSponsorWake Forest University Health SciencesRan2019 to 2025Enrolled2,000ConditionsAlzheimer DiseaseArmsSelf-Guided Lifestyle Intervention, Structured Lifestyle Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Relative impact of multidomain lifestyle interventions on deficit accumulation frailty over 24 months in the U.S. POINTER trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    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.

Mark A EspelandSection of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0002-3711-1949
Yitbarek N DemesieDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
KayLoni OlsonDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.ORCID 0000-0001-7946-9570
Samuel N LockhartSection of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Sarah E Tomaszewski FariasDepartment of Neurology, University of California, Davis, California, USA.
Maryjo L ClevelandSection of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Christy C TangneyDepartment of Clinical Nutrition, Rush University Medical Center, Chicago, Illinois, USA.
Lucia CrivelliDepartment of Cognitive Neurology, Fleni, Buenos Aires, Argentina.
Heather M SnyderDepartment of Medical and Scientific Relations, Alzheimer's Association, Chicago, Illinois, USA.
Michele K YorkDivision of Neuropsychology, Department of Neurology, Baylor College of Medicine, Houston, Texas, USA.
Laura D BakerSection of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Rachel A WhitmerDepartment of Public Health Sciences, University of California, Davis, California, USA.
Rena R WingDepartment of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Katelyn R GarciaDepartment of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Kathryn E CallahanSection of Gerontology and Geriatric Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.ORCID 0000-0001-6405-3062

Funding

Project 4 - Mechanistic studies on the role of the gut microbiome in models for Alzheimer's diseaseU19AG063744 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Rima F Kaddurah-Daouk · 2019 to 2026
$54.1M
US POINTER Neuroimaging Ancillary StudyR01AG062689 · NIA · UNIVERSITY OF CALIFORNIA BERKELEY · PI LANDAU, SUSAN M · 2019 to 2025
$47.3M
UC Davis Alzheimer's Disease Research CenterP30AG072972 · NIA · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Charles DeCarli, Rachel A Whitmer · 2021 to 2026
$25.2M
Wake Forest University School of Medicine Alzheimer's Disease Research CenterP30AG072947 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI SHANNON L RISACHER · 2021 to 2026
$24.3M
The POINTER Neurovascular Ancillary StudyR01AG066910 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BRINKLEY, TINA E, SHALTOUT, HOSSAM · 2020 to 2024
$10.2M
POINTER-zzz: Sleep Ancillary to U.S. Study to Protect Brain Health through Lifestyle Intervention to Reduce Risk of Alzheimer's Disease - AdminR01AG064440 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Laura D. Baker · 2019 to 2026
$7.1M
Addressing Body Image in Weight Management: An Overlooked Risk Factor for Poor Treatment Outcome Among WomenK23DK124578 · NIDDK · MIRIAM HOSPITAL · PI OLSON, KAYLONI L. · 2020 to 2024
$1.0M
Alzheimer's Association 19-611541NIA NIH HHS AG066910NIA NIH HHS P30 AG072947NIA NIH HHS P30 AG072972NIA NIH HHS R01 AG062689NIA NIH HHS R01 AG064440NIA NIH HHS R01 AG066910NIA NIH HHS U19 AG063744NIDDK NIH HHS K23 DK124578NIH HHS AG066910
6 · The paper itself

Abstract

backgroundMultidomain lifestyle interventions may have the potential to slow biological aging as captured by deficit accumulation frailty indices. We describe the distribution and composition of the 49-component frailty index developed by the U.S. POINTER clinical trial team of investigators and assess its cross-sectional associations with sociodemographic factors and markers chosen to be representative of behaviors targeted by the trial's multidomain interventions.

methodsWe draw baseline data from the 2 111 volunteers enrolled in U.S. POINTER who were ages 60-79 years and at increased risk for cognitive decline. Frailty components were grouped into 9 domains. Associations that frailty index scores and their domains had with behavioral markers were described with correlations and canonical correlation.

resultsThe 25th, 50th, and 75th percentiles of the frailty index score distribution were 0.153, 0.189, and 0.235. Higher frailty scores tended to occur among individuals who were older, male, and living in areas of greater deprivation (all p < .001). They were also associated with poorer self-reported diet, less physical activity, and higher Framingham risk scores (all p < .001). Associations were diffusely distributed among the frailty component domains, indicating that no individual domain was dominating associations.

conclusionsThe U.S. POINTER deficit accumulation frailty index had expected relationships with sociodemographic factors and sensitivity to the behaviors targeted by the trial's interventions. Our analysis supports its use as a secondary outcome to assess whether the multidomain interventions differentially impact an established marker of biological aging. ClinicalTrials.gov Identifier: NCT03688126.

Indexed as

AgingCognitive DysfunctionFrail ElderlyFrailtyLife StyleAgedBiomarkersCross-Sectional StudiesFemaleGeriatric AssessmentHumansMaleMiddle AgedUnited StatesBiomarkersAgingCognitive functionHealth statusLifestyle

Identifiers

PMID39549282
PMCPMC11775826

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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 Socratic graph.