Evidence map›Paper›PMID 40036319›Full record

Trial reportAge and ageing2025

Impact of frailty status on the effect of a multidomain lifestyle intervention on cognition.

Johanna Pöyhönen, Jenni Lehtisalo, Hanna-Maria Roitto, Esko Levälahti, Timo Strandberg, Miia Kivipelto, Jenni Kulmala, Riitta Antikainen, Hilkka Soininen, Jaakko Tuomilehto and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Age and ageing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Effect modifiers of the MIND diet for cognition in older adults: The MIND diet trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
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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.

Johanna PöyhönenFaculty of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.ORCID 0009-0003-1524-6134
Jenni LehtisaloDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Hanna-Maria RoittoFaculty of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.
Esko LevälahtiDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Timo StrandbergFaculty of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.
Miia KivipeltoDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Jenni KulmalaDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Riitta AntikainenCenter of Life Course Health Research, University of Oulu, Oulu, Finland.
Hilkka SoininenInstitute of Clinical Medicine, Neurology, University of Eastern Finland, Kuopio, Finland.
Jaakko TuomilehtoDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Tiina LaatikainenDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.
Tiia NganduDepartment of Public Health, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID 0000-0002-3698-2021

Funding

AlzheimerfondenAlzheimer's Research and Prevention FoundationCenter for Innovative Medicine (CIMED) at Karolinska InstituteEU Joint Programme-Neurodegenerative Disease Research (JPND) EURO-FINGERS and Multi-MEMO grantFinnish Cultural Foundation; Ministry of Education and CultureFinnish Foundation for Cardiovascular ResearchFORTE 2023-01125HjärnfondenJuho Vainio FoundationKelaNordForsk 119886Sigrid Jusélius FoundationState research funding of Oulu City HospitalStiftelsen Stockholms sjukhemSwedish Research Council; Region StockholmYrjö Jahnsson Foundation
6 · The paper itself

Abstract

backgroundFrailty often precedes and co-occurs with dementia. A multidomain lifestyle intervention has shown favourable effects on cognition. We aimed to investigate if frailty status modifies this intervention effect.

methodsThe Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) recruited 1259 participants aged 60-77 years who were at risk of dementia. They were randomised to receive a multidomain intervention (diet, exercise, cognitive training and vascular risk monitoring) or regular health advice for two years. The outcome was a change in cognition (neuropsychological test battery composite score). Frailty and prefrailty were defined according to the Fried phenotype. Mixed models were used to investigate if frailty status at baseline modified the intervention effect on cognition.

resultsFrailty status (prefrail/frail n = 520, robust n = 625) at baseline did not modify the effect of intervention on global cognition during the 2-year follow-up (P-value for frailty × intervention × time interaction > .05). Concerning cognitive subdomains, similar results were found. Among prefrail/frail persons, within-group analyses suggested a beneficial intervention effect on executive function and processing speed and also on global cognition when frail participants (n = 15) were excluded from the analyses. Being prefrail/frail was related to less improvement in global cognition, memory and executive function domains compared with being robust when intervention was not taken into consideration.

conclusionsA multidomain intervention is likely to be beneficial to cognition regardless of frailty status. Prefrail participants seemed particularly responsive to preventive intervention. Thus, an optimal time for a multidomain lifestyle intervention may be at the prefrailty stage.

Indexed as

CognitionCognitive AgingCognitive DysfunctionDementiaFrail ElderlyFrailtyLife StyleRisk Reduction BehaviorAgedExerciseFemaleFinlandGeriatric AssessmentHumansMaleMiddle Agedcognitionfrailtylifestyle interventionolder peopleprefrailty

Identifiers

PMID40036319
PMCPMC11878527

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.