Evidence map›Paper›PMID 40444985›Full record

Trial reportJournal of the American Geriatrics Society2025

Short- and Long-Term Effect of Multidomain Lifestyle Intervention on Frailty: Post Hoc Analysis of an RCT.

Johanna Pöyhönen, Hanna-Maria Roitto, Jenni Lehtisalo, 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 Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Trial
  2. Trial
  3. Article
  4. Review
  5. Brain magnetic resonance imaging biomarkers for future frailty; sub-study of FINGER trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Observational
  6. Article
  7. Article
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 PöyhönenDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.ORCID 0009-0003-1524-6134
Hanna-Maria RoittoDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Jenni LehtisaloDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Esko LevälahtiDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Timo StrandbergDepartment of Medicine, Clinicum, University of Helsinki, Helsinki, Finland.
Miia KivipeltoDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Jenni KulmalaDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Riitta AntikainenCenter for Life Course Health Research, University of Oulu, Oulu, Finland.
Hilkka SoininenInstitute of Clinical Medicine/Neurology, University of Eastern Finland, Kuopio, Finland.
Jaakko TuomilehtoDepartment of International Health, National School of Public Health, Madrid, Spain.
Tiina LaatikainenInstitute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland.
Tiia NganduDepartment of Public Health, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.

Funding

Alzheimerfonden For FINGER studyAlzheimer's Research and Prevention Foundation (US) For FINGER studyCenter for Innovative Medicine For FINGER studyEU Joint Programme - Neurodegenerative Disease Research EURO-FINGERS for FINGER study Multi-MEMO for FINGER studyForskningsrådet om Hälsa, Arbetsliv och Välfärd 2023-01125, FINGER-PRO for FINGER studyHjärnfonden For FINGER studyJuho Vainion Säätiö For FINGER study Personal for Johanna PöyhönenKela For FINGER studyNordForsk through the funding to NJ-FINGER [119886; Finland]Opetus- ja Kulttuuriministeriö For FINGER studyOulu City Hospital State research funding for FINGER studyPäivikki ja Sakari Sohlbergin Säätiö Personal for Johanna PöyhönenRegion Stockholm (ALF, Sweden) For FINGER studyResearch Council of Finland For FINGER studySigrid Juséliuksen Säätiö For FINGER studyStiftelsen Stockholms sjukhem For FINGER studySuomen Kulttuurirahasto For FINGER studySydäntutkimussäätiö For FINGER studyVetenskapsrådet for FINGER studyYrjö Jahnssonin Säätiö For FINGER study Personal for Johanna Pöyhönen
6 · The paper itself

Abstract

backgroundThe prevalence of frailty is increasing as the population ages. Lifestyle interventions have shown potential in frailty prevention. Intervention studies have been generally limited by short interventions and follow-ups or by focusing on single-domain approaches. We aimed to investigate whether a 2-year multidomain lifestyle intervention prevents phenotypic pre-frailty or frailty and whether baseline factors predict phenotypic pre-frailty or frailty.

methodsA total of 1259 participants (aged 60-77 years) in the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) were randomized to a multidomain intervention group or to a regular health advice group for 2 years. Frailty was defined by modified Fried phenotype. Pre-frail and frail participants were grouped for analyses. The prevalence of pre-frailty/frailty at baseline and at 2, 7, and 11 years, the change in prevalence from baseline, and the difference in these changes between intervention and control groups were estimated using a mixed-effects logistic regression model.

resultsThe intervention reduced the risk of pre-frailty/frailty up to 7 years. The prevalence decreased in the intervention group from baseline (47%) to 2 years (42%), while it increased in the control group (45% to 49%), resulting in a -9.6-percentage point difference in the change (p = 0.007). After the active intervention period, the prevalence began to increase in both groups, but the difference in the change remained in favor of the intervention group at 7 years (-6.2 percentage points, p = 0.049). The beneficial effect was no longer evident at 11 years. Older age, lower protein intake, and a higher number of chronic diseases were strongly associated with pre-frailty/frailty.

conclusionsA 2-year multimodal lifestyle intervention effectively prevented phenotypic pre-frailty/frailty, with sustained benefits observed up to 7 years. Continuous support for a healthy lifestyle may be necessary to prevent late-life pre-frailty or frailty.

Indexed as

Frail ElderlyFrailtyLife StyleAgedCognitive DysfunctionFemaleFinlandGeriatric AssessmentHumansMaleMiddle AgedPrevalencefrailtymultidomain lifestyle interventionpre‐frailtyprotein intake

Identifiers

PMID40444985
PMCPMC12396167

What Socratic holds

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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 Socratic graph.