Evidence mapPaperPMID 42017463Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2026

Neural embedding of frailty in cognitively unimpaired aging and dementia across Latin America.

Joaquin Migeot, Olivia Wen, Raul Gonzalez-Gomez, Hernan Hernandez, David Aguillon, Jose Alberto Avila-Funes, Maria I Behrens, Martin A Bruno, Nilton Custodio, Carolina Delgado and 23 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 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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0citing papers in PubMed
field-weighted citation impact
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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

33 authors.

Joaquin MigeotLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.
Olivia WenLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.
Raul Gonzalez-GomezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.
Hernan HernandezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.
David AguillonGrupo de Neurociencias de Antioquia Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.
Jose Alberto Avila-FunesDirección de Enseñanza, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Maria I BehrensCentro de Investigación Clínica Avanzada (CICA) - Hospital Clínico Universidad de Chile, Santiago Chile, Independencia, Santiago, Chile.
Martin A BrunoConsejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina.
Nilton CustodioUnidad de diagnóstico de deterioro cognitivo y prevención de demencia, Instituto Peruano de Neurociencias, Lima, Perú.
Carolina DelgadoDepartamento de Neurología y Neurocirugía. Hospital Clínico Universidad de Chile, Santiago, Chile.
Claudia Duran-AniotzLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.
Dafne Duron-ReyesGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Adolfo M GarcíaDepartamento de Lingüística y Literatura, Facultad de Humanidades, Universidad de Santiago de Chile, Santiago, Chile.
Maria E GodoyCognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina.
Kun HuDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Brian LawlorGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Peng LiDepartment of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Marcelo Adrian MaitoCognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina.
Diana L MatallanaDepartamento de Salud Mental, Hospital Universitario Fundación Santa Fe, Bogotá, Colombia.
Bruce MillerGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Maira Okada de OliveiraGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Stefanie D Pina-EscuderoGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Katherine L PossinGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Elisa de Paula França ResendeGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Pablo ReyesPontificia Universidad Javeriana, Bogotá, D.C., Colombia.
Hernando Santamaria-GarciaPontificia Universidad Javeriana, Bogotá, D.C., Colombia.
Andrea SlachevskyGeroscience Center for Brain Health and Metabolism (GERO), Santiago de Chile, Metropolitan Region of Santiago, Chile.
Leonel T TakadaCognitive Neurology and Behavioral Unit (GNCC), University of São Paulo, São Paulo, Brazil.
Paulina VergaraGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Kristine YaffeGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Jennifer S YokoyamaGlobal Brain Health Institute, University of California, San Francisco, California, USA.
Roman Romero-OrtuñoGlobal Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Agustin IbanezLatin American Brain Health Institute (BrainLat), Universidad Adolfo Ibañez, Santiago de Chile, Metropolitan Region of Santiago,  , Chile.ORCID 0000-0001-6758-5101

Funding

Ache for Educational Materials (2024)Agencia Nacional de Promoción Científica y TecnológicaAlzheimer's Association Provided in the msANID FONDECYT Regular 1250317 1250091ANID/FONDAP 15150012ANID/FONDAP/15150012ANID/FONDECYT 1231839ANID/Fondecyt 123183(ANID/FONDECYT) Regular 1210176(ANID/FONDECYT) Regular 1220995(ANID/FONDECYT) Regular 1250091ANID/FONDECYT Regular 1210622ANID/FONDECYT Regular 1250091ANID/FONDEF ID22I10251ANID/FONDEF/ ID18I10113ANID/FOVI240065ANID/NAM22I0007ANID/PIA/ANILLOS ACT210096ANID/Proyecto Exploración 13240170ANID/Proyectos de Exploración 13220082Davos Alzheimer's CollaborativeDICYT-USACH 032351GDASLilly for Training Activities (2024)NIA NIH HHSNIDANovo Nordisk for Lectures and Congress Participation (2023-2024)ReDLat
6 · The paper itself

Abstract

introductionFrailty influences dementia risk and severity. However, its role in differentiating dementia subtypes and associations with brain structural and functional alterations remain understudied, especially in Latin America.

methodsMulti-Partner Consortium to Expand Dementia Research in Latin America data included 3461 participants (cognitively unimpaired [CU], Alzheimer's disease [AD], and frontotemporal lobar degeneration [FTLD]) from Latin America using a frailty index constructed from 32 health-related variables. XGBoost-logistic regression models tested group discrimination, and voxel-based morphometry plus functional connectivity analyses explored neural correlates.

resultsFrailty distinguished CU from AD (area under the curve [AUC] = 0.85) and CU from FTLD (AUC = 0.88) but not AD from FTLD (AUC = 0.59). Higher frailty was linked to widespread gray matter loss, with temporal involvement in CU and stronger frontotemporal effects in dementia, particularly FTLD. Connectivity analyses showed fronto-temporo-posterior reductions and increased connectivity across the frailty network. DISCUSSION: Findings position frailty as a promising marker for identifying AD and FTLD relative to CU individuals, linked with brain health alterations in Latin American populations.

Indexed as

AgingAlzheimer DiseaseBrainDementiaFrailtyFrontotemporal Lobar DegenerationAgedFemaleHumansLatin AmericaMagnetic Resonance ImagingMaleAlzheimer's diseasebrain frailtycognitively unimpaired subjectsfrailtyfrailty networkfrontotemporal lobar degenerationfunctional connectivitygray matter volumeLatin Americamachine learningneuroimagingvoxel‐based morphometry

Identifiers

PMID42017463
PMCPMC13100973

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.