Home › Research › Prevention trials
Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial
Johanna Pöyhönen, Hanna‐Maria Roitto, Jenni Lehtisalo, Esko Levälahti, Timo E. Strandberg, Miia Kivipelto, Jenni Kulmala, Riitta Antikaínen et al.. The Journals of Gerontology Series A, 2025-12-12
Topic: Risk, prevention and care in population studies
At baseline, 219 participants (18%) had CF. The risk for developing CF at 2 years was higher in the control group (risk ratio [RR], 1.88, p = .003). The intervention effect was not modified by baseline CF (p = .493). Reversal from CF to no-CF group was more likely in the intervention group, and progression to or persisting with CF was more likely in the control group. Compared with healthy participants (n = 401) at baseline, the MCI group (n = 244) had an RR of 5.10, pre-frail/frail (n = 336) of 3.06, and CF of 30.61 for having CF at 2 years, with no difference between MCI and pre-frail/frail groups (p = .116). The 2-year multidomain lifestyle intervention was effective in preventing and reversing CF. Participants with MCI or pre-frailty/frailty were both at increased risk for CF compared with healthy participants.
Key findings
- At baseline, 219 participants (18%) had CF.
- The risk for developing CF at 2 years was higher in the control group (risk ratio [RR], 1.88, p = .003).
- The intervention effect was not modified by baseline CF (p = .493).
- Reversal from CF to no-CF group was more likely in the intervention group, and progression to or persisting with CF was more likely in the control group.
- Compared with healthy participants (n = 401) at baseline, the MCI group (n = 244) had an RR of 5.10, pre-frail/frail (n = 336) of 3.06, and CF of 30.61 for having CF at 2 years, with no difference between MCI and pre-frail/frail groups (p = .116).
Why it matters
In this post hoc analysis of the FINGER trial, a 2-year multidomain lifestyle intervention reduced the risk of developing cognitive frailty and increased the chance of reversing it compared with the control group. Participants with mild cognitive impairment or frailty were at higher risk of cognitive frailty than healthy participants.
New to this subject? Start with our plain-English guide: Prevention →
Study details
- Participants401
- Evidence strengthHigh
How this study scored 49/100
Published in a peer-reviewed journal. Scored zero for study design, effect reported and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (The Journals of Gerontology Series A) |
| Journal's citation record | 3 / 4 | The Journals of Gerontology Series A: journal h-index 274 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 2 / 4 | 401 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 2 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.7 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 1.1× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 2 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Tiia Ngandu: h-index 54 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | Imperial College London: institution h-index 1,744 (OpenAlex) |
| Multi-centre collaboration | 3 / 3 | OpenAlex lists 12 institution(s) in 4 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41397903) |
| Free to read | 2 / 2 | Free to read |
| Total | 49 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.1093/gerona/glaf275
- PubMed: 41397903
- Original source →
- Free full text: The Journals of Gerontology Series A →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record's author list ends in “et al.”, so not every author is named. Check the citation against the original before you use it.
APA 7th
Pöyhönen, J., Roitto, H., Lehtisalo, J., Levälahti, E., Strandberg, T. E., Kivipelto, M., et al. (2025). Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial. The Journals of Gerontology Series A. https://doi.org/10.1093/gerona/glaf275
Vancouver
Pöyhönen J, Roitto H, Lehtisalo J, Levälahti E, Strandberg TE, Kivipelto M, et al. Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial. The Journals of Gerontology Series A. 2025. doi:10.1093/gerona/glaf275. PMID: 41397903.
BibTeX
@article{poyhonen2025-41397903,
author = {Pöyhönen, Johanna and Roitto, Hanna‐Maria and Lehtisalo, Jenni and Levälahti, Esko and Strandberg, Timo E. and Kivipelto, Miia and Kulmala, Jenni and Antikaínen, Riitta and others},
title = {{Impact of multidomain lifestyle intervention on dynamics of cognitive frailty: post hoc analysis of the FINGER trial}},
journal = {The Journals of Gerontology Series A},
year = {2025},
doi = {10.1093/gerona/glaf275},
pmid = {41397903},
url = {https://doi.org/10.1093/gerona/glaf275}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.