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Risk factor analysis of cognitive frailty in older adults with type 2 diabetes mellitus: a cross-sectional study
Qingjuan Ren, Shu Niu, Lei Zhi, Hongfang Liu. Frontiers in Aging Neuroscience, 2025-09-25
Topic: Risk, prevention and care in population studies
The prevalence of CF was 24.3%. Cerebrovascular disease (OR: 2.39, 95% CI: 1.44-3.97) and peripheral arterial disease (OR: 1.74, 95% CI: 1.03-2.95) were significant risk factors, while higher education (OR 0.85, 95% CI 0.76-0.94) and later diabetes onset (OR: 0.93, 95% CI: 0.88-0.98) were protective. Early-onset diabetes significantly increased CF risk regardless of education level. This study highlights a markedly increased risk of CF in older adults with T2DM, especially in individuals with CVD, PAD, low education levels, or early-onset diabetes. Notably, early diabetes onset may override the protective effects of cognitive reserve, emphasizing the critical need for early metabolic and vascular risk management in this high-risk population. These findings support integrated screening for cognitive and physical frailty in diabetes care to enable timely interventions.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Ren, Q., Niu, S., Zhi, L., & Liu, H. (2025). Risk factor analysis of cognitive frailty in older adults with type 2 diabetes mellitus: a cross-sectional study. Frontiers in Aging Neuroscience. https://doi.org/10.3389/fnagi.2025.1667405
Vancouver
Ren Q, Niu S, Zhi L, Liu H. Risk factor analysis of cognitive frailty in older adults with type 2 diabetes mellitus: a cross-sectional study. Frontiers in Aging Neuroscience. 2025. doi:10.3389/fnagi.2025.1667405. PMID: 41080000.
BibTeX
@article{ren2025-41080000,
author = {Ren, Qingjuan and Niu, Shu and Zhi, Lei and Liu, Hongfang},
title = {{Risk factor analysis of cognitive frailty in older adults with type 2 diabetes mellitus: a cross-sectional study}},
journal = {Frontiers in Aging Neuroscience},
year = {2025},
doi = {10.3389/fnagi.2025.1667405},
pmid = {41080000},
url = {https://doi.org/10.3389/fnagi.2025.1667405}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- Cerebrovascular disease (OR: 2.39, 95% CI: 1.44-3.97) and peripheral arterial disease (OR: 1.74, 95% CI: 1.03-2.95) were significant risk factors, while higher education (OR 0.85, 95% CI 0.76-0.94) and later diabetes onset (OR: 0.93, 95% CI: 0.88-0.98) were protective.
- Early-onset diabetes significantly increased CF risk regardless of education level.
- This study highlights a markedly increased risk of CF in older adults with T2DM, especially in individuals with CVD, PAD, low education levels, or early-onset diabetes.
- Notably, early diabetes onset may override the protective effects of cognitive reserve, emphasizing the critical need for early metabolic and vascular risk management in this high-risk population.
- These findings support integrated screening for cognitive and physical frailty in diabetes care to enable timely interventions.
Why it matters
This cross-sectional study found that cerebrovascular disease and peripheral arterial disease were risk factors for cognitive frailty in older adults with type 2 diabetes, while higher education and later diabetes onset were protective. Because it is cross-sectional, it cannot show cause and effect or that managing these conditions prevents cognitive frailty.
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Study details
- Study designcross-sectional
- Effect size24.3%; OR: 2.39; OR: 1.74
- Evidence strengthLow
How this study scored 44/100
Published in a peer-reviewed journal, and it is a snapshot of people at one point in time. Scored zero for sample size, studied in people and randomised / blinded because the record does not state it. We have no data on institution's track record, so that was left out: it earned 43 of the 97 points we could judge it on, which is 44 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Frontiers in Aging Neuroscience) |
| Journal's citation record | 2 / 4 | Frontiers in Aging Neuroscience: journal h-index 174 (OpenAlex, 2026-10-29) |
| Study design | 4 / 12 | A snapshot of people at one point in time |
| Strength of evidence | 1 / 5 | Rated “low” 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 | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 3 / 3 | Effect reported with a statistic (interval, p-value, ratio or similar) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 1 / 7 | Cited 4 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 2 / 6 | Cited 2.1× 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 | 1 / 4 | Cited 4 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Hongfang Liu: h-index 59 (OpenAlex, whole career) |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | 0 / 3 | OpenAlex lists 0 institution(s) in 0 countries — scores zero (affiliation lists can be incomplete) |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41080000) |
| Free to read | 2 / 2 | Free to read |
| Points | 43 / 97 | Scored on 19 of 20 parts. We have no data for the rest, so they are left out: 43 of the 97 points we could judge it on is 44 out of 100. |
| Total | 44 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
- DOI: 10.3389/fnagi.2025.1667405
- PubMed: 41080000
- Original source →
- Free full text: Frontiers in Aging Neuroscience →
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
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