Joint Trajectories of Objective Physical Function and Cognition and Risk of Incident Dementia: A Population-Based Cohort Study - Summary - MDSpire

Joint Trajectories of Objective Physical Function and Cognition and Risk of Incident Dementia: A Population-Based Cohort Study

  • By

  • Wang, Shiyi

  • Wang, Xiaoke

  • Zhou, Jun

  • Zhou, Lin

  • April 30, 2026

  • 0 min

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Objective:

To identify joint longitudinal trajectories of physio-cognitive aging and evaluate the relationship between physical and cognitive decline in relation to incident dementia.

Key Findings:
  • Identified four phenotypes of aging, including 'Dual Rapid Decliners' (10%) with a nearly five-fold increased risk of incident dementia (HR=4.85).
  • Physical decline significantly predicted subsequent cognitive decline, while the reverse was weak and non-significant.
  • Life space constriction mediated 16.8% of the relationship between physical and cognitive decline.
  • Concurrent vision impairment exacerbated the risk of cognitive decline.
Interpretation:

Objective physical decline is an early, independent prodromal marker for dementia, highlighting the importance of maintaining physical mobility and addressing sensory deficits.

Limitations:
Conclusion:

The study emphasizes the need for strategies to preserve cognitive health through physical mobility and sensory correction.

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