{"id":"https://openalex.org/W7214937629","doi":"https://doi.org/10.5152/fnjn.2026.25410","title":"Associations of Cognitive Function and Physical Activity with Frailty: A Community-Based Study of Older Adults","display_name":"Associations of Cognitive Function and Physical Activity with Frailty: A Community-Based Study of Older Adults","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214937629","doi":"https://doi.org/10.5152/fnjn.2026.25410","pmid":"https://pubmed.ncbi.nlm.nih.gov/42851034","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13658880"},"language":"en","primary_location":{"id":"doi:10.5152/fnjn.2026.25410","doi":"https://doi.org/10.5152/fnjn.2026.25410","is_oa":true,"landing_page_url":"https://doi.org/10.5152/fnjn.2026.25410","pdf_url":"https://fnjn.org/index.php/pub/article/download/918/903","source":{"id":"https://openalex.org/S4386621876","display_name":"Florence Nightingale Journal of Nursing","issn_l":"2146-0639","issn":["2146-0639","1304-4869","2147-4923","2147-8686","2687-6442"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","norway-1","poland-20","russia-white-list-4","tr-dizin","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Florence Nightingale Journal of Nursing","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://fnjn.org/index.php/pub/article/download/918/903","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5083539463","display_name":"Alime Sel\u00e7uk Tosun","orcid":"https://orcid.org/0000-0002-4851-0910","observed_orcids":["https://orcid.org/0000-0002-4851-0910"]},"institutions":[{"id":"https://openalex.org/I137996928","display_name":"Sel\u00e7uk University","ror":"https://ror.org/045hgzm75","country_code":"TR","type":"education","lineage":["https://openalex.org/I137996928"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Alime Sel\u00e7uk Tosun","raw_affiliation_strings":["Department of Public Health Nursing, Sel\u00e7uk University Faculty of Nursing, Konya, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-4851-0910","affiliations":[{"raw_affiliation_string":"Department of Public Health Nursing, Sel\u00e7uk University Faculty of Nursing, Konya, T\u00fcrkiye","institution_ids":["https://openalex.org/I137996928"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5043372597","display_name":"Nurcan Akg\u00fcl G\u00fcndo\u011fdu","orcid":"https://orcid.org/0000-0002-6446-730X","observed_orcids":["https://orcid.org/0000-0002-6446-730X"]},"institutions":[{"id":"https://openalex.org/I3133171086","display_name":"Band\u0131rma Onyedi Eyl\u00fcl University","ror":"https://ror.org/02mtr7g38","country_code":"TR","type":"education","lineage":["https://openalex.org/I3133171086"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Nurcan Akgu\u0308l Gu\u0308ndo\u011fdu","raw_affiliation_strings":["Division of Public Health Nursing, Department of Nursing, Band\u0131rma Onyedi Eyl\u00fcl University Faculty of Health Sciences, Bal\u0131kesir, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-6446-730X","affiliations":[{"raw_affiliation_string":"Division of Public Health Nursing, Department of Nursing, Band\u0131rma Onyedi Eyl\u00fcl University Faculty of Health Sciences, Bal\u0131kesir, T\u00fcrkiye","institution_ids":["https://openalex.org/I3133171086"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060041221","display_name":"B\u00fc\u015fra Da\u011fc\u0131 G\u00fcnal","orcid":"https://orcid.org/0000-0003-2939-3824","observed_orcids":["https://orcid.org/0000-0003-2939-3824"]},"institutions":[{"id":"https://openalex.org/I3133171086","display_name":"Band\u0131rma Onyedi Eyl\u00fcl University","ror":"https://ror.org/02mtr7g38","country_code":"TR","type":"education","lineage":["https://openalex.org/I3133171086"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Bu\u0308\u015fra Da\u011fc\u0131 Gu\u0308nal","raw_affiliation_strings":["Division of Public Health Nursing, Department of Nursing, Band\u0131rma Onyedi Eyl\u00fcl University Faculty of Health Sciences, Bal\u0131kesir, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0003-2939-3824","affiliations":[{"raw_affiliation_string":"Division of Public Health Nursing, Department of Nursing, Band\u0131rma Onyedi Eyl\u00fcl University Faculty of Health Sciences, Bal\u0131kesir, T\u00fcrkiye","institution_ids":["https://openalex.org/I3133171086"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5039479104","display_name":"B\u00fc\u015fra DURAN","orcid":"https://orcid.org/0000-0002-6407-8013","observed_orcids":["https://orcid.org/0000-0002-6407-8013"]},"institutions":[{"id":"https://openalex.org/I4210153056","display_name":"KTO Karatay University","ror":"https://ror.org/054341q84","country_code":"TR","type":"education","lineage":["https://openalex.org/I4210153056"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Bu\u0308\u015fra Demirda\u011f","raw_affiliation_strings":["Department of Midwifery, Karatay University Faculty of Health Sciences, Konya, T\u00fcrkiye"],"raw_orcid":"https://orcid.org/0000-0002-6407-8013","affiliations":[{"raw_affiliation_string":"Department of Midwifery, Karatay University Faculty of Health Sciences, Konya, T\u00fcrkiye","institution_ids":["https://openalex.org/I4210153056"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5060041221"],"corresponding_institution_ids":["https://openalex.org/I3133171086"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68602654,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"34","issue":null,"first_page":"1","last_page":"8"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11011","display_name":"Frailty in Older Adults","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10397","display_name":"Nutrition and Health in Aging","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.9990000128746033},{"id":"https://openalex.org/keywords/cognitive-function","display_name":"cognitive function","score":0.8740000128746033},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.9700000286102295},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8690000176429749},{"id":"https://openalex.org/keywords/socioeconomic-vulnerability","display_name":"socioeconomic vulnerability","score":0.6579999923706055},{"id":"https://openalex.org/keywords/polypharmacy","display_name":"polypharmacy","score":0.7540000081062317},{"id":"https://openalex.org/keywords/chronic-disease","display_name":"chronic disease","score":0.9700000286102295},{"id":"https://openalex.org/keywords/frailty-screening","display_name":"frailty screening","score":0.8410000205039978},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.8790000081062317},{"id":"https://openalex.org/keywords/cognitive-decline","display_name":"cognitive decline","score":0.7329999804496765},{"id":"https://openalex.org/keywords/physical-inactivity","display_name":"physical inactivity","score":0.9350000023841858}],"concepts":[{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.7117000222206116},{"id":"https://openalex.org/C36434225","wikidata":"https://www.wikidata.org/wiki/Q1895998","display_name":"Polypharmacy","level":2,"score":0.6873000264167786},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.6061999797821045},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5766000151634216},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5076000094413757},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.44769999384880066},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.44429999589920044},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.41690000891685486},{"id":"https://openalex.org/C2984863031","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Cognitive decline","level":4,"score":0.40790000557899475},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.40549999475479126},{"id":"https://openalex.org/C2779483572","wikidata":"https://www.wikidata.org/wiki/Q83030","display_name":"Dementia","level":3,"score":0.37630000710487366},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.35530000925064087},{"id":"https://openalex.org/C2780250136","wikidata":"https://www.wikidata.org/wiki/Q1816067","display_name":"Physical activity level","level":3,"score":0.33250001072883606},{"id":"https://openalex.org/C2776760841","wikidata":"https://www.wikidata.org/wiki/Q5550831","display_name":"Geriatric Depression Scale","level":4,"score":0.3296999931335449},{"id":"https://openalex.org/C95713431","wikidata":"https://www.wikidata.org/wiki/Q631425","display_name":"Vulnerability (computing)","level":2,"score":0.3188000023365021},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.31700000166893005},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.3091999888420105},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.2879999876022339},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.2818000018596649},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.27730000019073486},{"id":"https://openalex.org/C2909041561","wikidata":"https://www.wikidata.org/wiki/Q25099514","display_name":"Frailty Index","level":2,"score":0.2766999900341034},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.2709999978542328},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2703000009059906},{"id":"https://openalex.org/C2778126366","wikidata":"https://www.wikidata.org/wiki/Q41171","display_name":"Unemployment","level":2,"score":0.2630000114440918},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.25679999589920044},{"id":"https://openalex.org/C185711340","wikidata":"https://www.wikidata.org/wiki/Q5347381","display_name":"Effects of sleep deprivation on cognitive performance","level":3,"score":0.250900000333786}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.5152/fnjn.2026.25410","doi":"https://doi.org/10.5152/fnjn.2026.25410","is_oa":true,"landing_page_url":"https://doi.org/10.5152/fnjn.2026.25410","pdf_url":"https://fnjn.org/index.php/pub/article/download/918/903","source":{"id":"https://openalex.org/S4386621876","display_name":"Florence Nightingale Journal of Nursing","issn_l":"2146-0639","issn":["2146-0639","1304-4869","2147-4923","2147-8686","2687-6442"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","norway-1","poland-20","russia-white-list-4","tr-dizin","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Florence Nightingale Journal of Nursing","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13658880","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13658880/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13658880/pdf/fnjn-34-25410.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Florence Nightingale J Nurs","raw_type":"Text"},{"id":"pmid:42851034","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42851034","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Florence Nightingale journal of nursing","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:33591b488398413e808ec8e389ef7dfa","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/33591b488398413e808ec8e389ef7dfa","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Florence Nightingale Journal of Nursing, Vol 34 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5152/fnjn.2026.25410","doi":"https://doi.org/10.5152/fnjn.2026.25410","is_oa":true,"landing_page_url":"https://doi.org/10.5152/fnjn.2026.25410","pdf_url":"https://fnjn.org/index.php/pub/article/download/918/903","source":{"id":"https://openalex.org/S4386621876","display_name":"Florence Nightingale Journal of Nursing","issn_l":"2146-0639","issn":["2146-0639","1304-4869","2147-4923","2147-8686","2687-6442"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","norway-1","poland-20","russia-white-list-4","tr-dizin","vabb-shw"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Florence Nightingale Journal of Nursing","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214937629.pdf","grobid_xml":"https://content.openalex.org/works/W7214937629.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7118747857","https://openalex.org/W4386850348","https://openalex.org/W4388016562","https://openalex.org/W6991297309","https://openalex.org/W4380883253","https://openalex.org/W7167696961","https://openalex.org/W4226424887","https://openalex.org/W2611153791","https://openalex.org/W4399178933","https://openalex.org/W4213008731"],"abstract_inverted_index":{"AIM:":[0],"This":[1],"study":[2,28,239],"examined":[3],"the":[4,54,62],"associations":[5],"among":[6,17,171],"cognitive":[7,132,184,204,230],"function,":[8],"physical":[9,139,181,202,233],"activity,":[10],"and":[11,64,137,183,198,203,232],"sociodemographic":[12],"factors":[13,76],"on":[14],"frailty":[15,83,148,163,192],"levels":[16,164],"older":[18,33,172,241],"adults":[19,34,173],"in":[20,42,162,211],"a":[21,43,237],"primary":[22,38,195],"care":[23,40,197],"population.":[24],"METHODS:":[25],"A":[26],"cross-sectional":[27],"was":[29,85,174],"conducted":[30],"with":[31,78,89,147,177,235],"269":[32],"who":[35],"applied":[36],"for":[37,61,152],"health":[39,196,205],"services":[41],"province":[44],"of":[45,91,160,229,240,246],"T\u00fcrkiye.":[46],"Data":[47],"were":[48,72,144],"collected":[49],"via":[50],"face-to-face":[51],"interviews":[52],"using":[53],"Edmonton":[55],"Frailty":[56,170],"Scale,":[57],"Physical":[58],"Activity":[59],"Scale":[60],"Elderly,":[63],"Standardized":[65],"Mini":[66],"Mental":[67],"Test.":[68],"Multiple":[69],"regression":[70],"analyses":[71],"performed":[73],"to":[74],"identify":[75],"associated":[77,146,154,176],"frailty.":[79],"RESULTS:":[80],"The":[81,156],"mean":[82],"score":[84],"4.83":[86],"\u00b1":[87],"2.93,":[88],"46.8%":[90],"participants":[92],"classified":[93],"as":[94,186,188],"vulnerable":[95],"or":[96],"frail.":[97],"Age":[98],"(\u03b2":[99,104,109,113,119,124,128,134,141],"=":[100,105,110,114,120,125,129,135,142,167],".507),":[101],"female":[102],"gender":[103],".603),":[106],"lower":[107,131,138],"education":[108],".492),":[111],"unemployment":[112],".525),":[115],"poor":[116],"economic":[117],"status":[118],".672),":[121],"chronic":[122],"disease":[123],".619),":[126],"polypharmacy":[127],".497),":[130],"level":[133],"-.455),":[136],"activity":[140,234],"-.507)":[143],"significantly":[145,175],"(p":[149],"<":[150],".001":[151],"all":[153],"factors).":[155],"model":[157],"explained":[158],"78.9%":[159],"variance":[161],"(adjusted":[165],"R2":[166],".789).":[168],"CONCLUSION:":[169],"modifiable":[178],"factors,":[179],"including":[180],"inactivity":[182],"decline,":[185],"well":[187],"socioeconomic":[189],"vulnerability.":[190],"Integrating":[191],"screening":[193],"into":[194],"implementing":[199],"interventions":[200],"targeting":[201],"may":[206],"help":[207],"reduce":[208],"frailty-related":[209],"vulnerability":[210],"aging":[212],"populations.":[213],"Cite":[214],"this":[215],"article":[216],"as:":[217],"Sel.uk-Tosun,":[218],"A.,":[219],"Akg\u00fcl-G\u00fcndo\u011fdu,":[220],"N.,":[221],"Da\u011fc\u0131-G\u00fcnal,":[222],"B.,":[223],"&":[224],"Demirda\u011f,":[225],"B.":[226],"(2026).":[227],"Associations":[228],"function":[231],"frailty:":[236],"community-based":[238],"adults.":[242],"Florence":[243],"Nightingale":[244],"Journal":[245],"Nursing,":[247],"34,":[248],"0410,":[249],"doi:":[250],"10.5152/FNJN.2026.25410.":[251]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-01T00:00:00"}
