{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:00:12Z","timestamp":1790251212187,"version":"4.1.0"},"reference-count":109,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pacific Psychiatry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive frailty, defined as the co\u2010occurrence of physical frailty\/prefrailty and cognitive impairment in the absence of dementia, is a potentially reversible condition that may signal high risk for disability and dementia. This systematic review and meta\u2010analysis estimated the global prevalence of cognitive frailty among community\u2010dwelling older adults and examined methodological and contextual moderators of prevalence differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We searched for relevant studies published up to October 22, 2025 in international (PubMed, Web of Science, Embase, PsycINFO) and Chinese (CNKI, Wanfang) databases. Pooled prevalence rates and 95% confidence intervals (CIs) were calculated with random\u2010effects models. Subgroup and meta\u2010regression analyses examined possible sociodemographic, methodological, and clinical moderators. Study quality was assessed with the Joanna Briggs Institute checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010six studies of 127\u2009556 participants were included. The pooled prevalence of cognitive frailty was 12.2% (95% CI: 9.4%\u201315.7%). Prevalence was higher in studies using the \u201cFatigue, Resistance, Ambulation, Illness, and Loss of weight\u201d (FRAIL) scale or Fried phenotype and those using the Montreal Cognitive Assessment (MoCA) or composite cognitive criteria, in upper\u2010middle\u2010income countries, and in studies published after 2021. In meta\u2010regression analyses, alcohol use status was significantly associated with cognitive frailty prevalence but most sociodemographic factors were not related to rates of cognitive frailty. Trim\u2010and\u2010fill analysis suggested that potential publication bias may have led to underestimation of prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Cognitive frailty is common among community\u2010dwelling older adults worldwide. Given its potential reversibility and strong links to adverse outcomes, systematic identification and targeted multi\u2010domain interventions should be prioritized in aging societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/appy.70032","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T10:20:52Z","timestamp":1787048452000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Global Prevalence of Cognitive Frailty in Community\u2010Dwelling Older Adults: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-9926-1509","authenticated-orcid":false,"given":"Yi\u2010Ran","family":"Huang","sequence":"first","affiliation":[{"name":"Unit of Psychiatry, Department of Public Health and Medicinal Administration, Faculty of Medicine University of Macau  Macao SAR China"},{"name":"Centre for Cognitive 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