Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study
ObjectiveCognitive frailty (CF) refers to the co-occurrence of physical frailty (PF) and cognitive impairment in persons without dementia. We aimed to explore the prevalence and associated factors of CF in China.MethodData were obtained from the China Comprehensive Geriatric Assessment Study. A tota...
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Frontiers Media S.A.
2017-10-01
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| Series: | Frontiers in Medicine |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fmed.2017.00174/full |
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| author | Lina Ma Lina Ma Li Zhang Li Zhang Yaxin Zhang Yaxin Zhang Yun Li Yun Li Zhe Tang Zhe Tang Piu Chan Piu Chan Piu Chan |
| author_facet | Lina Ma Lina Ma Li Zhang Li Zhang Yaxin Zhang Yaxin Zhang Yun Li Yun Li Zhe Tang Zhe Tang Piu Chan Piu Chan Piu Chan |
| author_sort | Lina Ma |
| collection | DOAJ |
| description | ObjectiveCognitive frailty (CF) refers to the co-occurrence of physical frailty (PF) and cognitive impairment in persons without dementia. We aimed to explore the prevalence and associated factors of CF in China.MethodData were obtained from the China Comprehensive Geriatric Assessment Study. A total of 5,708 community-dwelling older adults without dementia were included. CF was assessed using the Mini–Mental State Examination for the evaluation of cognitive status and the Comprehensive Geriatric Assessment-Frailty Index for the evaluation of PF. Participants with both cognitive impairment and PF were classified as having CF. Sociodemographic and clinical history was also collected. Logistic analysis was used to explore the association between the associated factors and CF.ResultsThe overall crude prevalence of CF was 3.3% [95% confidence interval (CI) = 3.0–4.0], and the standard prevalence of CF was 2.7% (95% CI = 2.0–3.0). The prevalence of CF was significantly higher in women than men and higher in residents of rural areas than urban areas. Moreover, the prevalence of CF was found to increase with age. Multiple factor analysis showed that depression (OR = 2.462, 95% CI = 1.066–5.687) and hearing impairment (OR = 2.713, 95% CI = 1.114–6.608) were independent associated factors of CF in elderly individuals with PF.ConclusionOur results provide the first empirical evidence of CF in China. We have identified several associated factors with CF which should be considered while assessing older adults. More studies in Chinese population with CF are demanded to confirm with our findings. |
| first_indexed | 2024-12-13T22:21:14Z |
| format | Article |
| id | doaj.art-3026d0f8e0344c05a545ab22438fb10c |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-13T22:21:14Z |
| publishDate | 2017-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-3026d0f8e0344c05a545ab22438fb10c2022-12-21T23:29:22ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2017-10-01410.3389/fmed.2017.00174306714Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment StudyLina Ma0Lina Ma1Li Zhang2Li Zhang3Yaxin Zhang4Yaxin Zhang5Yun Li6Yun Li7Zhe Tang8Zhe Tang9Piu Chan10Piu Chan11Piu Chan12Department of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, ChinaKey Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, ChinaDepartment of Neurology and Neurobiology, Xuanwu Hospital of Capital Medical University, Beijing, ChinaObjectiveCognitive frailty (CF) refers to the co-occurrence of physical frailty (PF) and cognitive impairment in persons without dementia. We aimed to explore the prevalence and associated factors of CF in China.MethodData were obtained from the China Comprehensive Geriatric Assessment Study. A total of 5,708 community-dwelling older adults without dementia were included. CF was assessed using the Mini–Mental State Examination for the evaluation of cognitive status and the Comprehensive Geriatric Assessment-Frailty Index for the evaluation of PF. Participants with both cognitive impairment and PF were classified as having CF. Sociodemographic and clinical history was also collected. Logistic analysis was used to explore the association between the associated factors and CF.ResultsThe overall crude prevalence of CF was 3.3% [95% confidence interval (CI) = 3.0–4.0], and the standard prevalence of CF was 2.7% (95% CI = 2.0–3.0). The prevalence of CF was significantly higher in women than men and higher in residents of rural areas than urban areas. Moreover, the prevalence of CF was found to increase with age. Multiple factor analysis showed that depression (OR = 2.462, 95% CI = 1.066–5.687) and hearing impairment (OR = 2.713, 95% CI = 1.114–6.608) were independent associated factors of CF in elderly individuals with PF.ConclusionOur results provide the first empirical evidence of CF in China. We have identified several associated factors with CF which should be considered while assessing older adults. More studies in Chinese population with CF are demanded to confirm with our findings.http://journal.frontiersin.org/article/10.3389/fmed.2017.00174/fullcognitive frailtyelderlycomprehensive geriatric assessmentepidemiologyfrailty index |
| spellingShingle | Lina Ma Lina Ma Li Zhang Li Zhang Yaxin Zhang Yaxin Zhang Yun Li Yun Li Zhe Tang Zhe Tang Piu Chan Piu Chan Piu Chan Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study Frontiers in Medicine cognitive frailty elderly comprehensive geriatric assessment epidemiology frailty index |
| title | Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study |
| title_full | Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study |
| title_fullStr | Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study |
| title_full_unstemmed | Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study |
| title_short | Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study |
| title_sort | cognitive frailty in china results from china comprehensive geriatric assessment study |
| topic | cognitive frailty elderly comprehensive geriatric assessment epidemiology frailty index |
| url | http://journal.frontiersin.org/article/10.3389/fmed.2017.00174/full |
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