Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships

This study aimed to explore all the relevant subtypes of cognitive frailty among Japanese community-dwelling older adults with multimorbidity. Moreover, it examined the associations between these potential subtypes of cognitive frailty and social relationships. This study targeted relevant cross-sec...

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Main Authors: Dandan Jiao, Xiang Li, Zhu Zhu, Jinrui Zhang, Yang Liu, Mingyu Cui, Munenori Matsumoto, Alpona Afsari Banu, Yuko Sawada, Taeko Watanabe, Emiko Tanaka, Tokie Anme
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Healthcare
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Online Access:https://www.mdpi.com/2227-9032/11/13/1933
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author Dandan Jiao
Xiang Li
Zhu Zhu
Jinrui Zhang
Yang Liu
Mingyu Cui
Munenori Matsumoto
Alpona Afsari Banu
Yuko Sawada
Taeko Watanabe
Emiko Tanaka
Tokie Anme
author_facet Dandan Jiao
Xiang Li
Zhu Zhu
Jinrui Zhang
Yang Liu
Mingyu Cui
Munenori Matsumoto
Alpona Afsari Banu
Yuko Sawada
Taeko Watanabe
Emiko Tanaka
Tokie Anme
author_sort Dandan Jiao
collection DOAJ
description This study aimed to explore all the relevant subtypes of cognitive frailty among Japanese community-dwelling older adults with multimorbidity. Moreover, it examined the associations between these potential subtypes of cognitive frailty and social relationships. This study targeted relevant cross-sectional data regarding community-based older adults with multimorbidity. It employed a person-centered method to perform a latent class analysis and explore the subtypes of cognitive frailty among older adults. Moreover, a multinominal logistic regression analysis was employed to examine the association between potential subtypes of cognitive frailty and social relationships. Data for 396 participants (mean age, 75.8 [SD, 7.3] years; 51.3% females) were analyzed. Three cognitive frailty subtypes were subsequently revealed: the robust group (42.0%), the group with partial cognitive frailty (38.6%), and the group with cognitive frailty (19.4%). People with high levels of social relationships were more likely to be in the robust and the partial cognitive frailty groups. This study identified different subtypes of cognitive frailty among multimorbid older adults and highlighted the significance of social relationships. These findings could serve as a reference for conceptualizing cognitive frailty through the person-centered method. Promoting a high level of social relationships could be useful to prevent the cognitive frailty among older adults with multimorbidity.
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spelling doaj.art-36805cd731564c6d84913742793c9eb02023-11-18T16:37:12ZengMDPI AGHealthcare2227-90322023-07-011113193310.3390/healthcare11131933Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social RelationshipsDandan Jiao0Xiang Li1Zhu Zhu2Jinrui Zhang3Yang Liu4Mingyu Cui5Munenori Matsumoto6Alpona Afsari Banu7Yuko Sawada8Taeko Watanabe9Emiko Tanaka10Tokie Anme11Department of Nursing, The First Affiliated Hospital, and College of Clinical Medicine, Henan University of Science and Technology, Luoyang 471003, ChinaSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanSchool of Comprehensive Human Science, University of Tsukuba, Tsukuba 305-8577, JapanDepartment of Physical Therapy, Morinomiya University of Medical Sciences, Osaka 559-0034, JapanFaculty of Nursing, Shukutoku University, Chiba 260-8701, JapanFaculty of Nursing, Musashino University, Tokyo 135-8181, JapanFaculty of Medicine, University of Tsukuba, Tsukuba 305-8575, JapanThis study aimed to explore all the relevant subtypes of cognitive frailty among Japanese community-dwelling older adults with multimorbidity. Moreover, it examined the associations between these potential subtypes of cognitive frailty and social relationships. This study targeted relevant cross-sectional data regarding community-based older adults with multimorbidity. It employed a person-centered method to perform a latent class analysis and explore the subtypes of cognitive frailty among older adults. Moreover, a multinominal logistic regression analysis was employed to examine the association between potential subtypes of cognitive frailty and social relationships. Data for 396 participants (mean age, 75.8 [SD, 7.3] years; 51.3% females) were analyzed. Three cognitive frailty subtypes were subsequently revealed: the robust group (42.0%), the group with partial cognitive frailty (38.6%), and the group with cognitive frailty (19.4%). People with high levels of social relationships were more likely to be in the robust and the partial cognitive frailty groups. This study identified different subtypes of cognitive frailty among multimorbid older adults and highlighted the significance of social relationships. These findings could serve as a reference for conceptualizing cognitive frailty through the person-centered method. Promoting a high level of social relationships could be useful to prevent the cognitive frailty among older adults with multimorbidity.https://www.mdpi.com/2227-9032/11/13/1933cognitive frailtysocial relationshiplatent class analysisfunctioning
spellingShingle Dandan Jiao
Xiang Li
Zhu Zhu
Jinrui Zhang
Yang Liu
Mingyu Cui
Munenori Matsumoto
Alpona Afsari Banu
Yuko Sawada
Taeko Watanabe
Emiko Tanaka
Tokie Anme
Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
Healthcare
cognitive frailty
social relationship
latent class analysis
functioning
title Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
title_full Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
title_fullStr Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
title_full_unstemmed Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
title_short Latent Subtype of Cognitive Frailty among Multimorbidity Older Adults and Their Association with Social Relationships
title_sort latent subtype of cognitive frailty among multimorbidity older adults and their association with social relationships
topic cognitive frailty
social relationship
latent class analysis
functioning
url https://www.mdpi.com/2227-9032/11/13/1933
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