机构:[1]Department of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, China,老年医学科首都医科大学宣武医院[2]Key Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, China,[3]Department of Neurology and Neurobiology, Xuanwu Hospital of Capital Medical University, Beijing, China神经内科首都医科大学宣武医院
Objective: Cognitive 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. Method: Data 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. Results: The 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 = 1.0665.687) and hearing impairment (OR = 2.713, 95% CI = 1.114-6.608) were independent associated factors of CF in elderly individuals with PF. Conclusion: Our 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.
基金:
This work was supported by the following grants: National
Natural Science Foundation of China (81600927), the Ministry of
Health Welfare Industry Special Fund (201002011), and Beijing
Municipal Health Bureau Research Fund (Jing 17-12)
第一作者机构:[1]Department of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, China,[2]Key Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, China,
通讯作者:
通讯机构:[1]Department of Geriatrics, Beijing Geriatric Healthcare Center, Beijing Institute of Geriatrics, Xuanwu Hospital of Capital Medical University, Beijing, China,[2]Key Laboratory on Neurodegenerative Disease of Ministry of Education, Beijing Institute for Brain Disorders, China National Clinical Research Center for Geriatric Disorders, Beijing, China,[3]Department of Neurology and Neurobiology, Xuanwu Hospital of Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Lina Ma,Li Zhang,Yaxin Zhang,et al.Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study[J].FRONTIERS IN MEDICINE.2017,4(OCT):174.doi:10.3389/fmed.2017.00174.
APA:
Lina Ma,Li Zhang,Yaxin Zhang,Yun Li,Zhe Tang&Piu Chan.(2017).Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study.FRONTIERS IN MEDICINE,4,(OCT)
MLA:
Lina Ma,et al."Cognitive Frailty in China: Results from China Comprehensive Geriatric Assessment Study".FRONTIERS IN MEDICINE 4..OCT(2017):174