Prevalence and associated factors of cognitive frailty in community-dwelling older adults: Results from the Korean longitudinal study of aging

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY

International Journal of Older People Nursing Pub Date : 2023-09-29 DOI:10.1111/opn.12576

Taewha Lee PhD, RN, FAAN, Jane Chung PhD, RN, Kijun Song PhD, Yoonjung Ji PhD, RN

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引用次数: 1

Abstract

Background

Cognitive frailty, a condition characterized by physical frailty with cognitive impairment, is emerging as a determinant of adverse health outcomes in older adults. However, its prevalence and correlation with associated factors are unknown in the aging population of Korea.

Objectives

To estimate the prevalence of cognitive frailty and identify factors associated with it among older Korean adults.

Methods

A secondary analysis was performed using the Korean Longitudinal Study of Aging seventh survey dataset collected in 2018. Multinomial logistic regression analyses were conducted to examine the association between cognitive frailty and demographic, psychosocial, oral health and physical function factors. Individuals aged ≥65 years and without dementia were included (N = 1024). Participants were classified into four groups based on the presence or absence of physical frailty and mild cognitive impairment. This article is executed in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement.

Results

The prevalence of cognitive frailty in the study sample was 11.2%. The results of multinomial logistic regression showed that advanced age, being female, lower education levels, heart disease, arthritis or rheumatoid arthritis, underweight, depression, non-social activity, poor oral health and functional limitation were significantly associated with cognitive frailty.

Conclusions

Cognitive frailty is prevalent among community-dwelling older adults in Korea. The findings provide primary care providers with insights about effective strategies for identifying at-risk individuals and will guide the development of population-level interventions to prevent or delay the onset of physical frailty and cognitive impairment in older adults.

Implications for practice

The findings provide practical information to healthcare providers for identifying cognitive frailty in older adults. The risk factors of cognitive frailty, such as psychosocial, oral health, and physical function factors, should be thoroughly monitored for older adults. Health personnel working in primary care have a critical role in identifying risk and beneficial factors and promoting preventative strategies that enhance health outcomes.

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查看原文本刊更多论文

居住在社区的老年人认知脆弱的患病率和相关因素：韩国老龄化纵向研究的结果。

背景：认知脆弱是一种以身体虚弱和认知障碍为特征的疾病，正在成为老年人不良健康结果的决定因素。然而，其在韩国老龄化人群中的患病率及其与相关因素的相关性尚不清楚。目的：估计韩国老年人认知脆弱的患病率，并确定与之相关的因素。方法：使用2018年收集的韩国老龄化纵向研究第七次调查数据集进行二次分析。进行多项逻辑回归分析，以检验认知脆弱性与人口统计学、心理社会、口腔健康和身体功能因素之间的关系。年龄≥65岁的个人年龄和无痴呆的患者（N = 1024）。根据是否存在身体虚弱和轻度认知障碍，参与者被分为四组。本文根据《加强流行病学观察研究报告》（STROBE）声明执行。结果：研究样本中认知脆弱的患病率为11.2%。多项逻辑回归结果显示，高龄、女性、低教育水平、心脏病、关节炎或类风湿性关节炎、体重不足、抑郁、不参加社交活动、口腔健康不佳和功能受限与认知脆弱显著相关。结论：认知脆弱在韩国居住在社区的老年人中普遍存在。这些发现为初级保健提供者提供了关于识别高危人群的有效策略的见解，并将指导制定人群层面的干预措施，以预防或延迟老年人身体虚弱和认知障碍的发作。实践意义：研究结果为医疗保健提供者识别老年人认知脆弱性提供了实用信息。老年人应彻底监测认知脆弱的风险因素，如心理社会、口腔健康和身体功能因素。从事初级保健工作的卫生人员在识别风险和有益因素以及促进提高健康结果的预防策略方面发挥着关键作用。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.