Frailty and cognitive performance in older adults living in the community: a cross-sectional study

Fabrício, Daiene de Morais; Alexandre, Tiago da Silva; Chagas, Marcos Hortes Nisihara

doi:10.1590/0101-60830000000216

Cited by 4 publications

(5 citation statements)

References 34 publications

(46 reference statements)

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“…No significant differences were observed between prefrail and non-frail groups in the naming function, assessed by the BNT, in the present work, in contrast to previous studies ( 39 , 61 ). Because prefrailty is an intermediate state of frailty syndrome, some authors ( 61 ) hypothesized that language impairment could contribute to a more rapid progression of the syndrome.…”

Section: Discussioncontrasting

confidence: 99%

“…Previous studies have also reported a significant impairment of sustained attention (56) and executive function in prefrail (39) and frail (55,(57)(58)(59)(60) older adults. No significant differences were observed between prefrail and non-frail groups in the naming function, assessed by the BNT, in the present work, in contrast to previous studies (39,61). Because prefrailty is an intermediate state of frailty syndrome, some authors (61) hypothesized that language impairment could contribute to a more rapid progression of the syndrome.…”

Section: Neuropsychological Correlates Of Prefrailtycontrasting

confidence: 93%

“…Because prefrailty is an intermediate state of frailty syndrome, some authors (61) hypothesized that language impairment could contribute to a more rapid progression of the syndrome. Because no relationship was found between frailty state and performance on language tests in our study (40,60), our results do not support this hypothesis (61).…”

Section: Neuropsychological Correlates Of Prefrailtymentioning

confidence: 99%

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Clinical and Neuropsychological Correlates of Prefrailty Syndrome

et al. 2020

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Section: Discussioncontrasting

confidence: 99%

Section: Neuropsychological Correlates Of Prefrailtycontrasting

confidence: 93%

Section: Neuropsychological Correlates Of Prefrailtymentioning

confidence: 99%

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Clinical and Neuropsychological Correlates of Prefrailty Syndrome

et al. 2020

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“…Studies have proposed that prefrail persons may present with poorer cognitive performance than non‐frail in both memory and non‐memory cognitive domains 13 . Frailty may be significantly associated with lower global scores on cognitive tests 14 …”

Section: Introductionmentioning

confidence: 99%

“…13 Frailty may be significantly associated with lower global scores on cognitive tests. 14 In the frailty phenotype concept, functional impairments are essential. 1 Impaired cognitive function has been proposed to impact the development of frailty.…”

Section: Introductionmentioning

confidence: 99%

Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Vahedi

Eriksdotter

Ihle‐Hansen

et al. 2022

Int J Geriat Psychiatry

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Objective We performed a systematic review and meta‐analysis to study the relationship between cognitive functioning and phenotypic frailty status. Methods We searched Pubmed, Cochrane Library and Epistemonikos from 2000 until March 2022, and used the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Samples included both sexes, age ≥55 years, assessed with standardized measures of the different cognitive domains and the frailty phenotype model and analyzing the relationship between the frailty subtypes pre‐frail, frail and robust and specific cognitive function. Results Eleven studies published from 2008 until March 2022 fulfilled the inclusion criteria, and 10 were included in our meta‐analyses. Sample sizes varied from 104 to 4649 individuals. Mean Mini‐Mental State Examination (MMSE) scores ranged from 17.0 to 27.6, with mean difference (MD) of −2.55 (95% confidence interval [CI] −3.32, −1.78) in frail compared to robust, MD −1.64 (95% CI −2.21, −1.06) in frail compared to prefrail and MD −0.68 (95% CI −0.94, −0.43) in prefrail compared to robust. In subgroup analyses, frail persons had lower scores in the memory domain with standardized mean difference (SMD) −1.01 (95% CI −1.42, −0.59). Conclusion MMSE scores were significantly lower in frail compared to robust and prefrail persons and in prefrail compared to robust persons. Subgroup analysis of memory revealed significantly poorer scores in frail compared to robust. The results indicate a strong relationship between physical frailty and cognitive impairment suggesting incorporation of cognitive function in frailty assessments.

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Sex differences in the prevalence and associated factors of cognitive frailty among community dwelling older persons of lower socioeconomic status

Murukesu,

Shahar,

Subramaniam

et al. 2023

Preprint

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Background: Older persons from lower socioeconomic background are more vulnerable to poor health outcomes including susceptibility to higher severity of frailty and cognitive impairment in later life. Hence, the aim of this study was to determine the prevalence of CF and its associated factors among community dwelling older persons of lower socioeconomic status and stratified by sex. Methods: 255 community dwelling older persons aged 60 years and above (68.58±5.67 years) of lower socioeconomic status participated in this study. CF was operationalized using the Fried’s Frailty Phenotype and Clinical Dementia Rating Scale. Data collected included socio-demographic information, health status, cognitive function, physical and functional status, nutritional status, psychosocial status, and health related quality of life (HRQoL). Prevalence of CF was analyzed descriptively, and associated factors of CF was assessed using hierarchical binary logistic regression (BLR) among total participants and by sex. Results: Prevalence of CF in this study was 38.4% in total; 41.1% for females and 30.2% for males. The associated factors of cognitive frailty were poorer immediate recall verbal memory (0.816; 95% CI: 0.714, 0.932; p=0.003), poorer attention and working memory (0.722, 95% CI: 0.615, 0.849; p<0.001), poorer functional ability (0.673, 95% CI: 0.477, 0.950; p=0.024) and poorer HRQoL domain of usual activities (1.165; 95% CI: 0.609, 2.227; p=0.025). When stratified by sex, significant factors of CF for males were poorer immediate recall verbal memory (0.719, 95% CI: 0.555, 0.931; p=0.012) and poorer attention, and working memory (1.274, 95% CI: 0.536, 0.980; p=0.036), and for females were lower years of education (0.869, 95% CI: 0.792, 1.011; p=0.017), poorer attention and working memory (0.699, 95% CI: 0.580, 0.844; p<0.001) and HRQoL domain of ‘mental function’ (1.091, 95% CI: 0.916, 1.299; p=0.007). Conclusion: CF is prevalent among older persons of lower socioeconomic status. Poor verbal memory, attention and working memory, poorer performance of functional and usual activities was identified as associated factors of CF. Although there are some differences in associated factors of CF based on sex, interventions addressing physical and cognitive domains may have the potential for reversal or prevention of CF within the socioeconomically disadvantaged population.

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Frailty and cognitive performance in older adults living in the community: a cross-sectional study

Cited by 4 publications

References 34 publications

Clinical and Neuropsychological Correlates of Prefrailty Syndrome

Clinical and Neuropsychological Correlates of Prefrailty Syndrome

Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Sex differences in the prevalence and associated factors of cognitive frailty among community dwelling older persons of lower socioeconomic status

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