Association between cognitive frailty and higher-level competence among community-dwelling older adults

Wada, Ayumi; Makizako, Hyuma; Nakai, Yuki; Tomioka, Kazutoshi; Taniguchi, Yoshiaki; Sato, Nana; Kiuchi, Yuto; Kiyama, Ryoji; Kubozono, Takuro; Takenaka, Toshihiro; Ohishi, Mitsuru

doi:10.1016/j.archger.2021.104589

Cited by 11 publications

(7 citation statements)

References 45 publications

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“…The data for this cross‐sectional study were obtained from the Tarumizu Study, an ongoing community‐based health check survey conducted since 2017 through a collaboration among Kagoshima University (Faculty of Medicine), Tarumizu City Office, and Tarumizu Chuo Hospital. The current study data were gathered in fiscal years 2018 and 2019 19 from surveys conducted during June to December of those years. Reply‐paid postcards were mailed to residents in Tarumizu City who were aged 40 years or older at the time of examination (either during 2018 or 2019), and residents were recruited through local newspaper advertisements and community campaigns.…”

Section: Methodsmentioning

confidence: 99%

Associations between apathy and comprehensive frailty as assessed by the Kihon Checklist among community‐dwelling Japanese older adults

et al. 2022

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Background Frailty is a multidimensional condition characterised by reduced physical and psychological resilience. Older adults also frequently demonstrate apathy, suggesting that it shares similar neuro‐physiological pathways with frailty. This cross‐sectional study aimed to investigate the association between apathy and frailty as defined by a comprehensive assessment. Methods We analyzed 882 older adults (mean age: 74.4 ± 6.4 years; 62.1% female) who participated in a community‐based health check survey (Tarumizu Study). Apathy was measured by the Geriatric Depression Scale‐3A, a three‐item subset of the Geriatric Depression Scale‐15, and frailty by the Kihon Checklist of physical, psychological, functional, and social status. Associations were examined by multinomial logistic regression with frailty status (robust, pre‐frailty, frailty) as the dependent variable, apathy as the independent variable, and sociodemographic factors, medications, cognitive function, functional capacity, and mood symptoms as potential confounders. Results Apathy was observed in 23.7% of individuals, and logistic regression revealed significant associations with both pre‐frailty and frailty after confounder adjustment (pre‐frailty: odds ratio (OR) 1.80, 95% CI 1.22–2.64; frailty: OR 3.24, 95% CI 1.63–6.42). Participants with apathy also exhibited greater deficits in the Kihon Checklist subdomains instrumental activities of daily living (P = 0.022), physical function (P < 0.001), oral function (P < 0.001), and cognitive function (P = 0.001). Conclusions Our findings underscore the importance of comprehensive frailty assessment and demonstrate that apathy can have pervasive deleterious effects on geriatric health.

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Section: Methodsmentioning

confidence: 99%

Associations between apathy and comprehensive frailty as assessed by the Kihon Checklist among community‐dwelling Japanese older adults

et al. 2022

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“…Cognitive Frailty CF was defined as a state of combined poor physical function and mild cognitive impairment (MCI) [2,19]. Physical function was assessed in terms of maximum grip strength and normal walking speed.…”

Section: Measurementsmentioning

confidence: 99%

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Akaida,

Taniguchi,

Nakai

et al. 2024

Gerontology

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Introduction Although arterial stiffness has been suggested to be associated with poor physical function and mild cognitive impairment (MCI), its association with cognitive frailty (CF), a comorbidity of both, is unclear. This study aims to examine the association between CF and arterial stiffness in community-dwelling older adults. Methods A cross-sectional analysis of 511 community-dwelling older adults aged 65 years or older (mean age 73.6 ± 6.2 years, 63.6% women), who participated in a community cohort study (Tarumizu Study, 2019), was conducted. Poor physical function was defined as either slowness (walking speed < 1.0 m/sec), or weakness (grip strength < 28 kg for men and < 18 kg for women). MCI was defined by the National Center for Geriatrics and Gerontology Functional Assessment Tool as a decline of at least 1.5 standard deviation from age- and education-adjusted baseline values in any one of the four cognitive domains (memory, attention, executive, and information processing). CF was defined as the combination of poor physical function and MCI. Arterial stiffness was measured using the Cardio-Ankle Vascular Index (CAVI), and the average of the left and right sides (mean CAVI) was used. Results Multinomial logistic regression analysis adjusted for covariates was performed with the four groups of robust, poor physical function, MCI, and CF as dependent variables and mean CAVI as an independent variable. Using the robust group as reference, the poor physical function and MCI groups showed no significant relationship with the mean CAVI. The mean CAVI was significantly higher in the CF group (odds ratio 1.62, 95% confidence interval 1.14–2.29). Conclusion A significant association was found between CF and the higher CAVI (progression of arterial stiffness). Careful observation and control of CAVI, which is also an indicator of arterial stiffness, may be a potential target for preventive interventions for CF.

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“…The reliability and validity of JST-IC have been examined (Cronbach's alpha = 0.86), and standardized values have been developed for ages 65-84 years based on data obtained from 2573 elderly individuals in Japan [45,46]. Furthermore, in a large Japanese longitudinal study of community-dwelling older adults, the JST-IC was used as an index of activity capacity among this population to analyze the relationship between activity capacity and cognitive frailty and to extract factors that influence participation in meaningful activities [47,48].…”

Section: Procedures and Outcome Measuresmentioning

confidence: 99%

Changes in Community-Dwelling Elderly’s Activity and Participation Affecting Depression during COVID-19 Pandemic: A Cross-Sectional Study

Tanikaga

Uemura

Hori

et al. 2023

IJERPH

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We determined the changes in the activity or participation of the community-dwelling elderly in Japan during the COVID-19 pandemic and identified the activities leading to depression. This will allow us to evaluate rehabilitation interventions that can be used to minimize or eliminate the negative impact of COVID-19 on today’s community-dwelling elderly. Herein, demographics, activity or participation (Activity Card Sort-Japan version: ACS-JPN), the number of social networks (Lubben Social Network Scale: LSNS), and depression (Geriatric Depression Scale: GDS) were examined in 74 community-dwelling elderly in Japan from August to October 2020. A statistical analysis was conducted to determine the effect of demographics on GDS, LSNS, and ACS-JPN, to compare the activity retention rates of the four domains using ACS-JPN, and to extract the activities that might affect depression using a generalized linear model. The results show that the retention of leisure activity with a high physical demand (H-leisure) and sociocultural activities was significantly lower than instrumental activities of daily living and leisure activity with a low physical demand (L-leisure). L-leisure and the number of social networks were possible risk factors for depression during the pandemic. This study highlighted the importance of maintaining the number of L-leisure and social networks at home to prevent depression in community-dwelling elderly when they could not perform outdoor activities and direct interpersonal interaction.

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Association between cognitive frailty and higher-level competence among community-dwelling older adults

Cited by 11 publications

References 45 publications

Associations between apathy and comprehensive frailty as assessed by the Kihon Checklist among community‐dwelling Japanese older adults

Associations between apathy and comprehensive frailty as assessed by the Kihon Checklist among community‐dwelling Japanese older adults

Independent Association between Cognitive Frailty and Cardio-Ankle Vascular Index in Community-Dwelling Older Adults

Changes in Community-Dwelling Elderly’s Activity and Participation Affecting Depression during COVID-19 Pandemic: A Cross-Sectional Study

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