Lifestyle Activity Patterns Related to Physical Frailty and Cognitive Impairment in Urban Community-Dwelling Older Adults in Japan

Katayama, Osamu; Lee, Sangyoon; Bae, Sejong; Makino, Keitaro; Shinkai, Yohei; Chiba, Ippei; Harada, Kenji; Shimada, Hiroyuki

doi:10.1016/j.jamda.2020.05.031

Cited by 32 publications

(45 citation statements)

References 45 publications

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“…[66][67][68] Moreover, some studies using brain images showed a significant association of slow gait and weakness other than other physical frail components with reduced gray matter volume in several regions. 69,70 To date, some research groups [71][72][73][74][75][76][77][78] have used this new operational definition. In population-based settings, the prevalence of PCDS ranges from 8.6% to 15.9%, and this model was shown to increase risk of falls, 78 disability, 73 mortality 75,76 and incident dementia.…”

Section: Physio-cognitive Decline Syndromementioning

confidence: 99%

“…Among sociodemographic factors, older age has been reported to be consistently associated with a higher prevalence of cognitive frailty regardless of the varied operational definitions. 13,18,23,25,35,46,50,52,71,74 Regarding sex, several studies investigating associated factors of cognitive frailty have demonstrated that women were more likely to be diagnosed with cognitive frailty defined by the varied definitions. 35,46,50,74,76 Although, multivariate analysis of most of these studies did not show the independent association of sex with cognitive frailty.…”

Section: Sociodemographic Factorsmentioning

confidence: 99%

“…29,56,76 On the other hand, higher total body fat and higher waist circumference have been reported to be associated with the increased prevalence of PCDS in communitydwelling older adults. 71,74 Although the number of studies investigating the relationship between food intake and cognitive frailty is limited, lower appetite and lower niacin and vitamin D intakes were reported to be associated with cognitive frailty. 23,25,52 Smaller calf circumstance was also associated with cognitive frailty in several studies.…”

Section: Nutritional Statusmentioning

confidence: 99%

“…Depressive mood is reported to be associated with cognitive frailty regardless of the various operational definitions. 13,25,35,52,56,71,76 Rivan et al 52 investigated the risk factors of potentially reversible cognitive frailty in a community-based longitudinal study. As a result, a higher score on the Geriatric Depression Scale was associated with the incidence after a 5-year follow-up.…”

Section: Psychological Statusmentioning

confidence: 99%

“…13,19,35,51,55 Although, this association is natural given that the frailty phenotype includes the criterion of physical activity. 4 Katayama et al 71 investigated the relationship between lifestyle activity patterns and PCDS among 8003 community-dwelling older adults. PCDS was associated with lower engagement in multidomain activities, going-out activities, and cognitive and physical activities.…”

Section: Psychological Statusmentioning

confidence: 99%

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An update on cognitive frailty: Its definition, impact, associated factors and underlying mechanisms, and interventions

Sugimoto

Arai

Sakurai

2021

Geriatrics Gerontology Int

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Since the concept and operational definition of "cognitive frailty" (simultaneous presence of physical frailty and cognitive impairment without concurrent dementia) were proposed by the International Academy of Nutrition and Aging and the International Association of Gerontology and Geriatrics, cognitive frailty has been widely investigated. This review is intended to address the operational definition of cognitive frailty, its consequences, contributing factors and underlying mechanisms, as well as interventions for cognitive frailty. Although the definitions and assessments of cognitive frailty vary among researchers, older adults with both physical frailty and cognitive impairment are shown to be at higher risk of adverse health outcomes, including death, disability, hospitalization and incident dementia, than those with either condition alone. While the underlying mechanisms of cognitive frailty are still unclear, factors shown to be associated with cognitive frailty include sociodemographic factors, social status, nutritional status, geriatric syndrome, physical and cognitive activities, functional status, comorbidities, medication use, gut-derived metabolites and structural changes in the brain. Accumulating evidence indicates the need for comprehensive geriatric assessment that helps identify the possible causes of cognitive frailty and develop a multimodal individualized intervention to prevent adverse health outcomes for older adults with cognitive frailty. Further studies are required to clarify the mechanisms through which physical frailty and cognitive impairment interact to accelerate adverse health outcomes, particularly cognitive outcomes. In addition, for older adults with cognitive frailty, an effective flow diagram from primary screening through comprehensive assessment to multidimensional intervention needs to be developed for future implementation in both clinical and community settings. Geriatr Gerontol Int 2022; 22: 99-109.

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Section: Physio-cognitive Decline Syndromementioning

confidence: 99%

Section: Sociodemographic Factorsmentioning

confidence: 99%

Section: Nutritional Statusmentioning

confidence: 99%

Section: Psychological Statusmentioning

confidence: 99%

Section: Psychological Statusmentioning

confidence: 99%

See 3 more Smart Citations

An update on cognitive frailty: Its definition, impact, associated factors and underlying mechanisms, and interventions

Sugimoto

Arai

Sakurai

2021

Geriatrics Gerontology Int

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Profiles of lifestyle health behaviors and cognitive decline in older adults

Halloway,

Wagner,

Tangney

et al. 2023

Alzheimer's & Dementia

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INTRODUCTIONWe aimed to identify profiles of modifiable, late‐life lifestyle health behaviors related to subsequent maintenance of cognition and explore sociodemographics and health characteristics as effect modifiers.METHODSAnalyses used data from 715 older adults without baseline dementia from the Rush Memory and Aging Project and with lifestyle health behaviors (physical activity, cognitive activity, healthy diet, social activity) at baseline and ≥ 2 annual assessments of cognition. We used latent profile analysis to group participants based on behavior patterns and assessed change in cognition by group.RESULTSThree latent profiles were identified: high (n = 183), moderate (n = 441), and low (n = 91) engagement in health behaviors. Compared to high engagement, the moderate (mean difference [MD] = ‐0.02, 95% CI = [‐0.03;‐0.0002], p = 0.048) and low (MD = ‐0.06, 95% CI = [‐0.08;‐0.03], p < 0.0001) groups had faster annual rates of decline in global cognition, with no significant effects modifiers (vascular risk factors, apolipoprotein E [APOE] ε4, motor function).DISCUSSIONAvoiding low levels of lifestyle health behaviors may help maintain cognition.Highlights Latent profile analysis (LPA) captures lifestyle health behaviors associated with cognitive function. Such behavior include physical activity, cognitive activity, healthy diet, social activity. We used LPA to examine associations of behaviors and cognitive function over time. Older adults with low lifestyle health behaviors showed more rapid decline. To a lesser degree, so did those with moderate lifestyle health behaviors. Vascular conditions and risks, APOEε4, or motor function did not modify the effect.

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Cognitive dysfunction correlates with physical impairment in frail patients with acute myocardial infarction

et al. 2021

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Lifestyle Activity Patterns Related to Physical Frailty and Cognitive Impairment in Urban Community-Dwelling Older Adults in Japan

Cited by 32 publications

References 45 publications

An update on cognitive frailty: Its definition, impact, associated factors and underlying mechanisms, and interventions

An update on cognitive frailty: Its definition, impact, associated factors and underlying mechanisms, and interventions

Profiles of lifestyle health behaviors and cognitive decline in older adults

Cognitive dysfunction correlates with physical impairment in frail patients with acute myocardial infarction

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