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

被引:13
作者
Wada, Ayumi [1 ]
Makizako, Hyuma [2 ]
Nakai, Yuki [3 ]
Tomioka, Kazutoshi [4 ]
Taniguchi, Yoshiaki [5 ,6 ]
Sato, Nana [7 ]
Kiuchi, Yuto [5 ,8 ]
Kiyama, Ryoji [2 ]
Kubozono, Takuro [9 ]
Takenaka, Toshihiro [4 ]
Ohishi, Mitsuru [9 ]
机构
[1] Natl Hosp Org Osaka Toneyama Med Ctr, Dept Rehabil, Osaka 5608552, Japan
[2] Kagoshima Univ, Fac Med, Sch Hlth Sci, Dept Phys Therapy, Sakuragaoka 8-35-1, Kagoshima 8908544, Japan
[3] Daiichi Inst Technol, Fac Engn, Dept Mech Syst Engn, Kagoshima 8994395, Japan
[4] Tarumizu Chuo Hosp, Tarumizu Municipal Med Ctr, Kagoshima 8912124, Japan
[5] Kagoshima Univ, Grad Sch Hlth Sci, Kagoshima 8908544, Japan
[6] Kagoshima Med Profess Coll, Dept Phys Therapy, Kagoshima 8910133, Japan
[7] Kurume Univ Hosp, Div Rehabil, Fukuoka 8300011, Japan
[8] Natl Ctr Geriatr & Gerontol, Ctr Gerontol & Social Sci, Dept Prevent Gerontol, Sect Hlth Promot, Obu, Aichi 4748511, Japan
[9] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Cardiovasc Med & Hypertens, Kagoshima 8908520, Japan
关键词
!text type='JS']JS[!/text]T-IC; physical function; cognitive function; technology usage; social engagement; FUNCTIONAL DISABILITY; HEALTH LITERACY; DEMENTIA; IMPAIRMENT; PREVALENCE; PREVENTION; INTERVENTION; POPULATION; DIAGNOSIS; VALIDITY;
D O I
10.1016/j.archger.2021.104589
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: The purpose of this cross-sectional study was to examine the association between cognitive frailty (CF) and higher-level competence among community-dwelling older adults. Methods: Data from 871 older adults (aged >= 65 years, mean age 74.3 years, 61.5% women) who had participated in a community-based health check survey (Tarumizu Study 2018-2019) were analyzed. CF was defined as comorbid physical frailty and mild cognitive impairment (MCI). We defined physical frailty as either slow walking speed or poor grip strength. MCI was defined as values below the age- and education-adjusted reference threshold in several tests. Participants were categorized into four groups: robust, physical frailty, MCI, and CF. Higher-level competence was assessed using the Japan Science and Technology Agency Index of Competence (JST-IC). The JST-IC consists of 16 items and four subscales (technology usage, information practice, life management and social engagement). The bottom 20-30% score of the JST-IC and each subscale corresponded to poor higher-level competence. Results: The prevalence of CF was 14.4%. Multivariate logistic regression analysis showed that, CF was significantly associated with poor higher-level competence (odds ratio 1.92, 95% confidence interval 1.18-3.13) after adjusting for covariates. Using a similar analysis to assess the JST-IC subscales, CF was associated with limitations on technology usage (odds ratio 2.29, 95% confidence interval 1.36-3.85) and low social engagement (odds ratio 1.62, 95% confidence interval 1.00-2.61). Conclusions: This study suggests that CF is associated with poor higher-level competence, especially limitations on technology usage and low social engagement.
引用
收藏
页数:7
相关论文
共 57 条
[1]   Assessing Risk for Adverse Outcomes in Older Adults: The Need to Include Both Physical Frailty and Cognition [J].
Aliberti, Marlon J. R. ;
Cenzer, Irena S. ;
Smith, Alexander K. ;
Lee, Sei J. ;
Yaffe, Kristine ;
Covinsky, Kenneth E. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2019, 67 (03) :477-483
[2]  
Almeida OP, 1999, INT J GERIATR PSYCH, V14, P858, DOI 10.1002/(SICI)1099-1166(199910)14:10<858::AID-GPS35>3.0.CO
[3]  
2-8
[4]  
[Anonymous], 1984, WHO TECH REP SER, P1
[5]   THE RELATIONSHIP BETWEEN PHYSICAL FRAILTY AND MILD COGNITIVE IMPAIRMENT IN THE ELDERLY: A SYSTEMATIC REVIEW [J].
Borges, M. Kiiti ;
Oiring De Castro Cezar, N. ;
Silva Santos Siqueira, A. ;
Yassuda, M. ;
Cesari, M. ;
Aprahamian, I. .
JOURNAL OF FRAILTY & AGING, 2019, 8 (04) :192-197
[6]   Frailty as a Predictor of Cognitive Disorders: A Systematic Review and Meta-Analysis [J].
Borges, Marcus Kiiti ;
Canevelli, Marco ;
Cesari, Matteo ;
Aprahamian, Ivan .
FRONTIERS IN MEDICINE, 2019, 6
[7]   Association Between Late-Life Social Activity and Motor Decline in Older Adults [J].
Buchman, Aron S. ;
Boyle, Patricia A. ;
Wilson, Robert S. ;
Fleischman, Debra A. ;
Leurgans, Sue ;
Bennett, David A. .
ARCHIVES OF INTERNAL MEDICINE, 2009, 169 (12) :1139-1146
[8]   Physio-cognitive decline as the accelerated aging phenotype [J].
Chen, Liang-Kung ;
Arai, Hidenori .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2020, 88
[9]   Efficacy of multidomain interventions to improve physical frailty, depression and cognition: data from cluster-randomized controlled trials [J].
Chen, Liang-Kung ;
Hwang, An-Chun ;
Lee, Wei-Ju ;
Peng, Li-Ning ;
Lin, Ming-Hsien ;
Neil, David L. ;
Shih, Shu-Fang ;
Loh, Ching-Hui ;
Chiou, Shu-Ti .
JOURNAL OF CACHEXIA SARCOPENIA AND MUSCLE, 2020, 11 (03) :650-662
[10]   Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment [J].
Chen, Liang-Kung ;
Woo, Jean ;
Assantachai, Prasert ;
Auyeung, Tung-Wai ;
Chou, Ming-Yueh ;
Iijima, Katsuya ;
Jang, Hak Chul ;
Kang, Lin ;
Kim, Miji ;
Kim, Sunyoung ;
Kojima, Taro ;
Kuzuya, Masafumi ;
Lee, Jenny S. W. ;
Lee, Sang Yoon ;
Lee, Wei-Ju ;
Lee, Yunhwan ;
Liang, Chih-Kuang ;
Lim, Jae-Young ;
Lim, Wee Shiong ;
Peng, Li-Ning ;
Sugimoto, Ken ;
Tanaka, Tomoki ;
Won, Chang Won ;
Yamada, Minoru ;
Zhang, Teimei ;
Akishita, Masahiro ;
Arai, Hidenori .
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, 2020, 21 (03) :300-+