Progression of Physical Frailty and the Risk of All‐Cause Mortality: Is There a Point of No Return?

Author(s):  
Qian‐Li Xue ◽  
Karen Bandeen‐Roche ◽  
Jing Tian ◽  
Judith D. Kasper ◽  
Linda P. Fried
2021 ◽  
Vol 22 (3) ◽  
pp. 598-605
Author(s):  
Fabio Castellana ◽  
Luisa Lampignano ◽  
Ilaria Bortone ◽  
Roberta Zupo ◽  
Madia Lozupone ◽  
...  

Author(s):  
Chikako Tange ◽  
Yukiko Nishita ◽  
Makiko Tomida ◽  
Takeshi Nakagawa ◽  
Rei Otsuka ◽  
...  

2021 ◽  
pp. 1-15
Author(s):  
Jen-Hau Chen ◽  
Hua-San Shih ◽  
Jennifer Tu ◽  
Jeng-Min Chiou ◽  
Shu-Hui Chang ◽  
...  

Background: Cognitive frailty integrating impaired cognitive domains and frailty dimensions has not been explored. Objective: This study aimed to explore 1) associations among frailty dimensions and cognitive domains over time and 2) the extended definitions of cognitive frailty for predicting all-cause mortality. Methods: This four-year cohort study recruited 521 older adults at baseline (2011–2013). We utilized 1) generalized linear mixed models exploring associations of frailty dimensions (physical dimension: modified from Fried et al.; psychosocial dimension: integrating self-rated health, mood, and social relationship and support; global frailty: combining physical and psychosocial frailty) with cognition (global and domain-specific) over time and 2) time-dependent Cox proportional hazard models assessing associations between extended definitions of cognitive frailty (cognitive domains-frailty dimensions) and all-cause mortality. Results: At baseline, the prevalence was 3.0%for physical frailty and 37.6%for psychosocial frailty. Greater physical frailty was associated with poor global cognition (adjusted odds ratio = 1.43–3.29, β: –1.07), logical memory (β: –0.14 to –0.10), and executive function (β: –0.51 to –0.12). Greater psychosocial frailty was associated with poor global cognition (β: –0.44) and attention (β: –0.15 to –0.13). Three newly proposed definitions of cognitive frailty, “mild cognitive impairment (MCI)-psychosocial frailty,” “MCI-global frailty,” and “impaired verbal fluency-global frailty,” outperformed traditional cognitive frailty for predicting all-cause mortality (adjusted hazard ratio = 3.49, 6.83, 3.29 versus 4.87; AIC = 224.3, 221.8, 226.1 versus 228.1). Conclusion: Notably, extended definitions of cognitive frailty proposed by this study better predict all-cause mortality in older adults than the traditional definition of cognitive frailty, highlighting the importance of psychosocial frailty to reduce mortality in older adults.


2007 ◽  
Vol 6 (1) ◽  
pp. 106-107
Author(s):  
J TEERLINK ◽  
L DELGADOHERRERA ◽  
R THAKKAR ◽  
B HUANG ◽  
R PADLEY

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