社区老年人可逆与潜在可逆性认知衰弱情况及影响因素研究

Background ?Cognitive frailty is a prevalent clinical syndrome in the elderlywith subtypes of reversible and potentially reversible cognitive frailty. It is associated with adverse health outcomes such as fallsdisabilityand mortality. Howeverthere is limited research on the current prevalence of cognitive frailty subtypes and their influencing factors in the elderly population. Objective ?To investigate the current status of cognitive frailtyCF among community elderly in Beichen District in Tianjinand to explore the influencing factors of different subtypes of cognitive frailtyso as to provide references for the early identification and intervention of reversible cognitive frailtyRCF. Methods ?From June to August 2023totally 3 916 community residents in Beichen DistrictTianjin were recruited with convenience samplingand a face-to-face questionnaire survey was conducted using the demography questionnaireFRAIL Frailty Scalethe Brief Mental Status Examination ScaleMMSEand the Subjective Cognitive Decline QuestionnaireSCD-Q9 to assess the incidence of different types of cognitive frailty and analyze the influencing factors among older people using a multivariate Logistic regression model. Results ?Among 3 916 participants67917.34% with RCF and 44011.24% with PRCF. There were significantly differences in CF prevalence among the elderly with different gendersageseducational backgroundssleep disordersthe prevalence of various types of chronic illnessesexercisesmoking historiesdrinking historiesthe number of medications used for chronic illnessesand hemoglobin levelsP<0.05. Multifactorial Logistic regression analysis showed that with no cognitive frailty as a controlbeing femaleOR=2.18695%CI=1.713-2.791age 70 yearsOR=3.05695%CI=2.519-3.708smokingOR=1.75395%CI=1.431-2.146having a sleep disorderOR=1.27595%CI=1.046-1.555low hemoglobin levelsOR=1.53195%CI=1.026-2.284and 3 medications for a chronic conditionOR=2.16895%CI=1.490-3.156 were associated with a higher risk of RCFand exerciseOR=0.45995%CI=0.382-0.551 was associated with a lower risk of RCFP<0.05 being femaleOR=1.94195%CI=1.465-2.573age 70 yearsOR=1.83095%CI=1.460-2.292drinkingOR=2.27095%CI=1.734-2.970having a sleep disorderOR=1.99695%CI=1.557-2.560strokeOR=2.11495%CI=1.026-4.355low hemoglobin levelsOR=1.99195%CI=1.288-3.078 and 3 medications for a chronic conditionOR=1.62695%CI=1.050-2.518were associated with a higher risk of PRCFand exerciseOR=0.52295%CI=0.423-0.644 was associated with a lower risk of PRCF in the agedP<0.05. Conclusion ?The prevalence of reversible and potentially reversible cognitive frailty is high among the elderly in the community of Beichen District in Tianjin. It is recommended to add the assessment of CF into community physical examinations and implement multidimensional effective strategies to delay the onset and progression of CF.