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Frailty and cognitive performance in older adults living in the community: a cross-sectional study
FABRÍCIO, DAIENE DE MORAIS; ALEXANDRE, TIAGO DA SILVA; CHAGAS, MARCOS HORTES NISIHARA.
  • FABRÍCIO, DAIENE DE MORAIS; Federal University of São Carlos. Department of Psychology. São Carlos. BR
  • ALEXANDRE, TIAGO DA SILVA; Federal University of São Carlos. Department of Gerontology. São Carlos. BR
  • CHAGAS, MARCOS HORTES NISIHARA; Federal University of São Carlos. Department of Psychology. São Carlos. BR
Arch. Clin. Psychiatry (Impr.) ; 46(6): 151-155, Nov.-Dec. 2019. tab
Article in English | LILACS | ID: biblio-1054917
ABSTRACT
Abstract Background Cognitive impairment and frailty are important problems affecting the elderly population. Frail elderly present worse overall cognitive performance. Objective The aim of this study was to investigate general and domain-specific cognitive performance among non-frail, pre-frail, and frail elderly persons. Methods This is a cross-sectional study in which 267 elderly persons living in São Carlos, SP were divided into three groups according to the frailty criteria defined by Fried et al. Cognitive performance was evaluated with a battery of cognitive tests covering domains such as memory, attention, language, and executive functioning. A multinomial logistic regression analysis adjusted for age, gender, and education was performed to evaluate the association between performance in cognitive domains and levels of frailty. Results Frailty was significantly associated with lower scores on the global cognitive test (RRR = 0.86; IC 95% 0.78-0.96; p < 0.01), word list memory (RRR = 0.92; IC 95% 0.86-0.99; p = 0.02), and figure list recognition (RRR = 0.78; IC 95% 0.62-0.99; p = 0.04). Pre-frailty was associated with lower scores on the word list memory (RRR = 0.92; IC 95% 0.86-1.00; p = 0.04) and naming test (RRR = 0.82; IC 95% 0.69-0.99; p = 0.03). Discussion Frailty syndrome can influence general cognition and specific domains such as memory and language. Prospective studies will be fundamental to evaluate the causal relation between frailty and cognition.
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Full text: Available Index: LILACS (Americas) Main subject: Cognitive Dysfunction / Frailty Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Arch. Clin. Psychiatry (Impr.) Journal subject: Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of São Carlos/BR

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Full text: Available Index: LILACS (Americas) Main subject: Cognitive Dysfunction / Frailty Type of study: Observational study / Prevalence study / Prognostic study / Risk factors Limits: Aged / Female / Humans / Male Language: English Journal: Arch. Clin. Psychiatry (Impr.) Journal subject: Psychiatry Year: 2019 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of São Carlos/BR