Trajectories of cognitive function and frailty in older adults in China: a longitudinal study

BackgroundCognitive impairment and frailty are common issues in older adults. Understanding the co-development trajectories of these conditions can provide valuable sights for early detection and intervention in high-risk individuals.ObjectivesThis study aims to identify the co-development of cognit...

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Main Authors: Xiaoyi Ji, Yue Wu, Zijie Gu, Zhujun Zhong, Kerui Wang, Suni Ye, Yang Wan, Peiyuan Qiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Aging Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fnagi.2024.1465914/full
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author Xiaoyi Ji
Yue Wu
Zijie Gu
Zhujun Zhong
Kerui Wang
Suni Ye
Yang Wan
Peiyuan Qiu
Peiyuan Qiu
author_facet Xiaoyi Ji
Yue Wu
Zijie Gu
Zhujun Zhong
Kerui Wang
Suni Ye
Yang Wan
Peiyuan Qiu
Peiyuan Qiu
author_sort Xiaoyi Ji
collection DOAJ
description BackgroundCognitive impairment and frailty are common issues in older adults. Understanding the co-development trajectories of these conditions can provide valuable sights for early detection and intervention in high-risk individuals.ObjectivesThis study aims to identify the co-development of cognitive function and frailty and explore the associated characteristics.MethodsWe analyzed data from 8,418 individuals aged 55 years and above who participated in the China Health and Retirement Longitudinal Survey between 2011 and 2018. Group-based dual trajectory modeling and logistic regression were used to identify trajectory groups and assess associations with risk factors.ResultsTwo distinct dual trajectories were identified: “Consistently Robust” group (76.12%) and “Consistently Severe” group (23.88%). Factors such as being female, older age, lower levels of education, residing in rural areas, being unmarried, and having comorbidities such as hypertension, diabetes, complete tooth loss, vision impairment, or hearing impairment were associated with a higher likelihood of being assigned to the “Consistently Severe” group.ConclusionOur findings suggest a co-development pattern between cognitive function and frailty in Chinese older adults aged 55 years and above. While cognitive impairment may be irreversible, frailty is a condition that can be potentially reversed. Early detecting is crucial in preventing cognitive decline, considering the shared trajectory of these conditions.
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series Frontiers in Aging Neuroscience
spelling doaj-art-96833e09261f43248b6b1c92e2743d442024-11-14T06:21:01ZengFrontiers Media S.A.Frontiers in Aging Neuroscience1663-43652024-11-011610.3389/fnagi.2024.14659141465914Trajectories of cognitive function and frailty in older adults in China: a longitudinal studyXiaoyi Ji0Yue Wu1Zijie Gu2Zhujun Zhong3Kerui Wang4Suni Ye5Yang Wan6Peiyuan Qiu7Peiyuan Qiu8West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaWest China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, ChinaHangzhou Seventh People’s Hospital, Zhejiang University School of Medicine, Zhejiang, Hangzhou, ChinaBackgroundCognitive impairment and frailty are common issues in older adults. Understanding the co-development trajectories of these conditions can provide valuable sights for early detection and intervention in high-risk individuals.ObjectivesThis study aims to identify the co-development of cognitive function and frailty and explore the associated characteristics.MethodsWe analyzed data from 8,418 individuals aged 55 years and above who participated in the China Health and Retirement Longitudinal Survey between 2011 and 2018. Group-based dual trajectory modeling and logistic regression were used to identify trajectory groups and assess associations with risk factors.ResultsTwo distinct dual trajectories were identified: “Consistently Robust” group (76.12%) and “Consistently Severe” group (23.88%). Factors such as being female, older age, lower levels of education, residing in rural areas, being unmarried, and having comorbidities such as hypertension, diabetes, complete tooth loss, vision impairment, or hearing impairment were associated with a higher likelihood of being assigned to the “Consistently Severe” group.ConclusionOur findings suggest a co-development pattern between cognitive function and frailty in Chinese older adults aged 55 years and above. While cognitive impairment may be irreversible, frailty is a condition that can be potentially reversed. Early detecting is crucial in preventing cognitive decline, considering the shared trajectory of these conditions.https://www.frontiersin.org/articles/10.3389/fnagi.2024.1465914/fullcognitive functionfrailtydual trajectoriesolder adultsaging
spellingShingle Xiaoyi Ji
Yue Wu
Zijie Gu
Zhujun Zhong
Kerui Wang
Suni Ye
Yang Wan
Peiyuan Qiu
Peiyuan Qiu
Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
Frontiers in Aging Neuroscience
cognitive function
frailty
dual trajectories
older adults
aging
title Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
title_full Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
title_fullStr Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
title_full_unstemmed Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
title_short Trajectories of cognitive function and frailty in older adults in China: a longitudinal study
title_sort trajectories of cognitive function and frailty in older adults in china a longitudinal study
topic cognitive function
frailty
dual trajectories
older adults
aging
url https://www.frontiersin.org/articles/10.3389/fnagi.2024.1465914/full
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