中国全科医学2018，Vol.21Issue(2)：185-189,5.DOI:10.3969/j.issn.1007-9572.2017.00.031
社区老年人认知功能障碍与衰弱的关系研究
Relationship between Cognitive Impairment and Frailty in Community-dwelling Elderly People
摘要
Abstract
Objective To analyze the relationship between cognitive impairment and frailty in community-dwelling elderly people, so as to provide a reference for the prevention and treatment of the disease in such a population.Methods By the telephone recruitment, we enrolled 168 participants aged≥65 years registered in the health management system of Sanlitun Community Health Service Center in Chaoyang District, Beijing from June to December 2015. They were surveyed by a Baseline Characteristics Questionnaire involving the clinical data such as years of schooling, smoking prevalence, alcohol prevalence, medical history and drug treatment history, and by the Chinese version of short-form Mini Nutritional Assessment(MNA-SF) for assessing the status of nutrition, and the Chinese version of Canadian Study of Health and Aging-clinical Frailty Scale (CSHA-CFS) for assessing the status of frailty, and Mini-mental State Examination(MMSE) for assessing the status of cognitive function. Based on the assessing results of cognitive function, the participants were divided into normal cognitive function group(n=106) and cognitive impairment group(n=62).Results Two groups had significant differences in terms of age distribution, years of schooling, coronary heart disease prevalence, hypertension prevalence, stroke prevalence, diabetes mellitus prevalence, polypharmacy prevalence and status of nutrition(P<0.05). The prevalence of frailty was significantly higher in the cognitive impairment group than in the normal cognitive function group〔37.1％(23/62) vs. 17.0％(18/106)〕(P<0.05). Multivariate Logistic regression analysis found that, frailty was the risk factor for cognitive impairment after adjusting for age, years of schooling, coronary heart disease, hypertension, stroke, diabetes mellitus , polypharmacy and status of nutrition〔OR=3.519, 95％CI(1.394,8.886),P<0.05〕.Conclusion Increased prevalence of frailty is found in community-dwelling elderly people with cognitive impairment. Frailty may be considered as the risk factor for cognitive impairment in such a population.关键词
认知障碍/衰弱/老年人/社区Key words
Cognitive disorders/Frailty/Aged/Community分类
医药卫生引用本文复制引用
方向阳,陈清,陆玫,孙倩美..社区老年人认知功能障碍与衰弱的关系研究[J].中国全科医学,2018,21(2):185-189,5.基金项目
2015年首都全科医学研究专项课题(15QK12) （15QK12）
