4.6 Article

The Correlation Between Falls and Cognitive Frailty in Elderly Individuals With Hypertension in a Chinese Community

Journal

FRONTIERS IN AGING NEUROSCIENCE
Volume 14, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fnagi.2022.783461

Keywords

cognitive frailty; fall; aged; hypertension; mild cognitive impairment; physical frailty

Funding

  1. Science and Technology Development Fund of Shanghai Pudong New Area [PKJ2020-Y31]
  2. Public Health Characteristic Discipline of Pudong New Area Health Commission [PWYgts2021-01]
  3. Medical Discipline Construction Project of Pudong Health Committee of Shanghai [PWYgy2021-02]

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In Chinese communities, cognitive frailty is an important risk factor for falls in elderly individuals with hypertension. Other risk factors include old age, female sex, and depression.
BackgroundCognitive frailty refers to the presence of both physical frailty and mild cognitive impairment without simultaneous diagnosis of Alzheimer's disease or other dementia. Epidemiological studies have confirmed the correlation between falls and cognitive frailty, but no study has investigated the relationship between fall risk and cognitive frailty in hypertensive elderly Chinese individuals. MethodsFrom December 2020 to March 2021, during face-to-face interviews, community-dwelling elderly individuals with hypertension aged 60~89 in Pudong New Area, Shanghai, were evaluated for cognitive frailty, fall history, and depression, and sociodemographic characteristics were collected. Logistic regression was used to analyze the correlation between falls and cognitive frailty. ResultsA total of 305 elderly people were investigated in this study, and 173 (56.7%, 95% CI =51.2%~62.2%) reported falling once or more in the previous year. Cognitive frailty is closely related to falls and was an independent risk factor for falls (OR = 2.661, 95% CI = 1.063~6.659). Other risk factors included old age (OR = 4.306, 95% CI = 1.852~10.013), female sex (OR = 1.988, 95% CI = 1.185~3.335) and depression (OR = 2.936, 95% CI = 1.069~8.060). ConclusionCognitive frailty is an important risk factor for falls in elderly individuals with hypertension in Chinese communities.

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