Study On The Frailty Of The Elderly In Community And Its Relationship With Cognitive Dysfunction

Objective : To explore the relationship between the frail condition of the Inner Mongolia Autonomous Region and its cognitive dysfunction,and to provide evidence for future community prevention or intervention.Methods:A total of 1203 elderly people aged 55 years and older living in the Ullagai Management District of Xilin Gol League,Inner Mongolia Autonomous Region were selected as subjects.Fried scale was used to assess the Fried state.The Mini-Mental State Examination(MMSE)was used evaluate cognitive function,complete the Activity of Daily Living Scale(ADL)and the Short Physical Performance Battery(SPPB),and analyze the frail syndrome and its cognitive function through statistics.Results:(1)Among the 1203 community-aged elderly,466(38.7%),575(47.8%)and162(13.5%)were in the state of health,pre-frailty and frailty,respectively;(2)Univariate analysis showed except BMI,the distribution of frail status of gender,age,occupation,marital status,family structure,education level,annual income,health self-evaluation and smoking drinkers were statistically significant(P<0.05 or 0.01);In the analysis of related factors of frailty,the different types(healthy state,pre-fraity,frailty),the type of medication,the history of falls in the past year,the number of exercises per week,urinary incontinence,pain,SPPB score and There was a significant correlation between ADL scores(P < 0.01);(3)the most common phenotype in frail people was weak grip(63.3%),followed by subjective weakness(59.8%),pace reduction(47.3%)and low physical strength.Activity(32.2%);(4)There were significant differences in blood biochemical indicators between different states: hemoglobin,albumin,alanine aminotransferase,and creatinine(P<0.01),andthere was no significant difference in total cholesterol(P> 0.05);(5)Frail disease Significantly different from non-frailty patients in the six dimensions of cognitive function scores and cognitive function scores(time orientation,location orientation,attention and computational power,recall ability,language ability,and visual spatial ability)(P<0.05),in which the scores of debilitated patients were significantly lower than those of healthy and frail patients.The more relevant the cognitive impairment was,the stronger the correlation was;(6)Logistic regression analysis showed that women,old age,and multiple diseases,the history of falls and the decline of daily living ability are risk factors for frailty(OR=2.020,3.391,4.403,9.057,16.899,P<0.05 or 0.01),while high income and exercise are protective factors for frailty(OR=0.344,0.121,P<0.05 or 0.01).Compared with the healthy group,the logistic regression analysis showed that the high MMSE score was the pre-frailty protection factor(OR=0.594,P<0.001).Conclusion : Frailty is affected by many factors,and the problem of frail elderly people in the community should be paid attention to.There is a positive correlation between frailty and cognitive dysfunction,and interventions in various cognitive areas of frail elderly are carried out as early as possible to delay the progression of frailty and cognitive dysfunction.