Lee Sumi
Department of Nursing Science, Howon University, Gunsan 54058, Republic of Korea.
Healthcare (Basel). 2025 Feb 4;13(3):315. doi: 10.3390/healthcare13030315.
: To identify joint trajectories of physical frailty and cognitive impairment among community-dwelling older adults and to determine modifiable factors for each trajectory. : Data were utilized from the Korean Longitudinal Study of Aging, which was conducted between 2006 and 2018. Physical frailty was assessed using the Fried phenotype, and cognitive impairment was evaluated using the Korean version of the Mini-Mental State Examination. Group-based trajectory modeling and logistic regression were employed for the analyses. : Based on longitudinal data, 415 participants averaging 72.2 years of age were analyzed. Three trajectories of physical frailty were identified: mild physical frailty, moderate physical frailty, and improving frailty. Two trajectories of cognitive impairment were identified: stable cognitive impairment and improving cognitive impairment. Factors influencing physical frailty trajectories included the number of medications taken, being overweight or obese, and depression. Education level was found to be associated with cognitive impairment trajectories. : This study provides evidence for the distinct identification of joint trajectories of physical frailty and cognitive impairment, which can inform the target groups for intervention. It offers a basis for including modifiable physical and mental factors in intervention components for physical frailty trajectories.
确定社区居住老年人身体衰弱和认知障碍的联合轨迹,并确定每种轨迹的可改变因素。数据来自2006年至2018年进行的韩国老龄化纵向研究。使用弗里德表型评估身体衰弱,使用韩国版简易精神状态检查表评估认知障碍。采用基于群体的轨迹建模和逻辑回归进行分析。基于纵向数据,对平均年龄72.2岁的415名参与者进行了分析。确定了身体衰弱的三种轨迹:轻度身体衰弱、中度身体衰弱和衰弱改善。确定了认知障碍的两种轨迹:稳定认知障碍和认知障碍改善。影响身体衰弱轨迹的因素包括服用药物的数量、超重或肥胖以及抑郁。发现教育水平与认知障碍轨迹相关。本研究为明确识别身体衰弱和认知障碍的联合轨迹提供了证据,可为干预目标群体提供信息。它为将可改变的身体和心理因素纳入身体衰弱轨迹的干预组成部分提供了依据。