Comparison of cognitive functions among frail and prefrail older adults: a clinical perspective

Int Psychogeriatr. 2019 Feb;31(2):297-301. doi: 10.1017/S1041610218000765. Epub 2018 Jun 29.

Abstract

ABSTRACTObjective:To compare cognitive function among frail and prefrail older adults.

Design: Cross-sectional clinical study.

Participants: Fifty-one non-institutionalized older individuals participated in this study.

Measurements: Cognitive functions were evaluated through Mini-Mental State Examination (Global Cognition), Digit Span Forward (short-term memory), Digit Span Backward (working memory), Verbal Fluency Test (semantic memory/executive function). Data were compared using parametric and non-parametric bivariate tests. Binary logistic regression was used to test a frailty prediction model. Statistical significance was defined as p ≤ 0.01 to compare groups. In the regression model, the p value was set to be ≤0.05.

Results: Statistically significant differences were observed in global cognition, and short-term memory between frail and prefrail individuals (p ≤ 0.01). Global cognition explained 14-19% of frailty's model.

Conclusion: According to our findings, the evaluation of cognitive functions among older persons with frailty and prefrailty provides important complementary information to better manage frailty and its progression.

Keywords: aging; cognitive assessment; dementia.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Brazil
  • Cognition Disorders / diagnosis*
  • Cross-Sectional Studies
  • Disease Progression
  • Female
  • Frail Elderly*
  • Geriatric Assessment
  • Humans
  • Logistic Models
  • Male
  • Mental Status Schedule