Modifiable risk factors of cognitive frailty in community-dwelling older adults: A systematic review and meta-analysis

IF 1.4 4区医学 Q3 NURSING International Journal of Nursing Knowledge Pub Date : 2023-06-28 DOI:10.1111/2047-3095.12437

Chen Yuan BS, Yixiong Zhang MD

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Abstract

Purpose

To perform a meta-analysis identifying the modifiable risk factors of cognitive frailty in the elderly.

Methods

We systematically searched databases including PubMed, EMBASE, China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data Knowledge Service Platform from January 01, 2017 to March 26, 2022. Quantitative, original research reporting associated factors were included.

Findings

7,854 records in total were identified, of which 14 articles (1 prospective, 13 cross-sectional) with 36 factors were included. Studies on cognitive frailty included 20,390 community-dwellers (≥60 years) from three countries. Meta-analysis indicated that depression [OR = 3.60, 95%CI (2.25,5.78), p < 0.01] and sleep problems [OR = 2.36, 95%CI (1.62,3.43), p < 0.01] were associated with cognitive frailty.

Conclusions

Effective interventions targeting depression and sleep problems may lower the risk of cognitive frailty in the community seniors but need further study in high-quality, prospective studies.

Implications for Nursing Practice

Building on previous work, the objectives of this systematic review and meta-analysis were to explore potential modifiable risk factors for cognitive frailty in community-dwelling older adults, which is expected to throw light on the prevention of cognitive frailty.

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社区老年人认知虚弱的可调整风险因素：系统回顾和荟萃分析

目的对老年人认知虚弱的可改变风险因素进行荟萃分析。方法我们系统检索了2017年1月1日至2022年3月26日期间的数据库，包括PubMed、EMBASE、中国国家知识基础设施、中国科技期刊数据库、万方数据知识服务平台。纳入了报道相关因素的定量、原创性研究。结果共发现 7854 条记录，其中收录了 14 篇文章（1 篇前瞻性文章，13 篇横断面文章），涉及 36 个因素。关于认知虚弱的研究包括来自三个国家的 20,390 名社区居民（≥60 岁）。元分析表明，抑郁[OR = 3.60，95%CI (2.25,5.78)，p < 0.01]和睡眠问题[OR = 2.36，95%CI (1.62,3.43)，p < 0.01]与认知能力衰弱有关。结论针对抑郁和睡眠问题的有效干预措施可能会降低社区老年人认知能力衰弱的风险，但还需要在高质量的前瞻性研究中进一步研究。对护理实践的启示在以往工作的基础上，本系统综述和荟萃分析的目的是探讨社区老年人认知功能衰弱的潜在可改变风险因素，从而为预防认知功能衰弱提供启示。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Nursing Knowledge NURSING-

CiteScore

2.90

自引率

14.30%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge. The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages. The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy. The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.