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Related Experiment Video

Updated: May 8, 2026

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
05:53

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Published on: July 24, 2013

Association between frailty and dementia: a population-based study.

Jenni Kulmala1, Irma Nykänen, Minna Mänty

  • 1Gerontology Research Center and Department of Health Sciences, University of Jyväskylä, Finland.

Gerontology
|August 24, 2013
PubMed
Summary
This summary is machine-generated.

Frailty is strongly linked to cognitive decline and dementia in older adults. This study suggests cognitive impairment may be a key feature of frailty, warranting its inclusion in the definition.

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Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
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Area of Science:

  • Gerontology
  • Neurology
  • Public Health

Background:

  • Frailty is a recognized geriatric syndrome characterized by decreased physiological reserve and increased vulnerability.
  • The inclusion of cognitive impairment in frailty definitions is debated, lacking robust evidence on its association with cognitive decline.

Purpose of the Study:

  • To investigate the cross-sectional association between frailty and cognitive impairment or diagnosed dementia in older individuals.

Main Methods:

  • A cohort of 654 individuals aged 76-100 years was assessed for frailty using Cardiovascular Health Study criteria.
  • Cognitive function was evaluated using the Mini-Mental State Examination (MMSE), and dementia was diagnosed by specialists.
  • Logistic regression models were employed to analyze the relationship between frailty status and cognitive outcomes.

Main Results:

  • 14% of participants were classified as frail. Cognitive impairment (MMSE <25) affected 26%, and 21% had diagnosed dementia.
  • Frail individuals were significantly more likely to have cognitive impairment (OR 7.8) and any dementia (OR 8.0).
  • Strong associations were found between frailty and Alzheimer's disease (OR 4.5) and vascular dementia (OR 5.6).

Conclusions:

  • Frailty is strongly associated with cognitive impairment and diagnosed dementia in individuals aged 76 and older.
  • Cognitive impairment may represent a clinical manifestation of frailty.
  • Consideration should be given to incorporating cognitive impairment into the definition of frailty.