Related Experiment Videos
Modified Criteria for Diagnosing "Cognitive Frailty".
Chang Won Won1, Yunhwan Lee2, Sunyoung Kim3
1Elderly Frailty Research Center, Department of Family Medicine, College of Medicine, Kyung Hee University, Seoul, Republic of Korea.
Psychiatry Investigation
|September 22, 2018
Summary
Cognitive frailty, a state of physical frailty with cognitive impairment, needs a simpler definition. Researchers propose new criteria using standard cognitive tests and daily living independence for broader clinical use.
Area of Science:
- Gerontology
- Neurology
- Cognitive Science
Background:
- Cognitive frailty is defined by physical frailty and cognitive impairment (Clinical Dementia Rating [CDR]=0.5) without dementia.
- The current CDR criteria are challenging for large-scale studies and clinical practice.
- An accessible alternative definition for cognitive frailty is needed.
Purpose of the Study:
- To propose and validate a more feasible definition of cognitive frailty.
- To enable wider application in epidemiological research and clinical settings.
Main Methods:
- Proposed a new definition: physical frailty, cognitive scores >1.5 SD below norms (age/gender/education-adjusted), and no dependency in instrumental activities of daily living.
- Cognitive function assessed using tests like the Montreal Cognitive Assessment (MoCA) and others.
- Evaluated feasibility for use in epidemiological studies and clinical practice.
Main Results:
- The proposed definition offers a practical alternative to CDR for identifying cognitive frailty.
- This revised approach enhances applicability in diverse research and clinical environments.
- Facilitates broader screening and management of cognitive frailty.
Conclusions:
- The proposed criteria for cognitive frailty are more practical and implementable.
- This definition supports wider use in epidemiological studies and clinical settings.
- A feasible definition is crucial for advancing research and care in cognitive frailty.