Investigation of the prevalence of cognitive frailty in patients with chronic obstructive pulmonary disease and analysis of associated factors
10.3969/j.issn.1006-2483.2026.03.021
- VernacularTitle:慢性阻塞性肺疾病患者认知衰弱的流行状况调查及关联因素
- Author:
Yihong WU
1
;
Hao ZHANG
2
;
Jun SUN
2
;
Yajuan ZHANG
2
;
Jufan TIAN
2
;
Guiqiu ZHU
3
;
Zongquan ZHAO
1
Author Information
1. Community General Practice Department, Suzhou Hospital Affiliated to Nanjing Medical University
2. General Practice Department, Pingjiang New Town Community Health Service Center, Sujin Subdistrict, Gusu District, Suzhou City
3. Electrocardiogram Room, Suzhou Hospital Affiliated to Nanjing Medical University
- Publication Type:Journal Article
- Keywords:
Chronic obstructive pulmonary disease;
Cognitive frailty;
Epidemiology
- From:
Journal of Public Health and Preventive Medicine
2026;37(3):99-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of cognitive frailty and its associated factors among middle-aged and elderly patients with chronic obstructive pulmonary disease (COPD) in Gusu District, Suzhou City, to provide a basis for intervention measures. Methods COPD patients managed at Pingjiang New Town Community Health Service Center in Gusu District from January to December 2024 were selected. Data were collected using the Fried Frailty Phenotype, Mini-Mental State Examination, and a general information questionnaire. Chi-square tests, one-way analysis of variance, and multivariate Logistic regression were used for data analysis. Results A total of 1 388 patients were included, with 916 males (65.99%) and 472 females (34.01%). Cognitive frailty was observed in 554 cases (prevalence: 39.91%). Univariate analysis showed significant differences in gender, education, visual impairment, hearing impairment, sleep disorders, and disease duration between the cognitive frailty and non-cognitive frailty groups (all P<0.05). Multivariate Logistic regression indicated that education was negatively associated with cognitive frailty (illiteracy OR=6.969, P<0.001; primary school OR=1.499, P=0.005), while visual impairment (OR=2.347, P<0.001), hearing impairment (OR=1.705, P<0.001), sleep disorders (OR=2.488, P<0.001), and disease duration (≤5 years OR=0.329, P<0.001; 6-10 years OR=0.487, P<0.001) were positively associated with cognitive frailty. Conclusion The prevalence of cognitive frailty among middle-aged and elderly COPD patients in Gusu District, Suzhou City, is high (39.91%). Epositively associated with cognitive frailtyducation, sensory impairments, sleep disorders, and disease duration are associated factors. Clinical attention to high-risk groups and implementation of early screening and targeted interventions are recommended.
