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Table 2 Comparison of baseline patient factors between 3 frailty transition states (n = 122)

From: Prospective longitudinal study of frailty transitions in a community-dwelling cohort of older adults with cognitive impairment

 

Total (n-122)

Regressed (n = 39)

Unchanged (n = 44)

Progressed(n = 39)

Demographics

    

Age

75.4 (7.1)

77.1 (6.9)

73.9 (7.2)

75.3 (7.1)

Gender (Male %)

40.1

38.5

36.4

46.2

Race (Chinese %)

94.3

92.3

97.7

92.3

Education years

7.1 (5.0)

6.6 (4.8)

7.3 (4.5)

7.3 (5.8)

CDR global

0.9 (0.5)

0.9 (0.5)

0.9 (0.4)

0.9 (0.5)

CDR Sum of boxes

4.0 (3.0)

4.6 (2.9)

3.8 (2.7)

3.6 (3.4)

CMMSE

20.0 (6.5)

19.2 (5.3)

20.9 (5.2)

20.1 (6.5)

Medical comorbidities

    

HT (%)

65.6

74.4

54.6

69.2

DM (%)

29.5

38.5

20.5

30.8

Hyperlipidemia (%)

70.5

66.7

70.5

74.4

IHD (%)

21.3

23.1

25.0

15.4

Smoker/ex-heavy smoker (%)

15.5

12.8

18.2

15.3 *

AF (%)

3.3

5.1

0.0

5.1

PVD (%)

0.8

2.6

0

0

Multimorbidity score

2.1 (1.2)

2.2 (1.2)

1.9 (1.2)

2.1 (1.3)

MDD (%)

2.5

2.6

2.3

2.6

Neurodegeneration and wm scores

    

APOE status

    

E2/e2

0.8

2.6

0

0

E2/e3

0.2

0.1

0.1

0

E2/e4

1.6

2.6

2.3

0

E3/e3

47.5

43.6

47.7

51.3

E3/e4

32.8

33.3

31.8

33.3

E4/e4

4.9

7.7

4.6

2.6

MTA score

1.2 (1.1)

1.2 (1.1)

1.3 (1.0)

1.2 (1.1)

ARWMC score

4.9 (4.2)

5.0 (5.2)

5.5 (4.1)

4.2 (3.1)

Function, behaviour and burden scores

    

ADL

97.8 (5.8)

95.9 (9.0)

99.0 (2.8)

98.5 (3.1)*a

iADL

15.7 (13.7)

13.7 (5.9)

16.5 (5.1)

16.8 (4.6) *a, b

NPI total severity

2.1 (1.7)

2.2 (1.8)

2.3 (1.9)

1.7 (1.3)

NPI CG distress

3.6 (5.3)

3.9 (6.0)

4.4 (5.5)

2.2 (3.9)

Zarit total

22.6 (16.1)

21.6 (12.6)

24.1 (19.8)

21.9 (14.7)

FAI total

22.9 (8.1)

21.0 (7.9)

24.9 (8.7)

22.7 (7.1)

Nutrition, lean mass and functional performance

    

MNA total

11.8 (1.4)

11.6 (1.2)

118 (1.6)

12.2 (1.4)

Grip strength

19.5 (7.5)

18.1 (7.3)

20.6 (8.0)

19.8 (7.1)

SPPB total

8.7 (2.3)

8.6 (2.1)

9.2 (2.2)

8.2 (2.6)

Lean mass measurement

6.6 (8.2)

8.0 (13.9)

5.9 (0.9)

5.8 (0.9)

Treatment

    

Donepezil

44.5

42.1

41.9

50.0

Galantamine

0

0

0

0

Rivastigmine

4.2

5.3

4.7

2.6

Memantine

22.7

34.2

25.6

7.9 *

Socioeconomic and lifestyle factors

    

Expenses

    

 More than enough

34.4

60.1

44.4

63.0

 Fair

37.5

33.3

44.4

29.6

 Not enough

28.1

3.0

11.1

7.4

Lifestyle factors (%)

    

Daily Activities

    

 1 + h

33.3

39.4

22.2

40.7

 20-59 min

31.3

27.3

38.9

25.9

  < 20 min

19.8

18.2

22.2

18.5

 none

15.6

15.2

16.7

14.8

Vegetable and fruit intake (%)

    

Daily

83.3

78.8

86.1

85.2

< Daily

16.7

21.2

13.9

14.8

Fish intake (%)

    

Daily

41.7

30.3

55.6

37.0

< Daily

58.3

69.7

44.4

63.0 (p = 0.08)

Social support factors (%)

    

Neighbours

    

 None

22.9

27.3

22.2

18.5

 1-4

49.0

45.4

52.8

48.2

 5-9

14.6

12.1

11.1

22.2

 10+

13.5

15.2

13.9

11.1

Laboratory investigations

    

Total chol

4.9 (1.1)

5.1 (1.1)

4.8 (1.2)

5.0 (0.9)

LDL

2.8 (0.9)

3.0 (1.0)

2.6 (0.9)

2.8 (0.8)

HDL

1.6 (0.7)

1.6 (0.5)

1.6 (0.7)

1.7 (0.7) *

TG

1.3 (0.7)

1.2 (0.7)

1.4 (0.9)

1.2 (0.5) *

Vit D level

30.3 (11.9)

29.5 (13.1)

29.6 (10.6)

32.1 (12.1)

  1. Abbreviations: CDR clinical dementia rating, CMMSE Chinese mini mental state examination (range 0–28), HT hypertension, DM diabetes mellitus, IHD ischaemic heart disease, AF atrial fibrillation, PVD peripheral vascular disease, BMI body-mass index, ETOH ethanol, MDD diagnostic statistical manual definition of major depressive disorder, MTA medial temporal atrophy, ARWMC age-related white matter changes, ADL activities of daily living (range 0–100), CG caregiver; activities of daily living (range 0–23), NPI neuropsychiatric inventory, FAI frenchay activity index, MNA mini-nutritional assessment, SPPB short physical performance battery, LDL low-density lipoprotein, HDL high-density lipoprotein, TG triglyceride, Vit D Vitamin D
  2. *p < 0.05 between the 3 frailty transition subgroups (ANOVA with Bonferroni correction for parametric and Kruskal-Wallis test for nonparametric continuous variables; Chi-square test for categorical variables)
  3. adifferences between frailty regressed and unchanged state
  4. bdifferences between frailty regressed and progressed state