Prevalence of cognitive frailty and its association with activities of daily living among community-dwelling older adults: Evidence from LASI wave

This study intended to determine the prevalence of cognitive frailty and describes its association with activities of daily living in older adults. This was an analysis of secondary data from the Longitudinal Aging Study (LASI) in India wave-I. A total of 23,678 respondents agede ”60 years were included Frailty was assessed using modified Fried criteria and cognitive impairment using various domains derived from the cognitive module of the Health and Retirement Study. The co-occurrence of physical frailty and cognitive impairment was termed cognitive frailty. The analysis of the data revealed that the prevalence of physical frailty, cognitive impairment, and cognitive frailty was 2 7. 9 per cent, IOper cent, 5.4 percent, respectively. The prevalence of cognitive frailty was higher in women, advanced age, and illiterate respondents. After adjusting for possible confounders, cognitive frailty remained significantly associated with ADL and IADL functions. The highest odds were observed for picking up a coin (OR:3.55 CI:3.0-4.21), carrying weight (OR:3.12 CI:2. 74-3.56), and grocery shopping (OR: 3.48 CI:3.04- 3.98). On the basis of these findings, it may be concluded that cognitive frailty is a vital indicator for identifying older adults at high risk of developing severe disabilities. Development of screening tools using daily activities involving fine motor skills and including cognitive components in the care plan can prevent or delay cognitive frailty and functional decline.