The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies

BackgroundCognitive frailty increases the risk of fall occurrence. However, previous studies have shown inconsistent correlations between cognitive frailty and the risk of fall occurrence.ObjectiveTo systematically review studies and explore the association between cognitive frailty and the risk of...

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Main Authors: Jian Liu, Yu Wu, Zongke Long, Simeng Zhang, Shicai Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1537240/full
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author Jian Liu
Jian Liu
Jian Liu
Yu Wu
Yu Wu
Yu Wu
Zongke Long
Simeng Zhang
Shicai Wu
Shicai Wu
Shicai Wu
author_facet Jian Liu
Jian Liu
Jian Liu
Yu Wu
Yu Wu
Yu Wu
Zongke Long
Simeng Zhang
Shicai Wu
Shicai Wu
Shicai Wu
author_sort Jian Liu
collection DOAJ
description BackgroundCognitive frailty increases the risk of fall occurrence. However, previous studies have shown inconsistent correlations between cognitive frailty and the risk of fall occurrence.ObjectiveTo systematically review studies and explore the association between cognitive frailty and the risk of fall occurrence.MethodsDatabases were systematically searched. Meta-analysis was performed using RevMan 5.4 software after evaluation of the quality of the included studies by 2 researchers.ResultsA total of five studies including 16,962 patients were included. The results of Meta-analysis showed that the cognitive frailty group increased the risk of occurrence of falls in older adults [OR = 1.38, 95% CI (1.09, 1.73), p = 0.006]. Subgroup analyses showed that cognitive frailty in older adults increased the risk of fall occurrence using different cognitive frailty assessment tools, study participants from the community, different regions, and different sample sizes.ConclusionThe results of this study suggest that cognitive frailty in older adults is an independent risk factor for the occurrence of falls, and it is recommended that caregivers strengthen the assessment of cognitive aspects of older adults admitted to the hospital.
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spelling doaj-art-0aa60e3f5c564273ae6a2ef0399dbae02025-02-12T07:26:57ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.15372401537240The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studiesJian Liu0Jian Liu1Jian Liu2Yu Wu3Yu Wu4Yu Wu5Zongke Long6Simeng Zhang7Shicai Wu8Shicai Wu9Shicai Wu10School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaUniversity of Health and Rehabilitation Sciences, Qingdao, Shandong, ChinaChina Rehabilitation Research Center, Beijing Bo’ai Hospital, Beijing, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaUniversity of Health and Rehabilitation Sciences, Qingdao, Shandong, ChinaChina Rehabilitation Research Center, Beijing Bo’ai Hospital, Beijing, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaUniversity of Health and Rehabilitation Sciences, Qingdao, Shandong, ChinaChina Rehabilitation Research Center, Beijing Bo’ai Hospital, Beijing, ChinaBackgroundCognitive frailty increases the risk of fall occurrence. However, previous studies have shown inconsistent correlations between cognitive frailty and the risk of fall occurrence.ObjectiveTo systematically review studies and explore the association between cognitive frailty and the risk of fall occurrence.MethodsDatabases were systematically searched. Meta-analysis was performed using RevMan 5.4 software after evaluation of the quality of the included studies by 2 researchers.ResultsA total of five studies including 16,962 patients were included. The results of Meta-analysis showed that the cognitive frailty group increased the risk of occurrence of falls in older adults [OR = 1.38, 95% CI (1.09, 1.73), p = 0.006]. Subgroup analyses showed that cognitive frailty in older adults increased the risk of fall occurrence using different cognitive frailty assessment tools, study participants from the community, different regions, and different sample sizes.ConclusionThe results of this study suggest that cognitive frailty in older adults is an independent risk factor for the occurrence of falls, and it is recommended that caregivers strengthen the assessment of cognitive aspects of older adults admitted to the hospital.https://www.frontiersin.org/articles/10.3389/fmed.2025.1537240/fullcognitive frailtyfallsmeta-analysisolder adultssystematic review
spellingShingle Jian Liu
Jian Liu
Jian Liu
Yu Wu
Yu Wu
Yu Wu
Zongke Long
Simeng Zhang
Shicai Wu
Shicai Wu
Shicai Wu
The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
Frontiers in Medicine
cognitive frailty
falls
meta-analysis
older adults
systematic review
title The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
title_full The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
title_fullStr The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
title_full_unstemmed The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
title_short The association between cognitive frailty and the risk of fall occurrence in older adults: a meta-analysis of cohort studies
title_sort association between cognitive frailty and the risk of fall occurrence in older adults a meta analysis of cohort studies
topic cognitive frailty
falls
meta-analysis
older adults
systematic review
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1537240/full
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