Prevention & lipids

Hierarchical Development of Physical Frailty and Cognitive Impairment and Their Association With Incident Cardiovascular Disease

JACC AdvPublished Prospective cohort study

Authors' conclusion

The simultaneous development of frailty and CI is associated with an increased risk of adverse cardiovascular outcomes including death compared with the development of each syndrome alone.

Study context

Population
Adults aged 65 and older without a history of CAD38.5% male
Participants
2,189 adults
Exposure
Patterns of development of physical frailty and CI vs intact
  • Frail-CIn = 195
  • Frail firstn = 154
  • CI firstn = 829
Outcome
Incident MACE
Follow-up
5 years
Methodological detailsNational Health and Aging Trends Study linked to Medicare data
  • National Health and Aging Trends Study linked to Medicare data

Main finding

As reported in the abstract

MACE
Each group vs intactHazard ratio (95% CI)
Frail-CI
1.81(1.47–2.23)
Frail first
1.46(1.17–1.81)
CI first
1.31(1.15–1.50)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
StrokeFrail firstvs Intact1.49 (1.06–2.09)

Original publication

Hierarchical Development of Physical Frailty and Cognitive Impairment and Their Association With Incident Cardiovascular Disease. JACC Adv. Published 10 May 2023. doi:10.1016/j.jacadv.2023.100318

Composed by AI from the published abstract and checked against it. How Briefs are made →

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