Linking cognition and frailty in middle and old age: metabolic syndrome matters
Article first published online: 15 APR 2014
Copyright © 2014 John Wiley & Sons, Ltd.
International Journal of Geriatric Psychiatry
Volume 30, Issue 1, pages 64–71, January 2015
How to Cite
2014), Linking cognition and frailty in middle and old age: metabolic syndrome matters, International Journal of Geriatric Psychiatry, 30, pages 64–71. DOI: 10.1002/gps.4115, , and (
- Issue published online: 12 DEC 2014
- Article first published online: 15 APR 2014
- Manuscript Accepted: 7 MAR 2014
- Manuscript Received: 9 SEP 2013
- National Institute on Aging. Grant Number: P01-AG020166
- University of Rochester CTSA. Grant Number: KL2 TR000095
- executive function;
- episodic memory;
- metabolic syndrome
This study examined whether metabolic syndrome (MetS) would moderate the association of cognition with frailty in middle and old age.
A cross-sectional design was used. Six hundred and ninety participants (age ≥ 50 years) from an on-going national survey were included in the study. Confirmatory factor analysis was applied to determine latent variables of executive function (EF), episodic memory (EM), and MetS based on relevant measurements. Frailty was defined using a modified form of Fried's criteria.
Applying structural equation modeling, having MetS significantly increased the likelihood of being frail. Better performance on EM tasks, but not EF, was significantly associated with lower likelihood of MetS. Worse performance on EF, but not EM, significantly increased the likelihood of being frail. There was a significant interacting effect between MetS and EF, but not EM, on frailty. Further contrast analysis indicated that having MetS strengthened the negative association between EF and frailty.
Metabolic syndrome moderates the relationship between EF and frailty. A prospecitve study is needed to validate such relationships before developing interventions targeting the prevention or treatment of EF and frailty in individuals with MetS. Copyright © 2014 John Wiley & Sons, Ltd.