Motoric Cognitive Risk Syndrome Using Three-Item Recall Test and Its Associations with Fall-Related Outcomes: The Korean Frailty and Aging Cohort Study
Motoric Cognitive Risk Syndrome Using Three-Item Recall Test and Its Associations with Fall-Related Outcomes: The Korean Frailty and Aging Cohort Study
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使用三项回忆测试的运动认知风险综合症及其与跌倒相关结果的关联：韩国虚弱和衰老队列研究
DOI：
10.3390/ijerph17103364
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发表时间：
2020
影响因子：
--
通讯作者：
C. Won
中科院分区：
文献类型：
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作者：
H. Shim;Miji Kim;C. Won
运动性认知风险（MCR）综合征最初定义为存在主观认知主诉（SCC）和步态缓慢（SG）。众所周知，MCR可用于预测不良健康结果，包括福尔斯和痴呆。然而，大约五分之四的韩国老年人报告了SCC，因此，在韩国定义MCR可能没有歧视性。我们采用三项回忆（3 IR）测试，而不是SCC，定义MCR。这项横断面分析包括2133名年龄在70-84岁之间的社区居住老年人，他们没有痴呆症或日常生活活动的任何依赖性，来自韩国虚弱和老龄化队列研究。105名参与者（4.9%）符合使用3 IR的MCR新尝试标准。使用3 IR的MCR对跌倒相关结局显示出协同效应，而使用SCC的MCR的传统定义并不上级仅使用SG。使用3 IR的MCR与福尔斯相关（比值比[OR]：1.92; 95%置信区间（CI）：1.16-3.16），复发性福尔斯（OR：2.19; 95% CI：1.12-4.32），福尔斯跌倒伴损伤（OR：1.98; 95% CI：1.22-3.22），福尔斯跌倒伴骨折（OR：2.51; 95% CI：1.09-5.79），害怕跌倒（OR：3.00; 95%CI：1.83-4.92），低活动特异性平衡置信度（OR：3.13; 95%CI：1.57-6.25）。我们发现，MCR使用3 IR可能是有用的，在预测跌倒相关的结果，在文化背景报告更多的SCC，如韩国。
Motoric cognitive risk (MCR) syndrome is originally defined as the presence of subjective cognitive complaints (SCCs) and slow gait (SG). MCR is well known to be useful for predicting adverse health outcomes, including falls and dementia. However, around four out of five older Korean adults reported SCCs, thereby, it may not be discriminative to define MCR in Korea. We adopted the three-item recall (3IR) test, instead of SCCs, to define MCR. This cross-sectional analysis included 2133 community-dwelling older adults aged 70–84 years, without dementia or any dependence in activities of daily living from the Korean Frailty and Aging Cohort Study. The newly attempted criteria of MCR using 3IR were met by 105 participants (4.9%). MCR using 3IR showed synergistic effects on fall-related outcomes, whereas the conventional definition of MCR using SCCs was not superior to SG only. MCR using 3IR was associated with falls (odds ratio [OR]: 1.92; 95% confidence interval (CI): 1.16–3.16), recurrent falls (OR: 2.19; 95% CI: 1.12–4.32), falls with injury (OR: 1.98; 95% CI: 1.22–3.22), falls with fracture (OR: 2.51; 95% CI: 1.09–5.79), fear of falling (OR: 3.00; 95% CI: 1.83–4.92), and low activities-specific balance confidence (OR: 3.13; 95% CI: 1.57–6.25). We found that MCR using 3IR could be useful in predicting fall-related outcomes in a cultural background reporting more SCCs, such as Korea.