Unravelling cognitive frailty: perceptions, misconceptions, and the path to prevention.

Background and Objectives As populations age, extending healthy life expectancy and reducing morbidity are priorities. Cognitive frailty, the co-occurrence of cognitive impairment and physical frailty without dementia, may offer a window for prevention. However, there is limited evidence on how cogn...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 15
Autores principales: Prakopimaite, Gerda, Pfaff, Magdalena, Davelaar, Eddy J, Quadt, Lisa, Raczek, Malgorzata, Tabet, Naji, Gow, Alan J, Holland, Carol, Cadar, Dorina
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Unravelling cognitive frailty: perceptions, misconceptions, and the path to prevention.
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          Prakopimaite, Gerda
          Pfaff, Magdalena
          Davelaar, Eddy J
          Quadt, Lisa
          Raczek, Malgorzata
          Tabet, Naji
          Gow, Alan J
          Holland, Carol
          Cadar, Dorina
        affil:
          CEDAR Lab, Centre for Dementia Studies, Department of Clinical Neuroscience, Brighton and Sussex Medical School, University of Sussex, Sussex, United KingdomDivision of Psychology and Language Science, University College London, London, United Kingdom
          CEDAR Lab, Centre for Dementia Studies, Department of Clinical Neuroscience, Brighton and Sussex Medical School, University of Sussex, Sussex, United Kingdom
          Centre for Cognition, Computation and Modelling, Department of Psychological Sciences, Birkbeck, University of London, London, United Kingdom
          The Ageing Lab, Department of Psychology and Centre for Applied Behavioural Sciences, Heriot-Watt University, Edinburgh, United Kingdom
          Centre for Ageing Research, Faculty of Health and Medicine, Lancaster University, Lancashire, United Kingdom
      su:
        Motor ability
        Lifestyles
        Health services accessibility
        Medical personnel
        Qualitative research
        Ecology
        Interviewing
        Executive function
        Public opinion
        Age distribution
        Psychological well-being
        Sound recordings
        Economic impact
        Social skills
        Affect (Psychology)
        Psychosocial factors
        Social isolation
        Genetics
        Disease risk factors
        Dementia risk factors
        Cognition disorder risk factors
        Risk assessment
        Research funding
        Frail elderly
        Statistical sampling
        Cognitive processing speed
        Judgment sampling
        Thematic analysis
        Attitudes of medical personnel
        Cognition disorders
        Research methodology
        Concepts
        Data analysis software
        Memory disorders
        Comorbidity
        Vascular diseases
      sug:
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          Motor ability
          Lifestyles
          Health services accessibility
          Medical personnel
          Qualitative research
          Ecology
          Interviewing
          Executive function
          Public opinion
          Age distribution
          Psychological well-being
          Sound recordings
          Economic impact
          Social skills
          Affect (Psychology)
          Psychosocial factors
          Social isolation
          Genetics
          Disease risk factors
          Marketing Research and Public Opinion Polling
          Integrated Record Production/Distribution
          Sound recording merchant wholesalers
          Record Production
          Dementia risk factors
          Cognition disorder risk factors
          Risk assessment
          Research funding
          Frail elderly
          Statistical sampling
          Cognitive processing speed
          Judgment sampling
          Thematic analysis
          Attitudes of medical personnel
          Cognition disorders
          Research methodology
          Concepts
          Data analysis software
          Memory disorders
          Comorbidity
          Vascular diseases
      keyword:
        Age in place
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Dementia
        frailty
        https://dx.doi.org/10.1093/geront/gnag112
        inLanguage:en
        perception
        prevention
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42191669/
        Age in place
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        Dementia
        frailty
        https://dx.doi.org/10.1093/geront/gnag112
        inLanguage:en
        perception
        prevention
        publisher:Oxford University Press
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42191669/
      ab: Background and Objectives As populations age, extending healthy life expectancy and reducing morbidity are priorities. Cognitive frailty, the co-occurrence of cognitive impairment and physical frailty without dementia, may offer a window for prevention. However, there is limited evidence on how cognitive frailty is understood, which may undermine recognition and risk reduction. This study provides new insights into how cognitive frailty is conceptualized across public and professional contexts by exploring perceptions, causes, and risk factors of cognitive frailty to inform public health and clinical practice. Research Design and Methods We conducted 22 semi-structured interviews with members of the public and healthcare professionals. Interviews examined perceived definitions, symptoms, and risk factors. Data were analyzed using reflexive thematic analysis. Results Three analytic domains were identified: conceptualizations, manifestations, and risk factors. Participants often conflated cognitive frailty with cognitive impairment or described it as an early stage of dementia. The physical frailty aspect was under-recognized, particularly among public participants. When presented with the international definition, many reframed cognitive frailty as a transitional and potentially preventable state. Healthcare professionals articulated broader symptom profiles and more integrated risk frameworks, whereas the public emphasized observable physical change. Across both groups, mood changes, social withdrawal, and unhealthy lifestyle were viewed as central risks, though their interplay was described with varying detail. Discussion and Implications Inconsistent understanding of cognitive frailty may hinder early recognition and prevention. Clearer operational definitions, supportive policy, and targeted education are needed to strengthen detection, risk reduction, and intervention strategies that protect independence in later life.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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