Multidirectional prognosis and predictive factors of the motoric cognitive risk syndrome in the elderly

ObjectiveTo analyze the multidirectional prognosis and predictive factors of the motoric cognitive risk syndrome in the elderly in China.MethodsThe data were sourced from the China health and retirement longitudinal study(CHARLS) from 2011 to 2015.A total of 430 elderly people with the motoric cognitive risk syndrome were selected.Demographic,lifestyle,physical condition,and social psychological variables were collected.Unordered multinomial Logistic regression analysis was used to identify the predictive factors for the outcomes of the motoric cognitive risk syndrome.ResultsDuring the 4⁃year follow⁃up period of the 430 elderly people with the motoric cognitive risk syndrome,the incidence rates of stable type,transient reverse type,progressive type⁃physical disability,and progressive type⁃dementia were 19.07%,70.00%,8.37%,and 2.56%,respectively.The probability of the elderly with motoric cognitive risk syndrome experiencing reversal towards non⁃motoric cognitive risk syndrome decreased when their grip strength reduced.Alcohol consumption behavior was significantly associated with the risk of progression from motoric cognitive risk syndrome to dementia in the elderly.ConclusionsThe outcomes of the motoric cognitive risk syndrome in the elderly in China showed multidirectionality and heterogeneity.It is recommended to strengthen the assessment of grip strength and alcohol intervention for the elderly with the motoric cognitive risk syndrome,so as to reduce the risk of adverse outcomes.