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June 20, 2026Healthcare and RehabilitationOpen Access

Association between cognitive function and hip fracture among middle-aged and older Chinese adults: A prospective study using the China Health and Retirement Longitudinal Study

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Authors

YSYang ShenNetaji Subhas National Institute of SportsXSXiuxiu ShiNetaji Subhas National Institute of SportsGWG Y WangNetaji Subhas National Institute of Sports

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Implication

Prospective study investigates cognitive function's impact on hip fracture risk in older Chinese adults, suggesting the need for integrated assessments.

Key Points

  • This study aims to explore how cognitive function relates to the risk of hip fractures among Chinese adults aged 45 and older.
  • Analyzed 8257 participants from the China Health and Retirement Longitudinal Study (CHARLS).
  • Cognitive function assessed in four domains: orientation, memory, calculation, and drawing.
  • Used longitudinal logistic regression to analyze hip fracture incidence across two follow-up surveys.
  • Each standard deviation decrease in global cognitive z-scores increased hip fracture risk (Wave 4: OR=0.71, 95% CI:0.57–0.89; Wave 5: OR=0.72, 95% CI:0.58–0.87).
  • Declines in orientation consistently linked to increased hip fracture risk (Wave 4: OR=0.82, 95% CI:0.70–0.96; Wave 5: OR=0.82, 95% CI:0.68–0.99).
  • Only declines in calculation and memory showed associations with hip fracture at specific waves.

Cite This Study

Shen et al. (2026) studied this question.

synapsesocial.com/papers/6a362e1edb0793dc1a536012https://doi.org/10.1016/j.hcr.2026.100078
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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  5. 5The Pentagon Copying Test and the Clock Drawing Test as Prognostic Markers in Dementia with Lewy Bodies2018 · 14 citations