Abstract: Objective To analyze the frailty and cognitive frailty of elderly in Zhengzhou community and its influencing factors. Methods From August to December 2020, a convenient sampling method was used to set up a survey project volunteer recruitment station in one of the community service centers in the districts, counties, and county-level cities under the jurisdiction of Zhengzhou city to recruit residents aged ≥ 60 for survey. The Fried Frailty Phenotype （FP）, Clinical Dementia Rating Scale （CDR）, and the Chinese version of Montreal Cognitive Assessment Scale （MoCA） were used to assess frailty and cognitive frailty. Descriptive analysis was made on the current situation of frailty and cognitive frailty of residents aged ≥ 60, and the influencing factors of frailty and cognitive frailty were analyzed by univariate and multivariate analysis methods. Results A total of 2 596 elderly in the community were included for investigation and analysis, including 1 391 males and 1 205 females. The age ranged from 60 to 86 years old, and the proportion of 60 to 69 years old was the largest, accounting for 38.0%. Two hundred and forty-seven cases （9.5%） were frailty, 614 cases （23.7%） were pre frailty. There were 169 cases of cognitive frailty, and the incidence rate was 6.5%. Multivariate Logistic regression analysis showed that older age （OR=2.563）, BMI≥28.0 kg/m²（OR=2.447）, and underlying diseases （OR=2.765） were the risk factors for the frailty of the elderly in the community, living with their spouse and/or children （OR=0.442, 0.575） and the frequency of physical exercise>3 times / week （OR=0.629） were the protective factors for the frailty of the elderly in the community. Underlying diseases （OR=2.743） were the risk factors for the cognitive frailty of the elderly in the community, the longer the education years （OR=0.388）, living with their spouse and/or children （OR=0.452, 0.612）, and the frequency of physical exercise>3 times / week （OR=0.429） were the protective factors for the cognitive frailty of the elderly in the community. Conclusion Frailty and cognitive frailty are common among the elderly in Zhengzhou community, which are affected by many factors. It is necessary to pay attention to high-risk groups and take effective intervention measures to reduce or delay the occurrence of frailty and cognitive frailty and improve the quality of life of the elderly in the community.

Key words: Community, Elderly, Frailty, Cognitive frailty, Influencing factor