2009, Number 3
<< Back Next >>
Rev Med Inst Mex Seguro Soc 2009; 47 (3)
Risk Factors for Cognitive and Functional Impairment in the Elderly
León-Arcila R, Milián-Suazo F, Camacho-Calderón N, Arévalo-Cedano RE, Escartín-Chávez M
Language: Spanish
References: 27
Page: 277-284
PDF size: 46.30 Kb.
ABSTRACT
Objective: to establish association between cognitive and functional impairment with economic, social and demographic factors, chronic disease and multi drug therapy in the aged patient.
Methods: a cross-sectional study was carried out in 2002 with 422 individuals 60 years old and older. A questionnaire for exploring social and economic conditions was applied. Folsteins’ mini mental exam, Katz, Lawton and Bronfman instruments were also applied. A bivariate analysis was performed to select variables for logistic regression (p ≤ 0.20 in a χ
2). Adjusted odds ratios were used to estimate association.
Results: there were 422 individuals interviewed, 178 were male and 244 female mean age 68. The factors associated to cognitive impairment were stroke, female, social and economical level. For daily activities was diabetes mellitus 2 and for instrumental activities of every day were female, visual impairment and multi-drug therapy, all with
p ‹ 0.05.
Conclusions: some factors can prevent the presence of cognitive and functional impairment in the elderly.
REFERENCES
Ruiz-Arregui L, Rivera-Márquez JA. Características de la morbilidad en población mexicana de edad avanzada: un análisis de la Encuesta Nacional de Salud 1988. Salud Publica Mex 1996; 38(6):430-437.
Lara-Rodríguez MA, Benítez MG, Fernández- Gárate IH, Zárate-Aguilar A. Aspectos epidemiológicos del adulto mayor en el Instituto Mexicano del Seguro Social. Salud Publica Mex 1996;38 (6):448-457.
Jackson SA. The epidemiology of aging. En: Hazzard WR, Blass JP, Ettinger WH, Hakter JB, Ouslander JG, editores. Principles of geriatric medicine and gerontology. Nueva Baskerville: McGraw-Hill; 1999. p. 203-225.
Instituto Nacional de Estadística, Geografía e Informática. XII Censo General de Población y Vivienda 2000. México: INEGI; 2001.
Ashman T, Mohs R, Harvey P. Cognition and aging. En: Hazzard WR, Blass JP, Ettinger WH, Hakter JB, Ouslander JG, editores. Principles of geriatric medicine and gerontology. USA: McGraw-Hill; 1999. p. 1219-1228.
Fleming KC, Adams AC, Petersen RC. Síndromes demenciales. Mundo Medico 1996;11: 47-5
Vertesi A, Lever JA, Molloy DW, Sanderson B, Tuttle I, et al. Standardized Mini-Mental State Examination, use and interpretation. Can Fam Physician 2001;47:2018-2023.
Bland RC, Newman SC. Mild dementia or cognitive impairment: the modified minimental state examination (3MS) as a screen for dementia. Can J Psychiatry 2001;46(6):506-510.
Bravo F. Valoración funcional. En: Guillén LF, editor. Síndromes y cuidados en el paciente geriátrico. España: Masson; 1994. p. 67-78.
Moragas-Moragas R. Familia. Economía. En: Gerontología social: envejecimiento y calidad de vida. Barcelona: Herder; 1998. p. 26, 140, 179.
Folstein M, Folstein S, McHugh PR. Minimental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12(3):189-198.
Katz S, Ford A, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963;185:914-919.
Lawton M, Brody EM. Assessment of older people: self maintaining and instrumental activities of daily living. Gerontologist 1969;9(3):179-186.
Bronfman M, Guiscafré H, Castro V, Castro R, Gutiérrez G. La medición de la desigualdad: una estrategia metodológica, análisis de las características socioeconómicas de la muestra. Arch Invest Med 1988;19(4):351-360.
Beltrán B, Cuadrado C, Martin ML, Carbajal A, Moreiras O. Activities of daily living in the Spanish elderly. Association with mortality. J Nutr Health Aging 2001;5(4):259-260.
Hiltunen LA, Keinanen-Kiukaanniemi SM, Laara EM. Glucose tolerance and cognitive impairment in an elderly population. Public Health 2001;115 (3):197-200.
Grigsby J, Kaye K, Baxter J, Shetterly SM, Hamman RF. Executive cognitive abilities and functional status among community-dwelling older persons in the San Luis Valley Health and Aging Study. J Am Geriatr Soc 1998;46(5):590-596.
Di Carlo A, Baldereschi M, Amaducci L, Maggi S, Grigoletto F, Scarlato G, et al. Cognitive impairment without dementia in older people: prevalence, vascular risk factors, impact on disability. The Italian longitudinal study on aging. J Am Geriatr Soc 2000;48(7):775-782.
Kukull WA, Ganguli M. Epidemiology of dementia: concepts and overview. Neurol Clin 2000;18 (4):923-950.
Gao S, Hendrie HC, Hall KS, Hui S. The relationships between age, sex, and the incidence of dementia and Alzheimer disease: A metaanalysis. Arch Gen Psychiatry 1998;55:809-815.
Launer LJ, Andersen K, Dewey ME, Letenneur L, Ott A, Amaducci LA, et al. Rates and risk factors for dementia and Alzheimer’s disease: results from EURODEM pooled analyses. EURODEM Incidence Research Group and Work Groups. European Studies of Dementia. Neurology 1999;52(1):78-84.
Mortimer JA. Brain reserve and the clinical expression of Alzheimer’s disease. Geriatrics 1997; 52(Suppl 2):S50-S53.
Launer LJ, Maskai K, Petrovitch H, Foley D, Haxlik RJ. The association between mid-life blood pressure levels and late-life cognitive function: The Honolulu-Asia Aging Study. JAMA 1995; 274 (23):1846-1851.
Kokmen E, Whisnant JP, O’Fallon WM, Chu CP, Beard CM. Dementia after ischemic stroke: a population-based study in Rochester, Minnesota (1960-1984). Neurology 1996;46(1):154-159.
Winblad I, Jaaskelainen M, Kivela SL, Hiltunen P, Laippala P. Prevalence of disability in three birth cohorts at old age over time spans of 10 and 20 years. J Clin Epidemiol 2001;54(10):1019-1024.
Anderson LC, Cutter NC. Immobility. En: Hazzard WR, Blass JP, Ettinger WH, Hakter JB, Ous-lander JG, editores. Principles of geriatric medicine and gerontology. USA: McGraw-Hill; 1999. p. 1565.
Nourhashemi F, Andrieu S, Gillette-Guyonnet S, Vellas B, Albarede JL, Grandjean H. Instrumental activities of daily living as a potential marker of frailty: a study of 7364 community-dwelling elderly women (the EPIDOS study). J Gerontol A Biol Sci Med Sci 2001;56(7):M448-M453.