[与老年人认知障碍相关的危险因素:横断面研究]。

Moises Moreno-Noguez, Juan Castillo-Cruz, Luis Rey García-Cortés, Haynna Raquel Gómez-Hernández
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引用次数: 0

摘要

背景:随着预期寿命的增加,与老年相关的疾病发生率增加,其中一种病理是认知障碍(CI),其患病率高达28%,增加CI存在的疾病是已知的。然而,关于增加CI风险的因素存在争议。目的:确定老年人认知障碍的相关因素。材料和方法:我们进行了一项横断面、分析性、观察性、回顾性研究,研究对象为年龄≥65岁、无脑血管事件史、无脑外伤史的成年人。对人口统计学因素进行分析,采用迷你精神状态检查测试评估CI。在统计分析中,我们使用每个因素的比值比(OR)和95%置信区间(95%CI),并使用多元逻辑回归作为多变量分析。结果:纳入420名老年人,61%为女性,年龄>75岁者占32.6%,75岁受教育者占84.5%,OR 2.92,多药治疗OR 2.16,血压失控OR 1.92。
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[Risk factors associated with cognitive impairment in aged: Cross-sectional study].

Background: With the increase in life expectancy, conditions related to older age have increased in incidence, one of these pathologies is Cognitive Impairment (CI), which has a prevalence of up to 28%, conditions that increase the presence of CI are known. However, there is controversy about the factors that increase the risk of CI.

Objective: To determine the factors associated with cognitive impairment in older adults.

Material and methods: We conducted a cross-sectional, analytical, observational, retroprolective study that included adults ≥65 years of age, with no history of cerebral vascular event, cranioencephalic trauma. Demographic factors were analyzed, CI was assessed with the Mini Mental State Examination test. For statistical analysis we used Odds Ratio (OR) and 95% confidence interval (95% CI) for each factor and multiple logistic regression as multivariate analysis.

Results: 420 older adults were included, 61% were women, 32.6% with age >75 years, 84.5% with schooling <9 years, in the multiple logistic regression the following were independent factors for the presence of mild CI: dependence on basic activities of daily living (ADLs) with OR 5.88, absence of cognitive stimulation RM 4.50, age >75 years OR 2.92, polypharmacy OR 2.16, uncontrolled blood pressure OR 1.92.

Conclusion: ADLs dependence, absence of cognitive stimulation, age >75 years, polypharmacy and uncontrolled blood pressure are risk factors associated with CI in older adults.

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[Multifocal motor neuropathy. Report of three cases at a reference hospital in Mexico]. [Answer to "Comment on article: "Risk factors associated with cognitive impairment in older adults: cross-sectional study""]. [Comment on article: "Risk factors associated with cognitive impairment in older adults: cross-sectional study"]. [Pulmonary Hypertension Centers]. [Severe coronavirus-2 infection background for cardiovascular complications].
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