Mild cognitive impairment and its associated factors amongst the older people attending government health clinics in Kuantan.

Q3 Medicine
Medical Journal of Malaysia Pub Date : 2025-05-01
Y Atri Roop, M S E Shalihin, E Mohammad Aidid
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Abstract

Introduction: Malaysia is undergoing a demographic transition towards an aging population, resulting in an anticipated rise in the number of older individuals at risk of developing dementia. Mild cognitive impairment (MCI) represents an intermediate clinical stage between normal cognition and dementia, characterized by cognitive decline that does not significantly impair daily functional activities. Early detection of MCI is critical, as early-stage interventions and modifications of risk factors can yield promising outcomes.

Materials and methods: This cross-sectional study evaluated the prevalence of MCI and its associated factors among 327 older adults attending healthcare clinics. Data were collected using the Elderly Cognitive Assessment Questionnaire, Geriatric Depression Scale, and Barthel Index. Binary logistic regression analysis was performed to identify significant factors of MCI.

Results: The prevalence of MCI in the study population was 18.7%, with the majority demonstrating poor control of comorbid conditions. Significant factors of MCI included being a widower (OR 0.4; 95%CI: 0.18, 0.94), increasing age (OR 0.92; 95% CI: 0.88, 0.97), and having diabetes (OR 3.49; 95% CI: 1.81, 6.73).

Conclusion: The findings highlight that a significant proportion of older adults are at risk of progressing to dementia but remain underdiagnosed during the early stages. Optimizing blood sugar control emerges as a crucial strategy to mitigate the progression of MCI to irreversible dementia. Implementation of active cognitive screening programs is essential for early identification and timely intervention.

在关丹政府诊所就诊的老年人的轻度认知障碍及其相关因素。
导读:马来西亚正在经历人口老龄化的转变,导致患痴呆症风险的老年人数量预计会增加。轻度认知障碍(MCI)是介于正常认知和痴呆之间的中间临床阶段,其特征是认知能力下降,但不会显著损害日常功能活动。早期发现轻度认知障碍是至关重要的,因为早期干预和改变危险因素可以产生有希望的结果。材料和方法:本横断面研究评估了就诊于医疗诊所的327名老年人轻度认知损伤的患病率及其相关因素。数据采用老年认知评估问卷、老年抑郁量表和Barthel指数收集。采用二元logistic回归分析确定影响MCI的显著因素。结果:研究人群中MCI的患病率为18.7%,其中大多数人对合并症的控制较差。轻度认知障碍的显著因素包括鳏夫(OR 0.4;95%CI: 0.18, 0.94),年龄增加(OR 0.92;95% CI: 0.88, 0.97),并患有糖尿病(OR 3.49;95% ci: 1.81, 6.73)。结论:研究结果强调,很大一部分老年人有发展为痴呆症的风险,但在早期阶段仍未得到诊断。优化血糖控制是缓解轻度认知损伤发展为不可逆痴呆的关键策略。实施主动认知筛查计划对于早期识别和及时干预至关重要。
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来源期刊
Medical Journal of Malaysia
Medical Journal of Malaysia Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
165
期刊介绍: Published since 1890 this journal originated as the Journal of the Straits Medical Association. With the formation of the Malaysian Medical Association (MMA), the Journal became the official organ, supervised by an editorial board. Some of the early Hon. Editors were Mr. H.M. McGladdery (1960 - 1964), Dr. A.A. Sandosham (1965 - 1977), Prof. Paul C.Y. Chen (1977 - 1987). It is a scientific journal, published quarterly and can be found in medical libraries in many parts of the world. The Journal also enjoys the status of being listed in the Index Medicus, the internationally accepted reference index of medical journals. The editorial columns often reflect the Association''s views and attitudes towards medical problems in the country. The MJM aims to be a peer reviewed scientific journal of the highest quality. We want to ensure that whatever data is published is true and any opinion expressed important to medical science. We believe being Malaysian is our unique niche; our priority will be for scientific knowledge about diseases found in Malaysia and for the practice of medicine in Malaysia. The MJM will archive knowledge about the changing pattern of human diseases and our endeavours to overcome them. It will also document how medicine develops as a profession in the nation. We will communicate and co-operate with other scientific journals in Malaysia. We seek articles that are of educational value to doctors. We will consider all unsolicited articles submitted to the journal and will commission distinguished Malaysians to write relevant review articles. We want to help doctors make better decisions and be good at judging the value of scientific data. We want to help doctors write better, to be articulate and precise.
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