Prevalence of Dementia and Functional Dependency Among Community-Dwelling Older Adults: Findings from AHSETS Study in Rural Tigiria Block of Odisha.

IF 0.8 3区医学 Q4 NEUROSCIENCES

Neurology India Pub Date : 2025-09-01 Epub Date: 2025-09-13 DOI:10.4103/ni.ni_22_22

Trilochan Bhoi, Subrat Kumar Palo, Shakti Ranjan Barik, Sanghamitra Pati, Jaya Singh Kshatri

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Abstract

Background: Physical and psychological abnormalities among older adults impact negatively and act as a challenge for the health system.

Objective: To estimate the prevalence of dementia and functional dependency and to understand the association of dementia on functional dependency among rural older adults of Odisha, India.

Material and methods: A cross-sectional study among 725 rural older adults was carried out to assess their status of dementia and functional dependency. A standardized questionnaire tool for dementia (Dementia Assessment by Rapid Test) and functional dependency (Lawton-Brody Instrumental Activities of Daily Living Scale) was used. Data were recorded using tablets installed with open data kit software. Ordinal logistic model was used to determine the associations. All the statistical analyses were performed using "R software version 4.0.4".

Results: Among the study participants, 58.3% and 34.8% had "at-risk dementia" and "dementia", whereas 31.17% and 33.79% had "partially dependent" and "dependent", respectively. Factors such as female gender (odds ratio = 4.41, confidence interval = 3.31-5.89), illiterate (2.68, 2.03-3.54), not working (5.2, 3.55-7.71), smoking habits (0.29, 0.18-0.47), low body mass index (0.96, 0.93-0.99), hypertension (1.33, 1-1.76), and multi-morbidity (1.51, 1.04-2.19) were found to be significantly associated with dementia. Participants with "dementia" and "at-risk dementia" had 3.08 times and 2.72 times higher risk of developing functional dependency, respectively.

Conclusion: Cognitive impairment affects the majority of the rural older adults and impacts the ability to perform their daily activities. The findings from the present study would help policymakers and program implementers in developing appropriate strategies for early case identification and prompt management to improve quality of life among older adults.

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社区居住老年人痴呆患病率和功能依赖：来自奥里萨邦农村Tigiria区的AHSETS研究结果

背景：老年人的生理和心理异常会产生负面影响，并对卫生系统构成挑战。目的：评估印度奥里萨邦农村老年人痴呆和功能依赖的患病率，并了解痴呆与功能依赖的关系。材料和方法：对725名农村老年人进行了一项横断面研究，以评估他们的痴呆状态和功能依赖。采用痴呆（痴呆快速评估测试）和功能依赖（劳顿-布罗迪日常生活工具活动量表）的标准化问卷工具。使用装有开放数据工具包软件的平板电脑记录数据。使用有序逻辑模型来确定关联。所有统计分析均采用“R软件4.0.4版”进行。结果：在研究对象中，58.3%和34.8%的人患有“高危痴呆”和“痴呆”，31.17%和33.79%的人患有“部分依赖”和“依赖”。女性（优势比为4.41，可信区间为3.31-5.89）、文盲（优势比为2.68，可信区间为2.03-3.54）、不工作（优势比为5.2,3.55-7.71）、吸烟习惯（优势比为0.29,0.18-0.47）、低体重指数（优势比为0.96，优势比为0.93-0.99）、高血压（优势比为1.33，优势比为1-1.76）、多病（优势比为1.51，优势比为1.04-2.19）等因素与痴呆有显著相关性。患有“痴呆”和“高危痴呆”的参与者发生功能依赖的风险分别是前者的3.08倍和2.72倍。结论：农村老年人普遍存在认知障碍，影响其日常生活能力。本研究的发现将有助于决策者和项目执行者制定适当的策略，及早发现病例并及时管理，以提高老年人的生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurology India 医学-神经科学

CiteScore

1.60

自引率

70.40%

发文量

434

审稿时长

2 months

期刊介绍： Neurology India (ISSN 0028-3886) is Bi-monthly publication of Neurological Society of India. Neurology India, the show window of the progress of Neurological Sciences in India, has successfully completed 50 years of publication in the year 2002. ‘Neurology India’, along with the Neurological Society of India, has grown stronger with the passing of every year. The full articles of the journal are now available on internet with more than 20000 visitors in a month and the journal is indexed in MEDLINE and Index Medicus, Current Contents, Neuroscience Citation Index and EMBASE in addition to 10 other indexing avenues. This specialty journal reaches to about 2000 neurologists, neurosurgeons, neuro-psychiatrists, and others working in the fields of neurology.