喀麦隆55岁及以上成年人认知障碍相关因素

IF 1.4 Q4 CLINICAL NEUROLOGY

Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.1159/000542305

Nadine Simo-Tabue, Mélanie Annick Magnerou, Ludwig Mounsamy, Salvatore Metamno, Laurys Letchimy, Jean-François Dartigues, Callixte Kuate-Tegueu, Maturin Tabué-Teguo

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引用次数: 0

摘要

认知障碍是老年人依赖的主要原因。本研究的目的是通过最小精神状态检查（MMSE）在喀麦隆社区居住的55岁以上成年人中确定与严重认知能力下降相关的因素。方法：数据来自在喀麦隆进行的横断面调查。使用MMSE评估认知状态，18/30或更低的分数被认为是严重认知衰退的代表。结果：共有403名成年人参与了这项研究。其中，16例（3.9%）的MMSE评分p < 0.01)、体重指数（BMI）（OR 0.88 [95% CI: 0.78-0.99], p = 0.03）和IADL评分（OR 0.12 [95% CI: 0.03-0.38], p < 0.001）。结论：与认知功能障碍相关的三个主要因素是教育程度、日常生活工具活动（IADL）依赖和BMI。这项研究表明，在撒哈拉以南非洲的老年人中，BMI、IADL依赖性和教育对认知功能的影响与在中高收入国家观察到的情况相似。

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Factors Associated with Cognitive Impairment among Adults of 55 Years and Older in Cameroon.

Introduction: Cognitive impairment is a major cause of dependency in older people. The aim of this study was to identify factors associated with severe cognitive decline, as assessed by the mini-mental state examination (MMSE), in community-dwelling adults aged 55+ in Cameroon.

Method: Data are from a cross-sectional survey carried out in Cameroon. The cognitive status was assessed using the MMSE and a score of 18/30 or lower is considered as a proxy of severe cognitive decline.

Result: A total of 403 adults participated in the study. Of these, 16 (3.9%) had an MMSE score <18 and were considered to have cognitive impairment. The rate of severe cognitive decline increased with rising age, from 2.1% in those aged 55-64 years, to 3.3% in those aged 65-74, and 11% in those aged 75 and older. The factors associated with cognitive impairment (MMSE score <18) by multivariate analysis in our population are level of education (OR 0.10 [95% CI: 0.02-0.37], p < 0.01), body mass index (BMI) (OR 0.88 [95% CI: 0.78-0.99], p = 0.03), and IADL score (OR 0.12 [95% CI: 0.03-0.38], p < 0.001).

Conclusion: The three main factors associated with cognitive impairment were education, IADL (Instrumental Activity of Daily Living) dependency, and BMI. This study shows that among older people in sub-Saharan Africa, the effect of BMI, IADL dependency, and education on cognitive function appears similar to that observed in middle- and high-income countries.

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来源期刊

Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health

CiteScore

4.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .