Cognitive impairment among Hindi mental state examination positive community-dwelling rural older adults

Pandey, Nisha Mani; Tripathi, Rakesh Kumar; Tripathi, Shailendra Mohan; Singh, Bhupendra; Tiwari, Sunil Kumar

doi:10.4103/jgmh.jgmh_40_19

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…The domain of cognition was assessed using Hindi-Mental Status Examination (HMSE) [ 11 , 12 ]. The locomotor capacity was evaluated using the timed-up and go-test [ 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India

Rao

Waris

Saini

et al. 2023

Current Gerontology and Geriatrics Research

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Background. Intrinsic capacity (IC) is conceptualized by World Health Organization (WHO) with a focus on healthy aging. Identifying impairment could help in making a person-centred plan for the care of older adults. Objectives. Establish the prevalence of IC among community-dwelling older adults age >60, the prevalence of impairment in each domain, and identify factors associated with an impairment in IC. Methods. This cross-sectional observational study in the community setting included 1000 older adults aged 60 years and above in two-year study period. The 6 domains of IC including cognition, locomotor capacity, psychological, vitality, hearing, and vision were derived from the comprehensive geriatric assessment. The IC composite score was calculated based on these domains, and a higher IC score indicated greater IC. Results. During the study period, 1000 older adults, with the median age of 66.5 (IQR-63-73) were included, and 629 (62.9%) were women. Only in 157 (15.7%) community-dwelling older adults, all 6 domains were intact. Impairment in one, two, and three domains was seen in 442 (42.2%), 305 (30.5%), and 91 (9.1%), respectively. The most prevalent impaired domain was locomotor (593, 59.3%), followed by vision (441, 44.1%), hearing (193, 19.3%), cognition (106, 10.6%), mood (38, 3.8%), and vitality (37, 3.7%). The factors associated with lower IC included increasing age (β-coefficient −0.01, 95% CI: −0.02 to −0.01, p value = 0.002), impaired activities of daily living (β-coefficient −0.13, 95% CI: −0.49 to −0.18, p value <0.001), and chronic neurologic illness (β-coefficient −0.10, 95% CI: −0.77 to −0.18, p value = 0.001). Conclusions. In conclusion, we found that impairment in IC was frequent in community-dwelling older adults, and it is associated with age, presence of chronic neurologic illness, and declining functionality. The adoption of IC should be seen as an opportunity to disseminate geriatric care in our healthcare systems which lack the necessary attention to the needs of older persons.

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“…The domain of cognition was assessed using Hindi-Mental Status Examination (HMSE) [ 11 , 12 ]. The locomotor capacity was evaluated using the timed-up and go-test [ 13 , 14 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India

Rao

Waris

Saini

et al. 2023

Current Gerontology and Geriatrics Research

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“…Greene Climacteric Scale 25 was used to record the presence and intensity of 21 menopausal symptoms experienced by women on the scale of 0 to 3 (0 for not at all, 1-a little, 2-quite a bit, and 3-extremely). All these symptoms were categorized into four clusters, ie, psychological (sum of items 1-11), somatic (sum of items [12][13][14][15][16][17][18], vasomotor (sum of items [19][20], and loss of interest in sex (item 21). The psychological cluster was further subdivided into two subclusters: anxiety subcluster (sum of items 1-6) and depression subcluster (sum of items 7-11).…”

Section: Menopausal Symptomsmentioning

confidence: 99%

“…17 Therefore, the Hindi Mini-Mental State Examination 18 scale is a highly acceptable and relevant tool for assessing the global cognitive performance of the rural population with lower literacy levels. 19 Limited studies have been conducted to investigate the impact of menopausal symptoms on the cognitive performance and have presented conflicting results. As some of the researchers reported lack of association, 20 while others 13,14,[21][22][23] indicated a negative association between the occurrence of menopausal symptoms and cognitive abilities of the women.…”

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confidence: 99%

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Is cognitive performance of women sensitive to the severity of menopausal symptoms?

Kaur

2022

Menopause

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Objective: Menopause is a natural phenomenon among women during their midlife, which is accompanied by unfavorable physical, physiological, and psychological consequences. Therefore, the major aim of the present crosssectional study was to examine whether the cognitive performance of women is sensitive to the severity of menopausal symptoms.Methods: A total number of 404 rural women aged between 40 and 65 years were included in the present study. The menopausal symptoms and cognitive performance of the women were assessed using the Greene Climacteric Scale and Hindi Mini-Mental State Examination scale respectively.Results: The results of the present study demonstrated that women experiencing severe menopausal symptoms (higher Total Greene climacteric score) presented significantly lower mean values for orientation (8.11 vs 8.90, P < 0.001), registration (2.77 vs 2.91, P < 0.001), attention (4.31 vs 4.48, P < 0.01), recall (2.26 vs 2.53, P < 0.05), and language/visuo-spatial skills (7.13 vs 7.91, P < 0.001) as compared with their counterparts with mild menopausal symptoms. The multivariate linear regression model (after adjustment for age, marital status, and educational status) recorded severe depression and greater sexual dysfunction as the factors significantly associated with lower Mini-Mental State Examination scores.Conclusion: Hence, the findings of the present study indicated that the cognitive performance of women was sensitive to severe depression and sexual dysfunction.

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Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

Tak

Rohilla

Jhanwar

2021

Journal of Family Medicine and Primary Care

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Objective: Cognitive screening in elderly patients receiving treatment for chronic medical conditions in a busy outpatient clinical setting is crucial to detect dementia at an earlier stage. Although Hindi Mini-Mental State Examination (HMSE) is an established screening tool for the geriatric population in India, but cannot be administered with the informant. Our study aims to compare two screening instruments, Informant based - Eight-item Interview to Differentiate Aging and Dementia (AD8) and HMSE among elderly patients attending medical outpatient service (OPD) in a tertiary care hospital. Method: A total of 776 subjects aged ≥65 years and receiving treatment from medicine OPD in a tertiary care hospital were screened for dementia using AD8 and HMSE. The clinical diagnosis was established after detailed clinical assessment using ICD-10 criterion. Sensitivity and specificity were calculated for both screening tools and ROC curves were plotted considering ICD-10 diagnosis as the gold standard. Results: Comparison of receiver operating characteristic (ROC) curves showed that HMSE (AUC = 0.77) were better than AD8 (AUC = 0.61) in detecting dementia. Although increasing the cut-off value of AD8 from a recommended score of ≥2 to ≥3 improved sensitivity from 35% to 48.9%, high false-positive rate limited its utility as a cognitive screening tool. Conclusion: Although AD8 is easy to use and quickly administered with either patient or informant, it does not seem to be a suitable cognitive screening test for Indian elderly with chronic medical disorders. HMSE at a cut-off score of ≤23 is able to find out dementia among geriatric patients in a busy medical setting.

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Cognitive impairment among Hindi mental state examination positive community-dwelling rural older adults

Cited by 3 publications

References 15 publications

Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India

Prevalence and Factors Associated with Impairment in Intrinsic Capacity among Community-Dwelling Older Adults: An Observational Study from South India

Is cognitive performance of women sensitive to the severity of menopausal symptoms?

Comparison of two screening instruments to detect dementia in Indian elderly subjects in a clinical setting

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