The Prevalence of Cognitive Impairment among Older Adults in Jamaica

Waldron, Norman; Laws, Hazel; James, Kenneth; Willie-Tyndale, Douladel; Holder-Nevins, D; Mitchell-Fearon, Kathryn; Abel, WD; Eldemire-Shearer, Denise

doi:10.7727/wimjopen.2014.003

Cited by 10 publications

(18 citation statements)

References 41 publications

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“…This finding is in agreement with other studies. 20,35,49,51,52,56,58 This might be due to decline in gray matter volume, neurotransmitter, and neocortical synapses during aging which result in cognitive impairment. [59][60][61]…”

Section: Discussionmentioning

confidence: 99%

Cognitive Impairment and Associated Factors Among Chronic Kidney Disease Patients: A Comparative Cross-Sectional Study

Gela¹,

Getu²,

Adane³

et al. 2021

NDT

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Background: Cognitive impairment is one of the public health problems affecting 50 million people in the world. Chronic kidney disease (CKD) patients are at high risk to develop cognitive impairment which leads to poor quality of life, difficulty in adhering to medications, increased risk of mortality, and health resource utilization. However, there is no study done on the prevalence of cognitive impairment and associated factors among chronic kidney disease patients in Ethiopia. Objective: This study aimed to assess the prevalence of cognitive impairment and associated factors among chronic kidney disease patients at the University of Gondar Comprehensive Specialized and Felege Hiwot Referral Hospitals in 2020, Northwest Ethiopia, 2020. Methods: An institution-based comparative cross-sectional study was conducted at the University of Gondar Comprehensive Specialized and Felege Hiwot Referral Hospitals in 2020. A systematic random sampling technique was used to select the study participants. Data were collected using standard tools. Data were checked for its completeness and entered into Epi data version 3.0 then exported into STATA 14. Multi-variable logistic regression analysis was employed to identify associated factors of cognitive impairment among CKD patients, and variables having a p-value of ≤0.05 were declared as significant. Results: In this study, 116 CKD patients and 116 age, sex, and educational level matched controls were included with a response rate of 100%. The prevalence of cognitive impairment was 49.1% [95% CI (40%, 58.3%)] among CKD patients and 28.4% [95% CI (20.9%, 37.5%)] among controls. Independent predictors of cognitive impairment among CKD patients were estimated glomerular filtration (eGFR) <60mL/min/m 2 [AOR=3.9, 95% CI (1.1-14.74)], proteinuria [AOR=6.0, 95% 3)], age greater than 65 years [AOR=4.0, 95% CI (1.12-14.64)], and educational level of grade 8 and less [AOR= 4.7,]. Conclusion:The prevalence of cognitive impairment among CKD patients was higher than healthy controls. Cognitive impairment was higher among CKD patients with eGFR <60mL/ min/m 2 , proteinuria, educational level of grade 8 and less, and age greater than 65 years. Therefore, there is a need to have a regular evaluation and follow-up of CKD patients for cognitive impairment.

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Section: Discussionmentioning

confidence: 99%

Cognitive Impairment and Associated Factors Among Chronic Kidney Disease Patients: A Comparative Cross-Sectional Study

Gela¹,

Getu²,

Adane³

et al. 2021

NDT

View full text Add to dashboard Cite

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“…Furthermore, aging populations are also shown to be associated with increased odds of cognitive impairment over time . Decline in cognitive performance may increase the risk and fear of falling, dependence in activities of daily living, and decline in thinking skills …”

Section: Introductionmentioning

confidence: 99%

“…10 Decline in cognitive performance may increase the risk and fear of falling, dependence in activities of daily living, and decline in thinking skills. 11 Depression, loneliness, reduced cognitive function and quality of life, and sensory impairment are common in older adults. Thus, understanding the association of sensory impairment and depression, loneliness, cognitive function, and quality of life is important.…”

Section: Introductionmentioning

confidence: 99%

The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

Harithasan

Mukari

Ishak

et al. 2019

Int J Geriat Psychiatry

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Objectives The objective of this study was to evaluate the relationship between sensory impairment (hearing loss only, vision loss only, and dual sensory impairment [DSI]) and depression, loneliness, quality of life, and cognitive performance in older adults. Methods A total of 229 community‐dwelling older adults aged 60 years or older participated in this study. Variables were measured using the Geriatric Depression Scale (GDS‐15), Revised University of California at Los Angeles Loneliness Scale (R‐UCLA), Satisfaction with Life Scale (SWLS), and Mini‐Mental State Examination (MMSE). Results There was an independent association between DSI and quality of life (P < .05) and between DSI and hearing loss alone and cognitive function (P < .05) in older adults. In addition, higher education was associated with better quality of life and cognitive function. Conclusions DSI is a significant factor affecting the quality of life and cognitive function in older adults. Sociodemographic factors such as education play an important role in improving quality of life and cognitive function. Thus, increasing the awareness of this disability is important to ensure that older adults receive the necessary support services and rehabilitation to improve their level of independence.

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“…showed that 42.9% of the elderly had CI[ 20 ] and in another study among the inmates of old age home in Hyderabad, it was found to be 38%. [ 21 ] The prevalence of CI among community-dwelling older adults in Jamaica was found to be 32.2%,[ 22 ] whereas, in a study conducted in elderly care home in Malaysia, it was found to be 36.5%. [ 23 ] All these were more or less similar to our study.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 ] The study in Shimla hills showed that increasing age, educational level, and marital status acting as significant predictors of CI in the elderly. [ 22 ] Ferdous et al . in a study done in 457 elderly subjects in rural Bangladesh, found that poorer cognitive performance was independently associated with older age, female sex, and illiteracy.…”

Section: Discussionmentioning

confidence: 99%

Cognitive impairment and its predictors: A cross-sectional study among the elderly in a rural community of West Bengal

Dasgupta

Ghose

Paul

et al. 2020

J Family Med Prim Care

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Context: With the aging of Indian society, maintaining salubrious cognitive health in late life is a public health priority. Early detection and possible prevention of cognitive impairment (CI), thus, will help in increasing the quality of life of elderly people and decreasing the social, psychological, and economic burden of their families and caregivers. Aims: The study aimed to assess proportion of CI and its predictors. Settings and Design: This community-based cross-sectional study was conducted among 135 elderly people selected from 15 villages out of a total 64 villages in rural field practice area Singur of AIIH&PH, Kolkata. Methods and Material: Cluster sampling technique was used and villages were selected according to probability proportional to size method. Data was collected using a predesigned, pretested structured schedule, which included sociodemographic and behavioral variables, Montreal cognitive assessment tool, Geriatric depression scale short form (GDS 15), and mini nutritional assessment tool. Statistical Analysis Used: Predictors of CI were assessed by univariate and multivariable logistic regression using MS-Excel 2016 and SPSS version 16 software. Results: Mean age of the study participants was 67.03 ± 6.7 years with 51.9% of them being females. Proportion of CI was observed to be 48.1% which was significantly associated with increasing age [AOR = 1.1 (1.02–1.13)], decreasing years of schooling [AOR = 1.1 (1.01–1.2)], depression [AOR = 2.7 (1.3–5.8)], and malnourished group [AOR = 4.5 (1.01–20.3)] Conclusion: The burden of CI among the study population was found to be quite high. It is an alarming situation which needs improved screening facility for early detection. Nutritional upliftment and screening for depression should also be done on a regular basis.

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The Prevalence of Cognitive Impairment among Older Adults in Jamaica

Abstract: ABSTRACT

Cited by 10 publications

References 41 publications

Cognitive Impairment and Associated Factors Among Chronic Kidney Disease Patients: A Comparative Cross-Sectional Study

Cognitive Impairment and Associated Factors Among Chronic Kidney Disease Patients: A Comparative Cross-Sectional Study

The impact of sensory impairment on cognitive performance, quality of life, depression, and loneliness in older adults

Cognitive impairment and its predictors: A cross-sectional study among the elderly in a rural community of West Bengal

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