Factores asociados al deterioro cognitivo en personas mayores en Chile

Background: The risk factors for the development of cognitive impairment are not well known. Aim: To identify socio-demographic, lifestyle and health-related factors associated with cognitive impairment in older Chilean adults. Material and Methods: Data analysis of 1,384 participants ≥...

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Autores principales: Martínez-Sanguinetti,María Adela, Leiva,Ana María, Petermann-Rocha,Fanny, Troncoso-Pantoja,Claudia, Villagrán,Marcelo, Lanuza-Rilling,Fabián, Nazar,Gabriela, Poblete-Valderrama,Felipe, Díaz-Martínez,Ximena, Celis-Morales,Carlos
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2019
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801013
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spelling oai:scielo:S0034-988720190008010132019-10-24Factores asociados al deterioro cognitivo en personas mayores en ChileMartínez-Sanguinetti,María AdelaLeiva,Ana MaríaPetermann-Rocha,FannyTroncoso-Pantoja,ClaudiaVillagrán,MarceloLanuza-Rilling,FabiánNazar,GabrielaPoblete-Valderrama,FelipeDíaz-Martínez,XimenaCelis-Morales,Carlos Aged Cognitive Dysfunction Life Style Multimorbidity Background: The risk factors for the development of cognitive impairment are not well known. Aim: To identify socio-demographic, lifestyle and health-related factors associated with cognitive impairment in older Chilean adults. Material and Methods: Data analysis of 1,384 participants &#8805; 60 years who participated in the National Health Survey of Chile 2009-2010. Sociodemographic, lifestyle and health-related factors were used as exposure variables of interest. Cognitive impairment was assessed using an abbreviated version of the Mini Mental test and defined as a score < 13 points of a maximum of 19. A logistic regression was used to identify factors associated with cognitive impairment. Results: In this sample, the prevalence of cognitive impairment was 11.6 [95% confidence intervals (CI): 8.8; 15.2]. The factors associated with cognitive impairment were age (Odds ratio (OR) for > 76 years: 4.89, p < 0.01), male sex (OR: 2.42, p = 0.02), lower education (OR: 21.6, p < 0.01), physical inactivity (OR: 2.07, p = 0.02), sedentary behavior (OR: 2.23, p = 0.01), sleeping > 9/hours/day (OR: 2.98, p = 0.01), consumption of < 5 portions/day of fruit and vegetables (OR: 2.02, p = 0.05), having an unhealthy lifestyle (OR: 6.10, p = 0.0001), being underweight (OR: 3.67, p < 0.01), obesity (OR: 3.32, p = 0.03), having hearing impairment (OR: 2.26, p = 0.02), having a visual impairment (OR: 3.89, p < 0.01), a history of depression (OR: 3.03, p = 0.01) and having a physical disability (OR: 5.63, p < 0.01). Conclusions: We identified 14 factors associated with cognitive impairment. Although some of these factors were non-modifiable such as age and sex, most of them could be modified by implementing prevention programs aiming to improve lifestyle behaviors in older adults in Chile.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.8 20192019-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801013es10.4067/S0034-98872019000801013
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Aged
Cognitive Dysfunction
Life Style
Multimorbidity
spellingShingle Aged
Cognitive Dysfunction
Life Style
Multimorbidity
Martínez-Sanguinetti,María Adela
Leiva,Ana María
Petermann-Rocha,Fanny
Troncoso-Pantoja,Claudia
Villagrán,Marcelo
Lanuza-Rilling,Fabián
Nazar,Gabriela
Poblete-Valderrama,Felipe
Díaz-Martínez,Ximena
Celis-Morales,Carlos
Factores asociados al deterioro cognitivo en personas mayores en Chile
description Background: The risk factors for the development of cognitive impairment are not well known. Aim: To identify socio-demographic, lifestyle and health-related factors associated with cognitive impairment in older Chilean adults. Material and Methods: Data analysis of 1,384 participants &#8805; 60 years who participated in the National Health Survey of Chile 2009-2010. Sociodemographic, lifestyle and health-related factors were used as exposure variables of interest. Cognitive impairment was assessed using an abbreviated version of the Mini Mental test and defined as a score < 13 points of a maximum of 19. A logistic regression was used to identify factors associated with cognitive impairment. Results: In this sample, the prevalence of cognitive impairment was 11.6 [95% confidence intervals (CI): 8.8; 15.2]. The factors associated with cognitive impairment were age (Odds ratio (OR) for > 76 years: 4.89, p < 0.01), male sex (OR: 2.42, p = 0.02), lower education (OR: 21.6, p < 0.01), physical inactivity (OR: 2.07, p = 0.02), sedentary behavior (OR: 2.23, p = 0.01), sleeping > 9/hours/day (OR: 2.98, p = 0.01), consumption of < 5 portions/day of fruit and vegetables (OR: 2.02, p = 0.05), having an unhealthy lifestyle (OR: 6.10, p = 0.0001), being underweight (OR: 3.67, p < 0.01), obesity (OR: 3.32, p = 0.03), having hearing impairment (OR: 2.26, p = 0.02), having a visual impairment (OR: 3.89, p < 0.01), a history of depression (OR: 3.03, p = 0.01) and having a physical disability (OR: 5.63, p < 0.01). Conclusions: We identified 14 factors associated with cognitive impairment. Although some of these factors were non-modifiable such as age and sex, most of them could be modified by implementing prevention programs aiming to improve lifestyle behaviors in older adults in Chile.
author Martínez-Sanguinetti,María Adela
Leiva,Ana María
Petermann-Rocha,Fanny
Troncoso-Pantoja,Claudia
Villagrán,Marcelo
Lanuza-Rilling,Fabián
Nazar,Gabriela
Poblete-Valderrama,Felipe
Díaz-Martínez,Ximena
Celis-Morales,Carlos
author_facet Martínez-Sanguinetti,María Adela
Leiva,Ana María
Petermann-Rocha,Fanny
Troncoso-Pantoja,Claudia
Villagrán,Marcelo
Lanuza-Rilling,Fabián
Nazar,Gabriela
Poblete-Valderrama,Felipe
Díaz-Martínez,Ximena
Celis-Morales,Carlos
author_sort Martínez-Sanguinetti,María Adela
title Factores asociados al deterioro cognitivo en personas mayores en Chile
title_short Factores asociados al deterioro cognitivo en personas mayores en Chile
title_full Factores asociados al deterioro cognitivo en personas mayores en Chile
title_fullStr Factores asociados al deterioro cognitivo en personas mayores en Chile
title_full_unstemmed Factores asociados al deterioro cognitivo en personas mayores en Chile
title_sort factores asociados al deterioro cognitivo en personas mayores en chile
publisher Sociedad Médica de Santiago
publishDate 2019
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000801013
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