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

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.