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拉丁美洲老年人认知障碍的相关因素:一项关于新冠疫情居家隔离的横断面观察性研究。

Factors associated with cognitive impairment in Latin American older adults: A cross-sectional observational study of COVID-19 confinement.

作者信息

Ramos-Henderson Miguel, Soto-Añari Marcio, Herrera-Pino Jorge, Porto María F, Camargo Loida, Hesse Heike, Ferrel-Ortega Robert, Quispe-Ayala Cesar, García de la Cadena Claudia, Mendoza-Ruvalcaba Neyda, Caldichoury Nicole, Castellanos Cesar, Varón Claudia, Aguilar Dolores, Antezana Regulo, Martinez Juan, Román Norbel, Boza Carolina, Ducassou Alejandro, Saldías Carol, López Norman

机构信息

Centro de Investigación e Innovación en Gerontología Aplicada (CIGAP) Facultad de Salud Universidad Santo Tomás Antofagasta Chile.

Departamento de Psicología Universidad Católica San Pablo Arequipa Perú.

出版信息

Alzheimers Dement (Amst). 2023 Apr 14;15(2):e12427. doi: 10.1002/dad2.12427. eCollection 2023 Apr-Jun.

Abstract

INTRODUCTION

The effects of COVID-19 confinement have been severe, especially in older adults. Therefore, we analyzed the factors associated with cognitive impairment (CI) in Latin America (LA).

METHODS

We conducted a cross-sectional observational study with a total of 5245 older adults from 10 countries in LA.

MEASUREMENT

We used the Telephone Montreal Cognitive Assessment (T-MoCA) and the Eight-item Informant Interview to Differentiate Aging and Dementia (AD8) scale.

RESULTS

We found that age, depressive symptomatology, bone fractures, being widowed, having a family member with dementia, and unemployment were associated with an increased risk of CI. In contrast, higher education, hypertension with continuous treatment, quarantine, and keeping stimulating cognitive and physical activities were associated with a lower probability of CI. No significant association was found between suffering from diabetes or being retired and CI.

DISCUSSION

It is essential to conduct follow-up studies on these factors, considering their relationship with CI and the duration of confinement.

摘要

引言

新冠疫情封锁措施的影响十分严重,对老年人的影响尤甚。因此,我们分析了拉丁美洲(LA)地区与认知障碍(CI)相关的因素。

方法

我们开展了一项横断面观察性研究,共纳入了来自拉丁美洲10个国家的5245名老年人。

测量

我们使用了电话版蒙特利尔认知评估量表(T-MoCA)和用于区分衰老与痴呆的八项 informant 访谈量表(AD8)。

结果

我们发现,年龄、抑郁症状、骨折、丧偶、有患痴呆症的家庭成员以及失业与认知障碍风险增加相关。相比之下,高等教育、持续接受治疗的高血压、隔离以及保持刺激性的认知和体育活动与认知障碍概率较低相关。未发现患糖尿病或退休与认知障碍之间存在显著关联。

讨论

鉴于这些因素与认知障碍的关系以及封锁持续时间,对其进行随访研究至关重要。

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