Determinants of cognitive impairment among adults 50 years and older in Thailand.
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Abstract
One of the major causes of disability and dependency in older people worldwide is dementia. However, few studies have been conducted on determinants of cognitive impairment among people 50 years and older. The purpose of this study was to describe the prevalence and explain determinants of cognitive impairment among adults aged 50 years and older in Thailand. A crosssectional study was conducted from September 2015 to March 2016. The participants was randomly selected from sixteen districts, fourteen provinces across four regions of Thailand. A total of 3021 completed questionnaires were used for analysis. Cognitive impairment was measured by the Montreal Cognitive Assessment (MoCA) and established questionnaire from the study of Global Ageing 2014 (SAGE). The prevalence of cognitive impairment was 23.20%. Four variables were associated with cognitive impairment as aged 65 years and older, female, without spouse, and low frequency of social interaction attended. Multiple logistic regression revealed that aged 65 years and older (AOR: 1.61, 95% CI: 1.35-1.93), female (AOR: 1.41, 95% CI: 1.16–1.70), completed primary school and lower (AOR: 0.73, 95% CI: 0.55-0.96), and low frequency of social interaction attended (AOR: 1.25, 95% CI: 0.98-1.60) were found to be significant predictor of cognitive impairment among adults aged 50 years and older. Annual screening for cognitive impairment of adults aged 50 years and older should be done. Provide health promotion in risk group and care for older cases with impaired cognitive function to achieve well-being in their lives.
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References
World Health Organization, The World Health Report: Pri-mary Health Care Now More Than Ever, Geneva, Switzerland(2008).
World Health Organization, The epidemiology and impact of dementia: Current state and future trends Geneva, Switzerland World Health Organization (2015).
World Alzheimer Report, The Global Impact of Dementia An analysis of prevalence, incidence, cost and trends, Available from: https://www.alz.co.uk/research/WorldAlzheimer-Report2015.pdf (2015).
Alzheimer’s Association, Alzheimer’s Disease Facts and Figures (2014).
Alzheimer’s Disease International, World Alzheimer Report 2011: The benefits of esrly diagnosis and intervention, Available from: http://www.alz.co.uk/research/world-report-2011
R. Brookmeyer, E. Johnson, K. Ziegler Graham, H. M. Arrighi, Forecasting the global burden of Alzheimer’s disease.Alzheimer’s and Dementia 3(3) (2007) 186–91.
KI. Seeher, A. Withall, H. Brodaty, The dementia research mapping project the 2010 update: final reports, Sydney: Dementia Collaborative Research Centre, University of New South Wale(2010).
B. Draper, Understanding Alzheimer’s & other dementias.Woollahra: Longueville Books (2011).
W. A. Report, He Global Prevalence of Dementia, Availablefrom: http://www.alz.co.uk/research/world-report-2009.
J. P. Warner, R. Butler, S. Gupta, Dementia, BMJ clinical evidence (2010).
K. J. Joling, H. P. J. Van Hout, F. G. Schellevis, H. E. Van DerHorst, P. Scheltens, D. L. Knol, et. al., Incidence of depression and anxiety in the spouses of patients with dementia: A natural-istic cohort study of recorded morbidity with a 6-year followup, American Journal of Geriatric Psychiatry 18(2) (2010) 146-53.
A. M. Kolanowski, D. Fick, J. L. Waller, D. Shea, Spouses of persons with dementia: Their healthcare problems, utilization,and costs, Research in Nursing and Health 27(5) (2004) 296-306.
Alzheimer’s Disease International, An analysis of long-term care for dementia, Available from: http://www.alz.co.uk/research/world-report-2013.
Health Systems Research Institute of Thailand, Health survey,Health Systems Research Institute of Thailand (2014).
National Statistical Office of Thailand, Population survey in 2010, National Statistical Office of Thailand (2010).
V. Senanarong, K. Harnphadungkit, N. Poungvarin, S. Vannasaeng, S. Chongwisal, T. Chakorn, et. al., The dementia and disability project in Thai elderly: Rational, design, methodol-ogy and early results, BMC Neurology 13 (2013).
W. Muangpaisan, R. Praditsuwan, J. Assanasen, V. Srinonprasert, P. Assantachai, S. Intalapaporn, et. al., Caregiver burden and needs of dementia caregivers in Thailand: A cross sectional study. Journal of the Medical Association of Thailand 93(5) (2010) 601-7.
B. J. Small, R. A. Dixon, J. J. McArdle, Tracking cognition health changes from 55 to 95 years of age, The Journals of Gerontology Series B, Psychological sciences and social sciences 66 (2011) Suppl 1:i153-61.
B. B. Simmons, B. Hartmann, D. Dejoseph, Evaluation ofsuspected dementia, American Family Physician 84(8) (2011)895-902.
M. M. Weissman, J. K. Myers, G. L. Tischler, C. E. Holzer,P. J. Leaf, H. Orvaschel, et. al., Psychiatric disorders (DSM III)and cognitive impairment among the elderly in a U.S. urbancommunity, Acta Psychiatrica Scandinavica 71(4) (1985) 366-79.
L. E. Middleton, K. Yaffe, Targets for the prevention of de-mentia, Journal of Alzheimer’s Disease 20(3) (2010) 915-24.
F. Mangialasche, M. Kivipelto, A. Solomon, L. Fratiglioni,Dementia prevention: Current epidemiological evidence and future perspective, Alzheimer’s Research and Therapy 4(1)(2012).
P. Kowal, S. Chatterji, N. Naidoo, R. Biritwum, W. Fan, R. L.Ridaura, et. al., Data resource profile: The world health organization study on global ageing and adult health (SAGE), International Journal of Epidemiology 41(6) (2012) 1639-49.
S. Tangwongchai, T. Charernboon, M. Phanasathit, L.Akkayagorn, S. Hemrungrojn, K. Phanthumchinda, et. al., The validity of Thai version of the Montreal Cognitive Assessment(MoCA), Dement Neuropsychol 3(2) (2009) 172.
Z. S. Nasreddine, N. A. Phillips, V. B`edirian, S. Charbonneau,V. Whitehead, I. Collin, et. al., The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment, Journal of the American Geriatrics Society 53(4) (2005)695-9.
K. Kitamura, Y. Watanabe, K. Nakamura, K. Sanpei, M.Wakasugi, A. Yokoseki, et al., Modifiable Factors Associated with Cognitive Impairment in 1,143 Japanese Outpatients: TheProject in Sado for Total Health (PROST), Dementia and Geri-atric Cognitive Disorders Extra 6(2) (2016) 341-9.
A. K. Rashid, A. M. Azizah, S. Rohana, Cognitive impair-ment among the elderly malays living in rural Malaysia, Medical Journal of Malaysia 67(2) (2012) 186-9.
J. Bai, P. Wei, N. Zhao, Y. Xiao, C. Yang, J. Zhong, et. al., A study of mild cognitive impairment in veterans: role of hypertension and other confounding factors, Aging, Neuropsychology, and Cognition 23(6) (2016) 703-15.
Z. Shi, Y. Zhang, W. Yue, M. Liu, Y. R. Huo, S. Liu, et. al.,Prevalence and clinical predictors of cognitive impairment in individuals aged 80 years and older in rural China, Dementiaand Geriatric Cognitive Disorders 36(3-4) (2013) 171-8.
A. Lobo, P. Saz, G. Marcos, J. L. D ́ia, C. De-La-Camara, T.Ventura, et. al., The ZARADEMP Project on the incidence,prevalence and risk factors of dementia (and depression) inthe elderly community: II. Methods and first results, European Journal of Psychiatry 19(1) (2005) 40-54.
L. E. Hebert, J. L. Bienias, N. T. Aggarwal, R. S. Wilson, D.A. Bennett, R. C. Shah, et. al., Change in risk of Alzheimer disease over time, Neurology 75(9) (2010) 786-91.
L. E. Hebert, J. Weuve, P. A. Scherr, D. A. Evans, Alzheimerdisease in the United States (2010-2050) estimated using the 2010 census, Neurology 80(19) (2013) 1778-83.
Screening for cognitive impairment in older adults: Recom-mendation statement, American Family Physician 91(6) (2015)388E-H.
Y. Ji, Z. Shi, Y. Zhang, S. Liu, S. Liu, W. Yue, et. al., Prevalence of dementia and main sub types in rural northern China,Dementia and Geriatric Cognitive Disorders 39(5-6) (2015)294-302.
M. S. Sherina, L. Rampal, A. Mustaqim, Cognitive impairment among the elderly in a rural community in Malaysia, Medical Journal of Malaysia 59(2) (2004) 252-7.
V. W. Henderson, Estrogens, episodic memory, and alzheimer’s disease: A critical update, Seminars in Reproductive Medicine 27(3) (2009) 283-93.
L. Ren, Y. Zheng, L. Wu, Y. Gu, Y. He, B. Jiang, et. al., Investigation of the prevalence of Cognitive Impairment and its risk factors within the elderly population in Shanghai, China.Scientific Reports volume 8, Article number: 3575. Scientific Reports volume 8, Article number: 3575; 2018. Report No.:Scientific Reports volume 8, Article number: 3575.
L. Fratiglioni, H. X. Wang, K. Ericsson, M. Maytan, B. Winblad, Influence of social network on occurrence of dementia: A community-based longitudinal study. Lancet 355(9212) (2000)1315-9.
L. E. Middleton, K. Yaffe, Promising strategies for the prevention of dementia, Archives of Neurology 66(10) (2009) 1210-5.
S. A. van Hooren, A. M. Valentijn, H. Bosma, R. W. Ponds, M.P. van Boxtel, J. Jolles, Cognitive functioning in healthy older adults aged 64-81: a cohort study into the effects of age, sex,and education, Neuro psychology, development, and cognition Section B, Aging, neuro psychology and cognition 14(1) (2007)40-54.
H. Litwin, K. J. Stoeckel, Social network, activity participation, and cognition: A complex relationship, Research on Aging 38(1) (2016) 76-97.
H. X. Wang, Y. Jin, H. C. Hendrie, C. Liang, L. Yang, Y.Cheng, et. al., Late life leisure activities and risk of cognitive decline, Journals of Gerontology - Series A Biological Sciencesand Medical Sciences 68(2) (2013) 205-13.
J. L ̈u, W. Fu, Y. Liu, Physical activity and cognitive function among older adults in China: A systematic review, Journal ofSport and Health Science 5(3) (2016) 287-96.