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Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi

BACKGROUND: Mild cognitive impairment (MCI) is a transitional state between normal cognition and clinical dementia. MCI is associated with an increased risk of dementia and mortality. Progression of MCI to dementia can be prevented by cognitive and lifestyle interventions. There is limited evidence...

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Autores principales: Achary, MG Thejas, Kaur, Ravneet, Vibha, Deepti, Mani, Kalaivani, Kant, Shashi, Gupta, Sanjeev Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637611/
https://www.ncbi.nlm.nih.gov/pubmed/37970150
http://dx.doi.org/10.4103/ijcm.ijcm_8_23
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author Achary, MG Thejas
Kaur, Ravneet
Vibha, Deepti
Mani, Kalaivani
Kant, Shashi
Gupta, Sanjeev Kumar
author_facet Achary, MG Thejas
Kaur, Ravneet
Vibha, Deepti
Mani, Kalaivani
Kant, Shashi
Gupta, Sanjeev Kumar
author_sort Achary, MG Thejas
collection PubMed
description BACKGROUND: Mild cognitive impairment (MCI) is a transitional state between normal cognition and clinical dementia. MCI is associated with an increased risk of dementia and mortality. Progression of MCI to dementia can be prevented by cognitive and lifestyle interventions. There is limited evidence on the burden and risk factors associated with MCI in India. To estimate the prevalence of MCI among elderly persons, and to study the factors associated with MCI. MATERIALS AND METHODS: This community-based cross-sectional study was carried out among 365 persons aged 60 years or older, residing in an urban resettlement colony of Delhi. Participants with dementia (score <23 on the Hindi version of the Mini-Mental State Examination) were excluded. Objective cognitive impairment and functional disability were assessed by the Montreal Cognitive Impairment-Basic (MoCA-B) tool and Barthel’s Activities of Daily Living, respectively. The prevalence of MCI was estimated by Petersen’s criteria, i.e., subjective memory impairment, objective cognitive impairment (MoCA score 19–25), functional independence, and absence of dementia. Univariate analysis was performed, followed by stepwise multivariate logistic regression. The association of socio-demographic and other health conditions with MCI was assessed. RESULTS: The prevalence of MCI was 9.3% [95% confidence interval (CI) 6.7–12.7], 13.3% (95% CI 8.8–19.7) among men, and 6.5% (95% CI 3.9–10.6) among women. The risk of MCI was higher among current smokers. CONCLUSIONS: MCI was common among the elderly. Early detection of MCI may be included in health programs for elderly persons.
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spelling pubmed-106376112023-11-15 Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi Achary, MG Thejas Kaur, Ravneet Vibha, Deepti Mani, Kalaivani Kant, Shashi Gupta, Sanjeev Kumar Indian J Community Med Original Article BACKGROUND: Mild cognitive impairment (MCI) is a transitional state between normal cognition and clinical dementia. MCI is associated with an increased risk of dementia and mortality. Progression of MCI to dementia can be prevented by cognitive and lifestyle interventions. There is limited evidence on the burden and risk factors associated with MCI in India. To estimate the prevalence of MCI among elderly persons, and to study the factors associated with MCI. MATERIALS AND METHODS: This community-based cross-sectional study was carried out among 365 persons aged 60 years or older, residing in an urban resettlement colony of Delhi. Participants with dementia (score <23 on the Hindi version of the Mini-Mental State Examination) were excluded. Objective cognitive impairment and functional disability were assessed by the Montreal Cognitive Impairment-Basic (MoCA-B) tool and Barthel’s Activities of Daily Living, respectively. The prevalence of MCI was estimated by Petersen’s criteria, i.e., subjective memory impairment, objective cognitive impairment (MoCA score 19–25), functional independence, and absence of dementia. Univariate analysis was performed, followed by stepwise multivariate logistic regression. The association of socio-demographic and other health conditions with MCI was assessed. RESULTS: The prevalence of MCI was 9.3% [95% confidence interval (CI) 6.7–12.7], 13.3% (95% CI 8.8–19.7) among men, and 6.5% (95% CI 3.9–10.6) among women. The risk of MCI was higher among current smokers. CONCLUSIONS: MCI was common among the elderly. Early detection of MCI may be included in health programs for elderly persons. Wolters Kluwer - Medknow 2023 2023-09-07 /pmc/articles/PMC10637611/ /pubmed/37970150 http://dx.doi.org/10.4103/ijcm.ijcm_8_23 Text en Copyright: © 2023 Indian Journal of Community Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Achary, MG Thejas
Kaur, Ravneet
Vibha, Deepti
Mani, Kalaivani
Kant, Shashi
Gupta, Sanjeev Kumar
Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title_full Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title_fullStr Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title_full_unstemmed Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title_short Mild Cognitive Impairment among Elderly Persons Residing in an Urban Resettlement Colony in Delhi
title_sort mild cognitive impairment among elderly persons residing in an urban resettlement colony in delhi
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637611/
https://www.ncbi.nlm.nih.gov/pubmed/37970150
http://dx.doi.org/10.4103/ijcm.ijcm_8_23
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