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Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter?
Background: To examine the associations of visual and hearing functions, and frailty with subjective memory complaints (SMCs) in a community primary care pilot project of older people aged 60 years and over. Methods: The study was conducted in 24 community centers. A total of 1949 community-dwelling...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406914/ https://www.ncbi.nlm.nih.gov/pubmed/30813474 http://dx.doi.org/10.3390/ijerph16040662 |
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author | Yu, Ruby Woo, Jean |
author_facet | Yu, Ruby Woo, Jean |
author_sort | Yu, Ruby |
collection | PubMed |
description | Background: To examine the associations of visual and hearing functions, and frailty with subjective memory complaints (SMCs) in a community primary care pilot project of older people aged 60 years and over. Methods: The study was conducted in 24 community centers. A total of 1949 community-dwelling older people aged between 60–97 years were evaluated for which detailed information regarding socio-demographics, lifestyle, and clinical factors were documented at baseline and an average of 12 months later. SMCs were assessed using the 5-item Abbreviated Memory Inventory for the Chinese (AMIC). Visual and hearing functions were measured with two separate single questions. Frailty was assessed using a simple frailty question (FRAIL). Results: At baseline, 1685 (74.6%) participants had reported at least 3 SMCs (AMIC score ≥ 3). Of the 573 participants without / with 1–2 SMCs (AMIC score = 0–2) at baseline, 75 had incomplete data regarding SMCs and 190 developed at least 3 SMCs after 12 months. After adjustments for age, sex, marital status, educational level, hypertension, and diabetes at baseline, poor vision (OR 2.2 95% CI 1.8–2.7), poor hearing (OR 2.2 95% CI 1.8–2.8), and frailty (OR 4.6 95% CI 3.1–6.7) at baseline were each significantly associated with an increased risk of at least 3 SMCs at follow-up. After a further adjustment for baseline SMCs, the associations remained significant. Similar results were obtained when incident SMCs and improvement in subjective memory were used as the outcome variables; and Conclusions: In the care of older people, detection of sensory impairment and frailty through screening may allow formulation of strategies to prevent or delay the onset of cognitive decline. |
format | Online Article Text |
id | pubmed-6406914 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64069142019-03-21 Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? Yu, Ruby Woo, Jean Int J Environ Res Public Health Article Background: To examine the associations of visual and hearing functions, and frailty with subjective memory complaints (SMCs) in a community primary care pilot project of older people aged 60 years and over. Methods: The study was conducted in 24 community centers. A total of 1949 community-dwelling older people aged between 60–97 years were evaluated for which detailed information regarding socio-demographics, lifestyle, and clinical factors were documented at baseline and an average of 12 months later. SMCs were assessed using the 5-item Abbreviated Memory Inventory for the Chinese (AMIC). Visual and hearing functions were measured with two separate single questions. Frailty was assessed using a simple frailty question (FRAIL). Results: At baseline, 1685 (74.6%) participants had reported at least 3 SMCs (AMIC score ≥ 3). Of the 573 participants without / with 1–2 SMCs (AMIC score = 0–2) at baseline, 75 had incomplete data regarding SMCs and 190 developed at least 3 SMCs after 12 months. After adjustments for age, sex, marital status, educational level, hypertension, and diabetes at baseline, poor vision (OR 2.2 95% CI 1.8–2.7), poor hearing (OR 2.2 95% CI 1.8–2.8), and frailty (OR 4.6 95% CI 3.1–6.7) at baseline were each significantly associated with an increased risk of at least 3 SMCs at follow-up. After a further adjustment for baseline SMCs, the associations remained significant. Similar results were obtained when incident SMCs and improvement in subjective memory were used as the outcome variables; and Conclusions: In the care of older people, detection of sensory impairment and frailty through screening may allow formulation of strategies to prevent or delay the onset of cognitive decline. MDPI 2019-02-24 2019-02 /pmc/articles/PMC6406914/ /pubmed/30813474 http://dx.doi.org/10.3390/ijerph16040662 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Yu, Ruby Woo, Jean Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title | Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title_full | Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title_fullStr | Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title_full_unstemmed | Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title_short | Cognitive Assessment of Older People: Do Sensory Function and Frailty Matter? |
title_sort | cognitive assessment of older people: do sensory function and frailty matter? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406914/ https://www.ncbi.nlm.nih.gov/pubmed/30813474 http://dx.doi.org/10.3390/ijerph16040662 |
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