Risk factors associated with cognitive impairment in aged: Cross-sectional study

Authors

  • Moises Moreno-Noguez <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 55, Departamento de Ense&ntilde;anza. Zumpango, Estado de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-8436-7015
  • Juan Castillo-Cruz <p>Instituto Polit&eacute;cnico Nacional, Facultad de Medicina, Unidad de Posgrado. Ciudad de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-4943-4374
  • Luis Rey García-Cortés <p>Instituto Mexicano del Seguro Social, &Oacute;rgano de Operaci&oacute;n Administrativa Desconcentrada Regional Estado de M&eacute;xico Oriente, Jefatura de Prestaciones M&eacute;dicas. Naucalpan, Estado de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0003-3325-1458
  • Haynna Raquel Gómez-Hernández <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 52, Consulta Externa. Cuautitl&aacute;n Izcalli, Estado de M&eacute;xico, M&eacute;xico.</p> http://orcid.org/0000-0002-4009-6209

DOI:

https://doi.org/10.5281/

Keywords:

Cross-Sectional Studies, Cognitive Dysfunction, Risk Factors, Aged

Abstract

Background: With the increase in life expectancy, conditions related to older age have increased in incidence, one of these pathologies is Cognitive Impairment (CI), which has a prevalence of up to 28%, conditions that increase the presence of CI are known. However, there is controversy about the factors that increase the risk of CI.

Objective: To determine the factors associated with cognitive impairment in older adults.

Material and methods: We conducted a cross-sectional, analytical, observational, retroprolective study that included adults ≥65 years of age, with no history of cerebral vascular event, cranioencephalic trauma. Demographic factors were analyzed, CI was assessed with the Mini Mental State Examination test.

Results: 420 older adults were included, 61% were women, 32.6% with age >75 years, 84.5% with schooling <9 years, in the multiple logistic regression the following were independent factors for the presence of mild CI: dependence on basic activities of daily living (ADLs) with OR 5.88, absence of cognitive stimulation RM 4.50, age >75 years OR 2.92, polypharmacy OR 2.16, uncontrolled blood pressure OR 1.92.

Conclusion: ADLs dependence, absence of cognitive stimulation, age >75 years, polypharmacy and uncontrolled blood pressure are risk factors associated with CI in older adults.

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Author Biographies

  • Moises Moreno-Noguez, <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 55, Departamento de Ense&ntilde;anza. Zumpango, Estado de M&eacute;xico, M&eacute;xico.</p>

    Médico Familiar

    Coordinador Clínico de Educación e Investigación en Salud en UMF 

  • Juan Castillo-Cruz, <p>Instituto Polit&eacute;cnico Nacional, Facultad de Medicina, Unidad de Posgrado. Ciudad de M&eacute;xico, M&eacute;xico.</p>

    Profesor de Asignatura 

    Laboratorio 107 de señalización intracelular 

    Escuela Superior de Medicina 

    Sección de Estudios de Posgrado e Investigación

    Instituto Politécnico Nacional

  • Luis Rey García-Cortés, <p>Instituto Mexicano del Seguro Social, &Oacute;rgano de Operaci&oacute;n Administrativa Desconcentrada Regional Estado de M&eacute;xico Oriente, Jefatura de Prestaciones M&eacute;dicas. Naucalpan, Estado de M&eacute;xico, M&eacute;xico.</p>

    Maestro en investigación clínica.

    Coordinador Auxiliar Médico de Investigación en Salud

  • Haynna Raquel Gómez-Hernández, <p>Instituto Mexicano del Seguro Social, Unidad de Medicina Familiar No. 52, Consulta Externa. Cuautitl&aacute;n Izcalli, Estado de M&eacute;xico, M&eacute;xico.</p>

    Médico Familiar. 

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Published

2023-09-18

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