Factors associated with cognitive performance in elderly caregivers of the community

Abstract Objectives: To explore the socioeconomic, demographic and psychosocial factors associated with cognitive performance in elderly caregivers from Brazil. Methods: We evaluated 351 Brazilian elderly caregivers attending primary healthcare services regarding sociodemographic and care variables. Addenbrooke's Cognitive Examination-Revised (ACE-R) domains of orientation/attention, memory, verbal fluency, language and visuospatial were used as dependent variables in the Tobit model. Results: Literacy and family income were positively associated with all ACE-R domains. Age, gender, time of care (days/week) were negatively associated with some cognitive domains. Moreover, receiving emotional help and the level of hope were positively associated with specific domains. Discussion: The results may be useful for planning interventions aimed at elderly caregivers in order to prevent deficits in the different cognitive domains.

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Comparison of the cognitive performance of elderly caregivers with and without chronic pain

Revista da Escola de Enfermagem da USP ◽

10.1590/s1980-220x2016023203260 ◽

2017 ◽

Vol 51 (0) ◽

Author(s):

Marielli Terassi ◽

Estefani Serafim Rossetti ◽

Karina Gramani-Say ◽

Tiago da Silva Alexandre ◽

Priscilla Hortense ◽

...

Keyword(s):

Chronic Pain ◽

Data Collection ◽

Cognitive Performance ◽

Scientific Knowledge ◽

Elderly Person ◽

Family Health ◽

The Elderly ◽

Initial Hypothesis ◽

Objective Understanding ◽

Elderly Caregivers

Abstract OBJECTIVE Understanding and characterizing chronic pain in elderly caregivers, verifying the cognitive performance of the elderly of the sample and verifying whether there is difference in the cognitive performance of elderly caregivers with and without chronic pain. METHOD Participants were people aged 60 years or older who lived with another elderly person in the same household and who were registered in Family Health Units. Data collection took place at participants' homes. Pain was assessed by the EMADOR and cognition was assessed by ACE-R. Statistical analyzes were performed using Shapiro-Wilk's and Mann-Whitney U tests. RESULTS The study included 187 elderly caregivers with chronic pain and 133 without chronic pain, with a higher frequency of women. Chronic pain was present in 58.4% of the participants. Regarding the sociodemographic variables, there was no difference between the groups except for the gender variable (p=0.025). No difference was found in cognitive performance among the elderly with chronic pain and those without chronic pain for any domain of the ACE-R instrument. CONCLUSION The results contradicted the initial hypothesis that there would be a difference between the groups; however, there is a gap in the scientific knowledge on chronic pain and cognition, especially in elderly caregivers, opening perspectives for future investigations.

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Cardiovascular Risk Factors Associated With Lower Baseline Cognitive Performance in HIV-Positive Persons

Neurology ◽

10.1212/wnl.0b013e3182246ffb ◽

2011 ◽

Vol 77 (4) ◽

pp. 406-407 ◽

Cited By ~ 2

Author(s):

A. Jawaid ◽

V. Pradeep ◽

A. Shamsi ◽

P. E. Schulz ◽

E. Wright ◽

...

Keyword(s):

Risk Factors ◽

Cardiovascular Risk ◽

Cardiovascular Risk Factors ◽

Cognitive Performance ◽

Hiv Positive ◽

Factors Associated ◽

Lower Baseline

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Extracurricular activities, screen media activity, and sleep may be modifiable factors influencing children’s cognitive functioning: Evidence from the ABCD study

10.31219/osf.io/ebf3r ◽

2020 ◽

Author(s):

Namik Kirlic ◽

Janna Colaizzi ◽

Kelly T. Cosgrove ◽

Zsofia Cohen ◽

Henry Yeh ◽

...

Keyword(s):

Academic Success ◽

Cognitive Functioning ◽

Cognitive Performance ◽

Extracurricular Activities ◽

Negative Impact ◽

Well Being ◽

Healthy Behaviors ◽

Factors Associated ◽

Screen Media ◽

Modifiable Factors

PurposeFluid cognitive functioning (FCF), or the capacity to learn, solve problems, and adapt to novel situations, is instrumental for academic success, psychological well-being, and adoption of healthy behaviors. Our knowledge concerning factors associated with FCF, including those that may be targeted with interventions to improve outcomes, remains limited. MethodsWe used a machine learning (ML) framework in conjunction with a large battery of measures from 9,718 youth from the Adolescent Brain Cognitive Development (ABCD) study to identify factors associated with the observed variability in FCF performance. Youth age-corrected composite FCF score was derived from the National Institutes for Health Toolbox Neurocognitive Battery. A ML pipeline using a stack ensemble of multiple ML algorithms and nested cross-validation to avoid overfitting was conducted to examine factors associated with FCF. Results The identified ML algorithm explained 14.74% of variance (95%CI: 14.53-14.88%) in FCF. Among the most important factors were those that replicated previous research (e.g., socioeconomic factors), as well as novel, potentially modifiable factors, including extracurricular involvement, screen media activity, and sleepConclusionsPragmatic and scalable interventions targeting these behaviors may not only enhance cognitive performance but may also protect against the negative impact of socioeconomic and mental health factors on cognitive performance in at-risk youth. The longitudinal data from ABCD will be able to begin to assess causality by examining how changes in these factors affect subsequent cognitive performance.

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Factors Associated with Cognitive Outcomes After First-Ever Ischemic Stroke: The Impact of Small Vessel Disease Burden and Neurodegeneration

Journal of Alzheimer s Disease ◽

10.3233/jad-210587 ◽

2021 ◽

pp. 1-11

Author(s):

Pi-Shan Sung ◽

Kang-Po Lee ◽

Po-Yu Lin ◽

Hui-Chen Su ◽

Rwei-Ling Yu ◽

...

Keyword(s):

Ischemic Stroke ◽

Cognitive Performance ◽

Small Vessel Disease ◽

Cognitive Outcomes ◽

Small Vessel ◽

Factors Associated ◽

Post Stroke ◽

Vessel Disease ◽

Potential Factors ◽

Over Time

Background: Differences exist regarding post-stroke cognitive outcomes. Objective: The aim of this study investigates the potential factors associated with post-stroke cognitive performance and trajectories. Methods: We performed a prospective cohort study using serial monitoring of cognitive function over a 1-year period after a first-ever ischemic stroke. Small vessel disease (SVD) burden and hippocampal atrophy (HA) were evaluated using the modified cerebral small vessel disease scores (mCSVD) and medial temporal atrophy score (MTA) scores. A generalized estimating equation (GEE) model and a group-based trajectory model (GBTM) was used to analyze the potential factors associated with post-stroke cognitive outcomes. Results: A total of 112 patients were enrolled. The GEE model showed that all patients, regardless of initial cognitive performance, had a tendency to show an increase in the Montreal Cognitive Assessment over time. The cognitive performance was better in male patients with higher education levels (p = 0.046 and p < 0.001, respectively), but tended to be worse in patients with higher SVD burden and HA. The GBTM model grouped patients into low, intermediate, and high performance (LP, IP, and HP) after stroke. A higher SVD burden, rather than HA and initial stroke severity and location, independently predicted a higher odds of poor post-stroke cognitive trajectory (being in the LP group) after stroke (adjusted odds ratio 2.74, 95%CI 1.09–6.86). Conclusion: In patients with first-ever mild stroke, cognitive improvement over time was evident. The detrimental impact of the SVD burden may outweigh the effect of HA or acute stroke insult on the post-stroke cognitive trajectory during the 1-year follow-up.

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Factors associated with cognitive performance in residents of long-term care facilities in Northeast Mexico.

Archivos de Neurociencias ◽

10.31157/archneurosciencesmex.v26i2.230 ◽

2021 ◽

Vol 26 (2) ◽

pp. 10-19

Author(s):

Fernando Coindreau-Frías ◽

Luis E. Fernandez-Garza ◽

Loubette Botello-González ◽

David E. Rodríguez-Fuentes ◽

Silvia A. Barrera-Barrera ◽

...

Keyword(s):

Cognitive Performance ◽

Long Term Care ◽

Functional Dependence ◽

Depression Scale ◽

Lipid Lowering ◽

Cross Sectional ◽

Term Care ◽

Factors Associated ◽

Care Facilities

Objective: To investigate factors associated with cognitive impairment (CI) in institutionalized Mexican older adults. Material and methods: Cross-sectional study of residents of three long-term care facilities in the metropolitan area of Monterrey, Mexico. A medical history, Mini-Mental State Examination (MMSE), Barthel index, geriatric depression scale, and a nutritional screening were performed. CI was defined as MMSE ≤24. Results: Of 280 octogenarian residents (72.1% females) 61.1 % had a MMSE ≤24. Older age (OR=1.047), functional dependence (OR=10.309), malnutrition (OR=2.202), urinary incontinence (OR=2.588), and history of fracture (OR=1.764) were directly associated to CI. While higher education level (OR=0.583) and the use of antihypertensives (OR=0.521), antihistamines (OR=0.322), antiprostatic hypertrophy (OR=0.219), and lipid-lowering drugs (OR=0.575) were inversely associated. Conclusions: The evaluation of cognitive performance and its associated factors is essential for institutionalized patients in order to implement a management program aimed at reducing the progression of CI and its possible complications.

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Factors associated with depressive symptoms in elderly caregivers with chronic pain

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0782 ◽

2020 ◽

Vol 73 (1) ◽

Author(s):

Marielli Terassi ◽

Estefani Serafim Rossetti ◽

Bruna Moretti Luchesi ◽

Karina Gramani-Say ◽

Priscilla Hortense ◽

...

Keyword(s):

Chronic Pain ◽

Multivariate Analysis ◽

Depressive Symptoms ◽

Perceived Stress ◽

Family Income ◽

Univariate Analysis ◽

Elderly Person ◽

Multiple Logistic Regression ◽

Factors Associated ◽

Elderly Caregivers

ABSTRACT Objective: to identify factors associated with depressive symptoms in elderly caregivers with chronic pain. Method: the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression. Results: most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use. Conclusion: factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.

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