P3-333: SUBJECTIVE MEMORY COMPLAINTS AND COGNITIVE PERFORMANCE IN A POPULATION OF HEALTHY OLDER ADULTS ATTENDING PRIMARY CARE CENTERS IN SANTIAGO, CHILE

Abstract Cognitive health is a rising public health concern in the U.S. Currently, approximately 5.7 million older adults suffer from Alzheimer’s disease (AD), and by the year 2050 this number is expected to increase to 14 million. Subjective memory complaints (SMC) are shown to be an early indicator of cognitive decline, and accordingly included as a clinical criterion for diagnoses of MCI, an indicator of pre-dementia states, and a research criterion for AD diagnoses. Among older adults, depressive symptoms hinder the accuracy of memory self-ratings. However, there has yet to be consensus regarding the nature of how depressive symptoms may condition the relationship between SMC and cognitive performance. The aims of the present study are to both investigate whether SMC is related to episodic memory and to determine whether depressive symptoms act as a moderator for the relationship between SMC and episodic memory among older adults. This research used nationally representative sample of 8,123 older adults aged 65 and older who completed the Leave Behind Questionnaire in the 2012 and 2014 waves of the Health and Retirement Study. Linear regression was performed and results showed that there was a significant main effect of SMC on episodic memory performance, in that older adults with increased SMC have worse episodic memory. There was also a significant moderating effect of depressive symptoms, in that depressive symptoms cause older adults to underestimate their memory abilities. In order to use SMC as a tool for early detection efforts it is critical to understand these complex relationships.

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Subjective memory complaints and concurrent memory performance in older patients of primary care providers

Journal of the International Neuropsychological Society ◽

10.1017/s1355617708081332 ◽

2008 ◽

Vol 14 (6) ◽

pp. 1004-1013 ◽

Cited By ~ 48

Author(s):

BETH E. SNITZ ◽

LISA A. MORROW ◽

ERIC G. RODRIGUEZ ◽

KIMBERLY A. HUBER ◽

JUDITH A. SAXTON

Keyword(s):

Older Adults ◽

Primary Care ◽

Memory Impairment ◽

Memory Performance ◽

Primary Care Providers ◽

Care Providers ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints ◽

Contrast Perception

AbstractSubjective memory complaints (SMCs) are known to be inconsistently related to current memory impairment in older adults but this association has not been well investigated in primary care provider (PCP) settings. To characterize the complexity of the relationship between SMCs and objective memory in older outpatients of PCPs, we collected neuropsychological, subjective memory, depression and medical chart data from outpatients aged 65 and older, without documented dementia diagnoses, in eleven PCP offices in and around the Pittsburgh metropolitan area. Results indicated that self-estimates of current memory ability were most strongly associated with objective memory performance; in contrast, perception of worsening memory over the past year showed no association; and specific memory-related activities were only weakly associated. Women were more likely than men to show inconsistency between SMCs and objective memory performance. Only two of the 11 most significantly memory-impaired participants endorsed SMCs and only four had PCP chart documentation of memory problems. Eliciting SMCs in non-demented older adults can be of clinical value in a PCP setting, but significant limitations of patient self-report in more memory-impaired patients underscore the need to develop brief, objective indicators of memory impairment for PCP office use when there is suspicion of decline. (JINS, 2008,14, 1004–1013.)

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The moderating role of negative affect on objective verbal memory performance and subjective memory complaints in healthy older adults

Journal of the International Neuropsychological Society ◽

10.1017/s1355617708080363 ◽

2008 ◽

Vol 14 (02) ◽

Cited By ~ 43

Author(s):

MOIRA C. DUX ◽

JOHN L. WOODARD ◽

JOHN E. CALAMARI ◽

MICHAEL MESSINA ◽

SHALINI ARORA ◽

...

Keyword(s):

Older Adults ◽

Negative Affect ◽

Verbal Memory ◽

Memory Performance ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Healthy Older Adults ◽

Memory Complaints ◽

Moderating Role

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Cognitive Tele-Enhancement in Healthy Older Adults and Subjects With Subjective Memory Complaints: A Review

Frontiers in Neurology ◽

10.3389/fneur.2021.650553 ◽

2021 ◽

Vol 12 ◽

Author(s):

Cristina Alaimo ◽

Elena Campana ◽

Maria Rachele Stoppelli ◽

Elena Gobbi ◽

Francesca Baglio ◽

...

Keyword(s):

Older Adults ◽

Cognitive Abilities ◽

Functional Decline ◽

Good Alternative ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Healthy Older Adults ◽

Face To Face ◽

Beneficial Effects ◽

Memory Complaints

Background: In recent years, emphasis has been placed on cognitive enhancement to stimulate cognitive abilities and prevent functional decline. Considering that traditional face-to-face interventions can be very expensive and are not accessible to all individuals, the need to transfer care from the clinic to the patient's home is evident. In this regard, cognitive tele-enhancement interventions have received increased attention.Aim: The aim of this review was to provide an overview of protocols that apply remotely controlled cognitive training with individualized feedback on performance by the therapist in healthy older adults or participants with subjective memory complaints.Methods: Out of 35 articles assessed for eligibility, eight studies were identified. Of the selected studies, five included cognitively healthy older adults, while three included participants with subjective memory complaints.Results: Most of the reviewed studies showed beneficial effects of cognitive tele-enhancement interventions, reporting improvements in memory, sustained attention, working memory, executive functions, and language abilities. Moreover, reductions in anxiety and depression symptomatology levels, as well as in subjective memory difficulties, were described in some of the studies.Conclusions: Cognitive tele-enhancement treatment could be a good alternative to face-to-face intervention. This literature review highlights the importance of applying preventive cognitive interventions to subjects with initial subjective memory complaints. Remote modalities seem to facilitate the application of such interventions.

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Motoric Cognitive Risk Syndrome: Prevalence and Cognitive Performance

Innovation in Aging ◽

10.1093/geroni/igab046.2272 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 594-594

Author(s):

Isabela Marquez ◽

Carlos Cano ◽

Elkin Garcia-Cifuentes

Keyword(s):

Older Adults ◽

Cognitive Performance ◽

Older Adult ◽

Well Being ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints ◽

Cognitive Risk ◽

Confounding Variables ◽

Overall Mortality

Abstract Cognitive decline and dementia have a significant impact older adult. Motor Cognitive Risk Syndrome (MCRS) is a pre-dementia stage where slow gait speed and subjective memory complaints are present. MCRS increases the risk of frailty, dementia, disability, falls and overall mortality. We used data from the SABE Colombia study (Health, Well-Being, and Aging) conducted in 2015 in adults aged 60 years and older. After adjusting for confounding variables MCRS was associated with MMSE (OR 0.90, CI 0.82-0.99), pre-frail (OR 9.1, CI 3.26-25.47) and frail (OR 21.38, CI 6.30-72.57). This study found a prevalence of 5.45% of MCRS in Colombian older adults. We found an associations between cognitive performance (MMSE), frailty and MCRS. Our results increase the awareness of a pre-dementia stages different to Mild Cognitive Impairment (MCI), as these individuals are at greater risk than those with MCI to develop dementia.

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Subjective Memory Complaints in healthy older adults: Fewer complaints associated with depression and perceived health, more complaints also associated with lower memory performance

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2016.12.007 ◽

2017 ◽

Vol 70 ◽

pp. 28-37 ◽

Cited By ~ 17

Author(s):

Pedro Montejo Carrasco ◽

Mercedes Montenegro-Peña ◽

Ramón López-Higes ◽

Eduardo Estrada ◽

David Prada Crespo ◽

...

Keyword(s):

Older Adults ◽

Memory Performance ◽

Perceived Health ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Healthy Older Adults ◽

Memory Complaints

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High Mean Arterial Pressure is Associated with Better Cognitive Function in Older Adults with Subjective Memory Complaints

10.21203/rs.3.rs-167226/v1 ◽

2021 ◽

Author(s):

Ada Wai Tung Fung ◽

Allen Ting Chun Lee ◽

Sukling Ma

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Cognitive Function ◽

Mean Arterial Pressure ◽

Arterial Pressure ◽

Cognitive Performance ◽

Subjective Memory Complaints ◽

Subjective Memory ◽

Memory Complaints ◽

Global Cognitive Function

Abstract Background: Hypertension has been shown to be a major risk factor for cognitive decline, but little is known about its association with subjective memory complaints (SMC) in late life. The study is to examine if hypertension is associated with SMC and to explore which blood pressure (BP) is more important in this group.Methods: 497 non-demented older adults aged 60 years or older were interviewed. Hypertension is defined as a BP higher than 130/80 mmHg or on antihypertensive medication. SMC are measured by a validated 5-item Abbreviate Memory Inventory for the Chinese (AMIC) assessing subjective memory deficits in the past month. Cognitive performance was measured by a neurocognitive battery assessing global cognitive function and executive function (EF). Linear regression was performed to examine how different BP associate with AMIC and cognitive performance with adjustment for sociodemographic and physical factors.Results: Hypertensive group had a lower AMIC than normal control (t=-2.1, p=.033). Systolic blood pressure (SBP) (B=-.008, 95% CI -.014 – -.002, p=.006) and mean arterial pressure (MAP) (B=-.011, 95% CI -.020– -.002 p=.014) were associated with AMIC. SBP was only associated global cognitive function (B= .008, 95% CI .000 – .015, p=.038), but MAP was associated with global cognitive function (B=.017, 95% CI .006 – .029, p=.003) and EF (B= 0.16, 95% CI .001 – .030, p=.036). Conclusions: High MAP was associated with better cognitive function in older adults with SMC. The findings highlight the need to be cautious when managing BP in older adults yet not to compromise their current cognitive function.

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