Mini-Cog and Mini-Mental State Examination: Agreement in a Cross-Sectional Study with an Elderly Sample

Background: The population of elderly is on the rise with estimates of 8.8%in urban area. Increase in the number of nuclear families, specially in the urban areas the elderly have been experiencing multiple morbidities, predominantly dementia and the burden associated with the caregivers of such elderly is enormous. Thus the study was undertaken to assess the burden of the caregivers of cognitively impaired elderly, residing in an urban area. Methods: It was a Cross sectional study in an Urban Health Centre, field practice area, of JN Medical College, KLE University, Belagavi of North Karnataka from 1st January to 31st December 2012. Among the 783 elderly, >60 years, assessed for cognitive impairment using Mini Mental State Examination/Hindi Mini Mental State Examination for literate /illiterate respectively, 55 elderly were cognitively impaired (MMSE/HMSE score<25). Caregivers of these 55 elderly who were permanent residents of the field practice area (Residing for one year with demented elderly) were interviewed using Zarit Caregiver Burden Scale(ZBI) to assess for emotional, financial, social burnout. Results: 22 (40.00%) Caregivers were males and 33 (60.00%) were females.07(12.73%) had studied up to primary school, 15 (27.27%) up to high school, 24 (43.64%) up to Pre-university degree 01(1.81%) had completed diploma and 8(14.55%) caregivers were graduates. 16 (29.09%) of them had a ZBI scale score between 21 to 40 (mild to moderate burden), 38 (69.09%) scored between 41 to 60 (Moderate to severe burden) and 1 (1.82%) scored between 61-88 and experienced severe burden. Conclusions: Majority 60.0% of the caregivers were women in the productive age group of 21-40 years. Had to take the dual responsibility of care-taking and working plus raising up their children. The caregivers of cognitively impaired elderly, majority of them experienced a lot of physical, emotional, psychological stress and strain. Maximum of the caregivers were over taxed with responsibilities and felt that all responsibility fell on one caregiver (dependence burden).

Download Full-text

HUBUNGAN AKTIVITAS FISIK TERHADAP KUALITAS TIDUR DAN FUNGSI KOGNITIF PADA KELOMPOK LANSIA DHARMA SENTANA, BATUBULAN

Jurnal Ilmiah Kesehatan Keperawatan ◽

10.26753/jikk.v17i2.628 ◽

2021 ◽

Vol 17 (2) ◽

pp. 110

Author(s):

I Made Dhita Prianthara ◽

I.A Pascha Paramurthi ◽

I Putu Astrawan

Keyword(s):

Quality Index ◽

Mini Mental State Examination ◽

Pittsburgh Sleep Quality Index ◽

Cross Sectional Study ◽

Sectional Study ◽

Chi Square ◽

Cross Sectional ◽

Activity Scale ◽

State Examination ◽

Physical Activity Scale

Peningkatan jumlah populasi lansia menyebabkan semakin banyak masalah kesehatan yang akan dialami oleh lansia yang disebabkan karena kurangnya aktivitas fisik seperti gangguan kualitas tidur dan penurunan fungsi kognitif. Seiring dengan pertambahan usia dan berkurangnya aktivitas fisik, semakin besar kemungkinan seseorang mengalami gangguan kualitas tidur dan penurunan fungsi kognitif. Aktivitas fisik yang rutin dilakukan oleh lansia dapat mencegah terjadinya gangguan kualitas tidur dan mencegah penurunan fungsi kognitif. Semakin meningkat aktivitas fisik maka semakin meningkat kualitas tidur dan fungsi kognitif pada lansia. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara aktivitas fisik terhadap kualitas tidur dan fungsi kognitif pada kelompok lansia Dharma Sentana, Batubulan. Penelitian ini adalah cross sectional study dengan teknik pengambilan sampel purposive sampling. Penelitian dilakukan di kelompok lansia Dharma Sentana, Batubulan. Sampel penelitian ini berjumlah 50 orang lansia. Aktivitas fisik diukur dengan International Physical Activity Scale (IPAQ), kualitas tidur diukur dengan Pittsburgh Sleep Quality Index (PSQI), dan fungsi kognitif diukur dengan Mini-Mental State Examination (MMSE). Berdasarkan hasil uji chi-square didapatkan nilai p=0,007 yang artinya ada hubungan antara aktivitas fisik dengan kualitas tidur dan nilai p=0,000 yang artinya ada hubungan antara aktivitas fisik dengan fungsi kognitif. Simpulan penelitian ini adalah ada hubungan antara aktivitas fisik terhadap kualitas tidur dan fungsi kognitif pada kelompok lansia Dharma Sentana, Batubulan. Kata kunci: Lansia, Aktivitas Fisik, Kualitas Tidur, Fungsi Kognitif

Download Full-text

Nutritional status, dementia, and mobility among nursing home’s residents: First exhaustive cross-sectional study in Limousin territory (France)

PLoS ONE ◽

10.1371/journal.pone.0250595 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0250595

Author(s):

Philippe Fayemendy ◽

Gustave Mabiama ◽

Thibault Vernier ◽

Aude Massoulard-Gainant ◽

Carole Villemonteix ◽

...

Keyword(s):

Nutritional Status ◽

Mini Mental State Examination ◽

Nutritional Assessment ◽

Mini Nutritional Assessment ◽

Cross Sectional Study ◽

Sectional Study ◽

Mobility Patterns ◽

Cross Sectional ◽

Nutritional Data ◽

State Examination

Background Aging is accompanied by a drop in the level of health and autonomy, within Western countries more and more people being cared for in nursing homes (NH). The nutritional data in NH in France remain poor, not exhaustive and not representative. The objective of the study was to assess the nutritional status, dementia and mobility patterns among residents of NH in the Limousin territory of France. Methods The study was cross-sectional, descriptive and exhaustive, conducted with the residents of 13 voluntary NH. Undernutrition was identified using French High Authority for Health criteria, and obesity if Body Mass Index >30, in the absence undernutrition criterion. The Mini Mental State examination scores was used for dementia assessment at the threshold of 24. The Mini Nutritional AssessmentTM was used for mobilitity assessment. The statistics were significant at the 5% threshold. Results 866 residents (70.6% women) included with an average age of 85.3 ± 9.3 years. Undernutrition was 27.5%, obesity 22.9%, dementia 45.7% and very low mobility 68.9%. Women were older than men, more often undernourished, more often demented and more often had very low mobility (p<0.01). Undernutrition (p<0.0001) and low mobility (p<0.0001) were significantly higher among those with dementia versus those without dementia. Very low mobility was higher among undernourished (p<0.05). Conclusions Undernutrition and obesity are important problems in NH in France. Being a woman, having dementia and having a very low mobility may induce undernutrition.

Download Full-text

Association between physical frailty and cognitive scores in older adults

Rev Rene ◽

10.15253/2175-6783.2015000300012 ◽

2015 ◽

Vol 16 (3) ◽

Cited By ~ 3

Author(s):

Clóris Regina Blanski Grden ◽

Maynara Fernanda Carvalho Barreto ◽

Jacy Aurélia Vieira de Sousa ◽

Juliana Andrade Chuertniek ◽

Péricles Martim Reche ◽

...

Keyword(s):

Older Adults ◽

Cognitive Assessment ◽

Mini Mental State Examination ◽

Cross Sectional Study ◽

Sectional Study ◽

Physical Frailty ◽

Cross Sectional ◽

Convenience Sample ◽

Care Plans ◽

State Examination

Objective: to investigate the association between physical frailty and cognitive scores in older adults at an Open Universityof the Third Age in Southern Brazil. Methods: descriptive cross-sectional study with convenience sample comprising 100elderly, conducted from March to June 2013. For cognitive assessment, we applied the Mini Mental State Examination andthe Edmonton Frail Scale. Results: there was a predominance of females (93%), with a mean age of 65.6 years. 81% ofthe participants were classified as non-frail, 16% as apparently vulnerable to frailty, and 3% as mild frailty. There was asignificant association between cognitive performance and frailty (p<0.006). Conclusion: the research on the associationbetween physical frailty and cognitive scores in older people promotes the construction of gerontological care plans aimedat managing this syndrome.

Download Full-text