scholarly journals Screening for cognitive impairment in Arabic-speaking Hajj pilgrims

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Ahmad S. Alzahrani ◽  
Faisal Alhumaidi ◽  
Abdulaziz Altowairqi ◽  
Waad Al-Malki ◽  
Israa AlFadhli
Keyword(s):  
Cognitive Impairment ◽  
Sampling Method ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Hajj Season ◽  
Arabic Speaking ◽  
The Impact ◽  
Positive Results ◽  
Adl Performance

Abstract Background Although cognitive impairment is common in the elderly population, studies investigating its rate in Hajj pilgrims are lacking. Objectives To estimate the rate of cognitive impairment among a sample of Arabic-speaking elderly Hajj pilgrims and examine its association with their activities of daily living (ADL). Methods A cross-sectional study was conducted during the Hajj season 1438 Hijri Calendar (August 2017). Hajj pilgrims were recruited using a probability sampling method and were interviewed for demographics, the MINI-Cog and the ADL instrument. Results Among the 340 recruited pilgrims, 99 (29.2%) had positive results in the MINI-Cog indicating probable cognitive impairment. In multivariate logistic regression, the educational level (odds ratio (OD) 0.456; 95% CI 0.346 to 0.598) and the need for help during Hajj (OD 0.581; 95% CI 0.342 to 0.984) were found significantly associated with positive MINI-Cog. Although no significant differences in the ADL were found between pilgrims with and without positive MINI-Cog, the scores of the ADL and the MINI-Cog were found to be positively correlated but weak (rs = 0.134, P = 0.013) indicating a possible association between better cognitive functions and better ADL performance. Conclusion Probable cognitive impairment among Arabic elderly Hajj pilgrims was found to be very common. Further diagnostic studies and studies on the impact of cognitive impairment on the performance of Hajj pilgrims are warranted.

scholarly journals Impact of cognitive performance on the functional capacity of an elderly population in Natal, Brazil

2008 ◽  
Vol 66 (4) ◽  
pp. 809-813 ◽  
Author(s):  
Keithlen Cruz Moreira de Castro ◽  
Ricardo Oliveira Guerra
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Performance ◽  
Functional Capacity ◽  
Elderly Population ◽  
Population Sample ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Elderly Persons ◽  
Cross Sectional ◽  
State Examination

Functional incapacity and cognitive impairment are conditions related to the process of human aging. Cognitive impairment is considered an important predicitve factor for functional impairment in elderly populations. This cross-sectional study analyzes the association between cognitive performance and functional capacity in an elderly population sample in Natal, Brazil. A total of 213 elderly persons were assessed by the BOAS Multidimensional Questionnaire (Brazil Old Age Schedule) and the Mini-Mental State Examination (MMSE). The results of multivariate analysis and linear regression showed that age and schooling level are factors associated with cognitive performance in the elderly of this study. The final explicative model, elaborated by logistic regression, found that cognitive performance was the only predicitve variable of functional incapacity for the activities of daily living even when adjusted for sociodemographic variables.

scholarly journals Cluster analysis to identify elderly people's profiles: a healthcare strategy based on frailty characteristics

2014 ◽  
Vol 132 (4) ◽  
pp. 224-230 ◽  
Author(s):  
André Fattori ◽  
Ivan Mazivieiro Oliveira ◽  
Rosalia Matera de Angelis Alves ◽  
Maria Elena Guariento
Keyword(s):  
Cluster Analysis ◽  
Cognitive Impairment ◽  
Functional Performance ◽  
Functional Dependence ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cognitive Capacity ◽  
Cross Sectional ◽  
Analysis Strategy ◽  
Specific Care

CONTEXT AND OBJECTIVES: The new social panorama resulting from aging of the Brazilian population is leading to significant transformations within healthcare. Through the cluster analysis strategy, it was sought to describe the specific care demands of the elderly population, using frailty components.DESIGN AND SETTING: Cross-sectional study based on reviewing medical records, conducted in the geriatric outpatient clinic, Hospital de Clínicas, Universidade Estadual de Campinas (Unicamp).METHODS: Ninety-eight elderly users of this clinic were evaluated using cluster analysis and instruments for assessing their overall geriatric status and frailty characteristics.RESULTS: The variables that most strongly influenced the formation of clusters were age, functional capacities, cognitive capacity, presence of comorbidities and number of medications used. Three main groups of elderly people could be identified: one with good cognitive and functional performance but with high prevalence of comorbidities (mean age 77.9 years, cognitive impairment in 28.6% and mean of 7.4 comorbidities); a second with more advanced age, greater cognitive impairment and greater dependence (mean age 88.5 years old, cognitive impairment in 84.6% and mean of 7.1 comorbidities); and a third younger group with poor cognitive performance and greater number of comorbidities but functionally independent (mean age 78.5 years old, cognitive impairment in 89.6% and mean of 7.4 comorbidities).CONCLUSION: These data characterize the profile of this population and can be used as the basis for developing efficient strategies aimed at diminishing functional dependence, poor self-rated health and impaired quality of life.

scholarly journals THE IMPACT OF COGNITIVE IMPAIRMENT AFTER STROKE ON QUALITY OF LIFE AND DAILY LIFE ACTIVITIES

2020 ◽  
Vol 7 (8) ◽  
pp. 6-11
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Daily Living ◽  
Daily Life ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Post Stroke ◽  
Daily Life Activities ◽  
The Impact

Stroke is a major cause of death and disability worldwide. Cognitive impairment is commonly seen after stroke and might significantly affect the functional outcome. The study aimed to investigate the impact of cognitive impairment after stroke on quality of life and daily life activities. This was a cross-sectional study involving 38 post stroke patients, consisted of 23 males (60.5%) and 15 females (39.5%). All patients underwent neuropsychology examination and assessment of quality of life and activity daily living. The proportion of post-stroke cognitive impairment was 44.7%. Cognitive impairment after stroke affects several domains, including attention, memory, executive function and visuospatial. Cognitive impairment was significantly associated with worse performance in daily life activities

scholarly journals Functioning and Cognition of Portuguese Older Adults Attending in Residential Homes and Day Centers: A Comparative Study

2021 ◽  
Vol 18 (13) ◽  
pp. 7030
Author(s):  
Manuel José Lopes ◽  
Lara Guedes de Pinho ◽  
César Fonseca ◽  
Margarida Goes ◽  
Henrique Oliveira ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Residential Homes ◽  
Core Set ◽  
Functional Problem ◽  
State Examination

The functioning and cognition of older adults can be influenced by different care contexts. We aimed to compare the functioning profiles and cognition of institutionalized and noninstitutionalized older adults and to evaluate the effect of sociodemographic factors on the functioning and cognition. This is a cross-sectional study that included 593 older adults. The data were collected using the Elderly Nursing Core Set and Mini Mental State Examination. Women, older adults who did not attend school and those live in Residential Homes are more likely to have a higher degree of cognitive impairment than men, those who attended school and those frequent Day Centre. The chances of an older adult with moderate or severe cognitive impairment increases with age. Older women, older adults who did not attend school, and older adults who live in Residential Homes had a higher degree of functional problem than men, those who attended school and those who frequent a Day Centre, independently to age. It is necessary to promote the health literacy of older adults throughout life. The implementation of social and health responses should allow older adults to remain in their homes, given the influence of functioning and cognition on self-care and quality of life.

scholarly journals The Elderly Nursing Core Set and the cognition of Portuguese older adults: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
César Fonseca ◽  
Lara Guedes de Pinho ◽  
Manuel José Lopes ◽  
Maria do Céu Marques ◽  
José Garcia-Alonso
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Highly Qualified ◽  
Sectional Study ◽  
Functional Profile ◽  
Cross Sectional ◽  
Core Set ◽  
Epidemiological Profile

Abstract Background The aging population and its associated health needs require specific nursing care. The aim of this study was to draw an epidemiological profile of Portuguese elderly adults attending in residential homes and day centers and to evaluate the association between the functioning and cognition of these older adults and their sociodemographic characteristics and presence of multimorbidity. Methods This was a cross-sectional study of 613 older adults. Functioning was assessed using the Elderly Nursing Core Set, and cognition was assessed using the Mini Mental State Examination. Descriptive and inferential analyses were performed. Results The mean age was 85.73 years; the majority of the participants were female (69.3 %), widowed (67.0 %) and over 85 years old (60.4 %). A total of 68.2 % of the sample presented multimorbidity. A total of 54.5 % had cognitive impairment, and the average functional profile was classified as “moderate difficulty”. Institutionalized older adults had more diseases than those who attended the day center. Women, those who were illiterate, those who were institutionalized and older adults who had diseases of the nervous system had a worse functional profile and greater cognitive impairment. Those with multimorbidity had a worse functional profile, and those without a spouse had greater cognitive impairment. Conclusions Given the functional and cognitive profile of older adults, it is necessary to adopt care practices focused on the rehabilitation/maintenance of self-care and affective relationships. This care must be provided by highly qualified professionals. Therefore, it is necessary to increase the ratio of nurses per older adult in these institutions.

scholarly journals Prevalence of cognitive impairment and associated factors among the elderly in Bagé, Rio Grande do Sul, Brazil

2013 ◽  
Vol 16 (4) ◽  
pp. 880-888 ◽  
Author(s):  
Adriana Winter Holz ◽  
Bruno Pereira Nunes ◽  
Elaine Thumé ◽  
Celmira Lange ◽  
Luiz Augusto Facchini
Keyword(s):  
Cognitive Impairment ◽  
Healthy Aging ◽  
Functional Limitation ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Cross Sectional ◽  
The City ◽  
Prevalence Ratios ◽  
State Examination

It is estimated that until 2020 the elderly will represent 13% of the total Brazilian population, and there is increasing concern about healthy aging and low rates of cognitive impairment. This cross-sectional study aimed to identify the prevalence of cognitive impairment, using the Mini-Mental State Examination (MMSE) in a sample of 1,593 elderly aged 60 years old and more who were living in the community of the city of Bagé, Southern Brazil, in 2008. The Poisson regression model was used for estimating crude and adjusted prevalence ratios; their related 95% confidence intervals and p-values lower than 0.05 were considered statistically significant. The prevalence of cognitive impairment was of 34% and statistically associated with gender (female), age (older), schooling (less educated), lower economic classes, without retirement, with depression and functional limitation. The high magnitude with increased occurrence among poor and vulnerable groups contributes to the implementation of public policies in order to improve care, prevent diseases and promote the independence and autonomy of the elderly population.

scholarly journals Diet, Epidemiological Factors and Cognitive Impairment: A Cross-Sectional Study in the Elderly Population

2018 ◽  
Vol 61 ◽  
Author(s):  
Vivian Francielle França ◽  
Thairine Azzolini ◽  
Ediane Pissaia ◽  
Durcelina Schiavoni Bortoloti ◽  
Taise Signorini ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Epidemiological Factors
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