Factors Affecting Cognitive Function in Older Adults: A Turkish Sample

Akdag, Beyza; Telci, Emine Aslan; Cavlak, Uğur

doi:10.1016/j.ijge.2013.01.002

Cited by 17 publications

(13 citation statements)

References 27 publications

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“…A measure of heavy drinking episode in future CHARLS surveys is desirable. Moreover, despite adjustments for possible confounders, we could not totally rule out the possibility of residual confounding such as comorbidity, social activities (Kim and Park, ), and smoking (Akdag et al., ). In addition, the findings were based on cross‐sectional analyses, and no causality between alcohol use and cognition functioning can be established from this analysis.…”

Section: Discussionmentioning

confidence: 98%

Alcohol Use and Cognitive Functioning Among Middle‐Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey

Song

Zhong

Liu

et al. 2018

Alcoholism Clin & Exp Res

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Section: Discussionmentioning

confidence: 98%

Alcohol Use and Cognitive Functioning Among Middle‐Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey

Song

Zhong

Liu

et al. 2018

Alcoholism Clin & Exp Res

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“…Participants who exhibit better decision-making abilities relative to their cognitive abilities may do so for a number of reasons. Affective, medical, and lifestyle factors known to impact cognition might selectively contribute to lowering cognitive function relative to other functions [47, 48]; although the mechanisms are unclear. We investigated whether depressive symptomatology and impulsivity, factors previously shown to be associated with lower cognition [49, 50], were associated with discrepancies and found no evidence for these having a significant effect.…”

Section: Discussionmentioning

confidence: 99%

Discrepancies between cognition and decision making in older adults

et al. 2015

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Background and aims There is increasing clinical and legal interest in discrepancies between decision-making ability and cognition in old age, a stage of life when decisions have major ramifications. We investigated the frequency and correlates of such discrepancies in non-demented older adults participating in a large community-based cohort study of aging, the Rush Memory and Aging Project. Methods Participants [n = 689, mean age 81.8 (SD 7.6), mean education 15.2 (SD 3.1), 76.8 % female and 93.3 % white] completed a measure of financial and healthcare decision making (DM) and a battery of 19 neuropsychological tests from which a composite measure of global cognition (COG) was derived. Results Results indicated that 23.9 % of the sample showed a significant discrepancy between DM and COG abilities. Of these, 12.9 % showed DM < COG, while 11.0 % showed DM > COG. Logistic regression models showed older age, being non-white, greater temporal discounting, and greater risk aversion were associated with higher odds of being in the DM < COG group. Being male was associated with higher odds of being in the DM > COG group. Education, income, depressive symptoms, and impulsivity were not associated with a discrepancy. Only demographic associations (age, sex, and race) remained significant in a fully adjusted model with terms included for all factors. Conclusion These results support the consideration of decision making and cognition as potentially separate constructs.

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“…A study on Chinese elderly by Pan et al showed that negative impact on HRQL was increased by the severity of cognitive dysfunction (13). Akday et al also suggested cognitive impairment results in low scores in some areas of HRQL in Turkish elders (14); on the other hand, Missotten et al found that only dementia, not mild cognitive impairment (MCI), is related to HRQL in older Belgian people (15), and Johansson et al found low but significant correlation between HRQL and cognitive function in 85-year-olds in Sweden (16); finally, Elliot et al suggested that cognitive impairment did not modify HRQL (17). As presented above, the results of previous studies vary considerably based on settings, study populations and conditions.…”

Section: Introductionmentioning

confidence: 99%

Association between age associated cognitive decline and health related quality of life among Iranian older individuals

et al. 2018

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BackgroundAge associated cognitive decline or normal cognitive aging is related with lower levels of functioning in real life, and may interfere with maintaining independence and health related quality of life (HRQL).ObjectiveIn this study, health related quality of life and cognitive function in community-dwelling older adults were evaluated with the aim of exploring the association between them by adjusting for potential confounders.MethodsThis cross-sectional study, was implemented on 425 community-dwelling older adults aged 60 and over, between August 2016 and October 2016 in health centers of the municipality of Tehran, Iran, using Mini Mental State Examination (MMSE) to assess cognitive function and Short Form-36 scales (SF-36) to assess HRQL. The relation between HRQL and cognitive function was evaluated by Pearson’s correlation coefficient, and the impact of cognitive function on HRQL adjusted for potential confounders was estimated by linear regression model. All analyses were done using SPSS, version 22.0.ResultsA positive significant correlation between cognitive function and quality of life (r=0.434; p<0.001) and its dimensions was observed. Two variables of educational level (B=2.704; 95% CI: 2.09 to 3.30; p<0.001) and depression (B=2.554; 95% CI: 2.00 to 3.10; p<0.001) were assumed as potential confounder by changing effect measure after entering the model. After adjusting for potential confounders in regression model, the association between MMSE scores and quality of life persisted (B=2.417; 95% CI: 1.86 to 2.96; p<0.001).ConclusionThe results indicate that cognitive function was associated with HRQL in older adults with age associated cognitive function. Two variables of educational level and depression can affect the relation between cognitive decline and HRQL.

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Factors Affecting Cognitive Function in Older Adults: A Turkish Sample

Cited by 17 publications

References 27 publications

Alcohol Use and Cognitive Functioning Among Middle‐Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey

Alcohol Use and Cognitive Functioning Among Middle‐Aged and Older Adults in China: Findings of the China Health and Retirement Longitudinal Study Baseline Survey

Discrepancies between cognition and decision making in older adults

Association between age associated cognitive decline and health related quality of life among Iranian older individuals

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