Factors Related to Cognitive Function in Elderly People

Mardiyanto, Fransiska Yd; Jahja, Dedeh S; Limyati, Yenni

doi:10.28932/jmh.v1i6.547

Cited by 3 publications

(3 citation statements)

References 2 publications

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“…In the present study, having only nine years of education was associated with cognitive impairment. This is in accordance with previous studies in which high educational level was found to be associated with more cognitive reserve [ 24 - 26 ]. Moreover, individuals with a higher education would likely working in a higher cognitive function environmental, and therefore the pathological neurodegenerative would be inhibited in longer time before the functional or clinical symptoms manifest [ 27 ].…”

Section: Discussionsupporting

confidence: 93%

Obstructive sleep apnea and chronic pain as risk factors of cognitive impairment in elderly population: A study from Indonesia

Tiara¹,

Fidiana²

2021

Narra J

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Obstructive sleep apnea (OSA), one of the most prevalent sleep-related breathing disorders in the elderly, seems to be underdiagnosed. Meanwhile, the resulting complication on cognitive function could impact on patient’s quality of life. Association between OSA and cognitive function in the elderly varies highly, depending on study type, setting, and possibly by demographic differences. Therefore, this study sought to determine the risk of OSA among elderly and to assess the association of OSA risk and other plausible factors with cognitive function. In this cross-sectional study, patients aged 60 years and above who visited the outpatient clinic at two main hospitals in Surabaya of Indonesia were examined. A total of 178 participants were interviewed to evaluate the OSA risk using STOP-Bang questionnaire, the cognitive dysfunction using Montreal Cognitive Assessment Indonesian version (MoCA-Ina), depressive symptoms using Geriatric Depression Scale-15 (GDS-15), and sleep disorder using Insomnia Screening Questionnaire (ISQ). The Mann-Whitney and Chi-square tests were used to assess factors associated with cognitive impairment. In addition, logistic regression analyses were performed to evaluate the role of high risk of OSA on cognitive impairment. A total of 120 patients were considered having high risk of OSA (STOP-Bang score ≥3), and 129 had mild cognitive impairment (MCI) (MoCA-Ina <26). Among the elderly who had high risk of OSA, 94 were diagnosed with MCI (78.3%). Multivariate logistic regression analysis showed that high risk of OSA (OR: 2.99; 95%CI: 1.39, 6.46, p=0.005), chronic pain (OR: 5.53; 95%CI: 1.19, 25.64, p=0.029), and low education level (OR: 4.57; 95%CI: 1.79, 11.63) were associated with MCI. In conclusion, our data suggests a high prevalence of MCI among high risk OSA elderly. Screening and comprehensive management might be beneficial to improve or to preserve cognitive function in elderly group.

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Section: Discussionsupporting

confidence: 93%

Obstructive sleep apnea and chronic pain as risk factors of cognitive impairment in elderly population: A study from Indonesia

Tiara¹,

Fidiana²

2021

Narra J

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“…Pertambahan umur lansia berisiko terhadap terjadinya penurunan fungsi kognitif [2]. Fungsi kognitif mencakup kemampuan otak dalam pemrosesan informasi, memori, orientasi, perhatian, inisiasi, fungsi eksekutif, keterampilan berhitung, berbahasa, dan pemecahan masalah [3,4].…”

Section: Pendahuluanunclassified

Pengaruh Social Activity Problem Dan Social Network Problem Terhadap Social Engagement Dan Dampaknya Pada Gangguan Kognitif Lansia

Hendri Kurniawan

2023

motorik

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Gangguan kognitif menjadi salah satu permasalahan utama pada lansia. Upaya lansia untuk menjaga jaringan sosial (social network) dan berpartisipasi dalam aktivitas sosial (social activity) disinyalir berkaitan dengan permasalahan kognitif yang dialaminya. Tujuan penelitian adalah mengkaji pengaruh permasalahan aktivitas sosial dan jaringan sosial terhadap keterlibatan sosial (social engagement) dan dampaknya pada gangguan kognitif pada lansia. Penelitian dilakukan secara observasional dengan desain cross sectional terhadap lansia di Desa Penarukan, Kec. Adiwerna, Tegal. Sampel penelitian berjumlah 45 orang yang diperoleh dengan purposive sampling. Instrumen penelitian menggunakan Index Social Disengagement dan Mini Mental State Examination (MMSE). Data penelitian dianalisis dengan uji regresi logistik biner menggunakan software SPSS 25. Hasil penelitian menunjukkan mayoritas sampel perempuan (58%), dan umur 60-74 tahun (76%). Hasil uji menunjukkan bahwa lansia dengan gangguan social engagement beresiko meningkatkan gangguan kognitif sebesar 5,091 kali (OR= 5,091, CI95%= 1,319 hingga 19,649, p=0,018.). Lansia dengan permasalahan di aktivitas sosial berisiko mengalami gangguan social engagement lebih besar ((OR= 36, CI95%= 4,024 hingga 322,088, p=0,001.) dibandingkan permasalahan pada jaringan sosial (OR= 5,333, CI95%= 1,453 hingga 19,579, p=0,012.). Permasalahan aktivitas sosial lebih berpengaruh terhadap gangguan social engagement lansia sehingga lebih berisiko 5 kali mengalami gangguan kognitif. Lansia sebaiknya aktif mengikuti kegiatan di masyarakat untuk mengurangi gangguan kognitif.

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“…Penelitian Y ling Chiu pada tahun 2019, gangguan kognitif yang terkait dengan CKD mungkin terkait dengan penyakit pembuluh darah kecil otak dan penurunan keseluruhan dalam integritas materi putih(white matter integrity), penyebab gangguan kognitif pada pasien hemodialisa disebabkan tingginya kadar methylglyoxal sehingga berdampak pada semakin berat gangguan kognitif pada pasien penyakit ginjal kronik yang menjalani hemodialisa (Chiu et al, 2019) , (Kovesdy, 2022). Fungsi kognitif termasuk persepsi perhatian memori berpikir dan lainnya kemampuan, adalah fungsi psikologis otak manusia untuk menerima informasi eksternal, mengenali dan mencerminkan hal-hal yang objektif (Mardiyanto et al, 2017).…”

Section: Hubungan Lama Hemodialisa Dengan Fungsi Kognitif Lansia Yang...unclassified

Hubungan Antara Lama Hemodialisis dengan Fungsi Kognitif Lansia yang Mengalami Gagal Ginjal Kronik

Triyono¹,

Syamsiah²,

Sugiarto³

2023

JKS

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Latar Belakang: Hemodialisis merupakan salah satu tindakan invasif yang rutin dilakukan pada pasien dengan gagal ginjal kronik di rumah sakit. Lama Hemodialisis akan menimbulkan perubahan perilaku khususnya tidak patuh pada program nutrisi maupun pola Diet, pada lansia yang mengalami gagal ginjal berdampak pada kualitas hidup, fungsi status mental maupun kognitif. Tujuan : Untuk mengetahui hubungan lama hemodialisis dengan fungsi kognitif lansia yang mengalami gagal ginjal kronik. Metode: Rancangan penelitian ini adalah cross sectional study dengan jumlah sampel 30 responden pada periode Mei-Juni 2022. Pengumpulan data dilakukan dengan melihat rekam medis dan kuesioner mengenai lama hemodialisis serta mengukur fungsi kognitif lansia pada penyakit gagal ginjal kronik dengan instrumen Mini Mental State Exam (MMSE). Analisis univariat dianalisis dengan distribusi frekuensi, data bivariat dianalisis dengan uji Kendal tau dengan nilai p=0,031(p<0,05) Kesimpulan: Ada hubungan antara lama hemodialisis dengan fungsi kognitif lansia yang mengalami gagal ginjal kronik.

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Factors Related to Cognitive Function in Elderly People

Abstract: Each year in the world, especially in Indonesia, many elderly people exposed to higher risk of dementia due to an increased number of the elderly population and the incidence of mild cognitive impairment in the elderly.

Cited by 3 publications

References 2 publications

Obstructive sleep apnea and chronic pain as risk factors of cognitive impairment in elderly population: A study from Indonesia

Obstructive sleep apnea and chronic pain as risk factors of cognitive impairment in elderly population: A study from Indonesia

Pengaruh Social Activity Problem Dan Social Network Problem Terhadap Social Engagement Dan Dampaknya Pada Gangguan Kognitif Lansia

Hubungan Antara Lama Hemodialisis dengan Fungsi Kognitif Lansia yang Mengalami Gagal Ginjal Kronik

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