Functional assessment as a predictor of cognitive impairment: a retrospective cohort study

Sandival-Ampuero, Gustavo; Runzer-Colmenares, Fernando M.; Parodi, José F.

doi:10.5867/medwave.2017.09.7099

Cited by 4 publications

(3 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The intrinsic capacity has several components or domains (cognitive, psychological, sensory, mobility, and vitality). Persons are integral beings, and the alteration in one of the domains of intrinsic capacity can be a warning sign of a latent or potential cognitive alteration ( 82 ). Bidirectional associations of the cognitive domain with mobility ( 83 ) (cognitive motor syndrome ( 84 ), cognitive frailty) ( 85 ), sensory (visual ( 86 ) and hearing ( 87 )), psychological ( 88 ), and vitality ( 89 )(metabolism and nutrition) have been demonstrated.…”

Section: Resultsmentioning

confidence: 99%

A task force for diagnosis and treatment of people with Alzheimer’s disease in Latin America

Lopera,

Custodio,

Rico-Restrepo

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

Alzheimer’s disease (AD) represents a substantial burden to patients, their caregivers, health systems, and society in Latin America and the Caribbean (LAC). This impact is exacerbated by limited access to diagnosis, specialized care, and therapies for AD within and among nations. The region has varied geographic, ethnic, cultural, and economic conditions, which create unique challenges to AD diagnosis and management. To address these issues, the Americas Health Foundation convened a panel of eight neurologists, geriatricians, and psychiatrists from Argentina, Brazil, Colombia, Ecuador, Guatemala, Mexico, and Peru who are experts in AD for a three-day virtual meeting to discuss best practices for AD diagnosis and treatment in LAC and create a manuscript offering recommendations to address identified barriers. In LAC, several barriers hamper diagnosing and treating people with dementia. These barriers include access to healthcare, fragmented healthcare systems, limited research funding, unstandardized diagnosis and treatment, genetic heterogeneity, and varying social determinants of health. Additional training for physicians and other healthcare workers at the primary care level, region-specific or adequately adapted cognitive tests, increased public healthcare insurance coverage of testing and treatment, and dedicated search strategies to detect populations with gene variants associated with AD are among the recommendations to improve the landscape of AD.

show abstract

Section: Resultsmentioning

confidence: 99%

A task force for diagnosis and treatment of people with Alzheimer’s disease in Latin America

Lopera,

Custodio,

Rico-Restrepo

et al. 2023

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…Our findings indicate the need for timely identification of cognitive frailty in primary care in order to reduce adverse outcomes. This is very important in our country due to the high prevalence of frailty (17.5 to 23.3%) and cognitive impairment (18.2 to 36.67%) described in several studies (49)(50)(51)(52)(53)(54).…”

Section: Discussionmentioning

confidence: 99%

Cognitive Frailty as a Predictor of Mortality in Older Adults: A Longitudinal Study in Peru

et al. 2022

Self Cite

View full text Add to dashboard Cite

ObjectiveTo evaluate the role of cognitive frailty and its components as risk factors of mortality in older adults of the Centro Médico Naval (CEMENA) in Callao, Peru during 2010-2015.MethodsWe performed a secondary analysis of data from a prospective cohort that included older adults (60 years and older) treated at the CEMENA Geriatrics service between 2010–2015. Frailty was defined as the presence of three or more criteria of the modified Fried Phenotype. Cognitive impairment was assessed using the Peruvian version of the Mini Mental State Examination (MMSE), considering a score <21 as cognitive impairment. Cognitive frailty was defined as the coexistence of both. In addition, we included sociodemographic characteristics, medical and personal history, as well as the functional evaluation of each participant.ResultsWe included 1,390 older adults (mean follow-up: 2.2 years), with a mean age of 78.5 ± 8.6 years and 59.6% (n = 828) were male. Cognitive frailty was identified in 11.3% (n = 157) and 9.9% (n = 138) died during follow-up. We found that cognitive frailty in older adults (aHR = 3.57; 95%CI: 2.33–5.49), as well as its components, such as sedentary behavior and cognitive impairment (aHR = 7.05; 95%CI: 4.46–11.13), weakness and cognitive impairment (aHR = 6.99; 95%CI: 4.41–11.06), and exhaustion and cognitive impairment (aHR = 4.51; 95%CI: 3.11–6.54) were associated with a higher risk of mortality.ConclusionCognitive frailty and its components were associated with a higher risk of mortality in older adults. It is necessary to develop longitudinal studies with a longer follow-up and that allow evaluating the effect of interventions in this vulnerable group of patients to limit adverse health outcomes, including increased mortality.

show abstract

“…De acuerdo con la Organización Mundial de la Salud (OMS), actualmente hay veinte y cuatro millones de personas que sufren de algún tipo de DC, y de estos, 47.5% millones son diagnosticados con demencia. La OMS también proyecta que en el 2030 la cifra de personas adultas mayores con demencia alcanzará los 75.6 millones y ya para el 2050 serán 135.5 (3).…”

Section: Introductionunclassified

Factores asociados al deterioro cognitivo y demencia

Peñaloza Morán,

Morejón Flores,

Lozado Munzón

et al. 2023

Investigación Contemporánea Desde Una Visión Multdisciplinar. Libro 3. Ciencias De La Salud

View full text Add to dashboard Cite

Functional assessment as a predictor of cognitive impairment: a retrospective cohort study

Abstract: Score values of Timed Up and Go Test manage to predict the risk of a pathological decrease in Mini Mental State Examination regardless of sociodemographic factors, comorbidities, and functional assessment.

Cited by 4 publications

References 18 publications

A task force for diagnosis and treatment of people with Alzheimer’s disease in Latin America

A task force for diagnosis and treatment of people with Alzheimer’s disease in Latin America

Cognitive Frailty as a Predictor of Mortality in Older Adults: A Longitudinal Study in Peru

Factores asociados al deterioro cognitivo y demencia

Contact Info

Product

Resources

About