Abstract

LUNA-SOLIS, Ybeth  and  VARGAS MURGA, Horacio. Factors associated with cognitive and functional impairment suggestive of dementia in elderly adults from Lima Metropolitana and Callao. Rev Neuropsiquiatr [online]. 2018, vol.81, n.1, pp.9-19. ISSN 0034-8597.  http://dx.doi.org/https://doi.org/10.20453/rnp.v81i1.3269.

Objectives: To identify factors associated with cognitive and functional impairment suggestive of dementia in elderly adults from Lima Metropolitana and Callao. Material and Methods: Secondary base analytical study, carried out in a three-phased probabilistic sample of 1290 elderly adults of 60 or more years of age. Results:17% of the elderly adults, to whom the Mini-Mental Status Examination was administered, and 14.7% through the Pfeffer Questionnaire, presented cognitive impairment. However, only 6.7% presented cognitive and functional impairment suggestive of dementia. According to multivariate analysis, being an adult over 75 years of age (OR=7,80; p<0,001),unemployed (OR=6,88; p=0,026) , having only primary or less than 8 years of education (OR=2,97; p=0,003), and having experienced a depressive episode in the last year (OR=5,58; p<0,001) are factors associated with cognitive and functional impairment quite suggestive of dementia. The dimensions of self-care (OR=0, 59; p<0,001) and occupational functioning (OR=0, 73; p=0,001), of the Mezzich’s quality of life scale, are protective factors against the development of such impairment. Conclusions: The existence of certain risk factors for the development of cognitive and functional impairment suggestive of dementia, generates the need to elaborate and implement preventive-pr motional programs to achieve healthy lifestyles, improve the educational level, and promote the employability of older adults.

Keywords : Cognitive impairment; functional impairment; elderly adult; quality of life.

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