Study of Cognitive Impairment and Existing Co-Morbidities Observed Among Geriatric Population in an Urban Slum

Authors

  • Pallavi S Shelke LTMMC & GH, Sion, Mumbai
  • Rupali R Rajput Terna Medical College, Nerul, Navi Mumbai
  • Darshana R Kolte Primary Health Centre, Sindhudurg

Keywords:

Cognitive impairment, Dementia, co-morbidities

Abstract

Background: Among vascular risk factors, chronic arterial hyper- tension is a major contributor to cognitive impairment. Hyperten- sion important risk factor for cerebrovascular pathology leading to stroke and dementia

Objectives:1. To study certain risk factors of cognitive impairment and suspected dementia like hypertension, diabetes, ischemic heart disease, cerebro-vascular disease.2. To study the association of ad- diction with cognitive impairment and dementia.

Methods: The study was community based descriptive study with cross sectional design. The period of study was from January 2005 to June 2006.

Result: Prevalence of mild cognitive impairment and suspected de- mentia was 18.6% and 4.1% respectively. Out of the total 242 re- spondents 88 were known to have hypertension. They had higher proportion of cognitive impairment (26.2%).

Conclusions: Known hypertensive’s had higher proportion of cog- nitive impairment as compared to those with no history of hyper- tension. But the duration or treatment of hypertension was not found to be associated with cognitive status. The study showed no association of diabetes with the cognitive status. Individuals with cerebrovascular disease showed significantly higher proportion of cognitive impairment.

References

Angelique Mavrodaris, John Powell, Margaret Thorogood. Prevalence of dementia and cognitive impairment among older people in sub-Saharan Africa: a systematic review. Bulletin of the World Health Organization.2013;91:773-783.

World Health Report 2001, Mental Health: New Understand- ing, New Hope. World Health Organization. [Internet]. Geneva: 2001. [cited 2018 April 4]. Available from: http:// www.who.int/whr/2001/en/whr01_en.pdf?ua=1

Ageing in India. World Health Organization. [Internet].Ge- neva. 1999. [cited 2005 April. Available from: http://apps. who.int/iris/bitstream/10665/65965/1/WHO_HSC_AHE_ 99.2.pdf

Lwanga S.K., Lemeshow S. Sample size determination in health studies A practical manual WHO, Geneva 1991.

Tsolaki M., Iakovidou V., Novrozidou H., Aminta M.,Pantazi T., Kazis A., Hindi Mental State Examination (HMSE) as a screening test for illiterate demented patients. Int J Geriatr Psychiatry. 2000, Jul; 15 (7):662-4.

De Silva H.A., Gunatilake S.B., Smith A.D., Prevalence of de- mentia in a Semi-urban population of in Sri Lanka: report from a regional survey. Int. J. Geriatric Psychiatry. 2003, Aug; 18 [8]: 711-715.

Desai A., Grossberg G.. Risk factor and protective factors for Alzheimer’s disease. International Epidemiological Associa- tion. 1991.

Paul A Sherr, Liesi E Hebert, Laurel A Smith, Denis A Evans, Association of blood pressure to cognitive function in the elderly, American Journal of Epidemiology 1991; 134 : 1303-15.

Gao S., Hendrie H., Kathleen S, Siu Hui. The relationships between age, sex and the incidence of dementia and Alzheimer Disease. A Meta-Analysis. Archives of General Psychiatry. 1998; 55:809-815.

Lawrence C., Hakami M., Harrington C., Ginsberg J., Katz J., Singer D., Nathan D., Decreased cognitive function in ageing non-insulin-dependent diabetic patients, The American Jour- nal of Medicine, 1984;77:1043-48.

Yaffe K., Blockwell T., Kanaya H., Daviddowilz N., Barrett E., Diabetes, impaired fasting glucose and development of cog- nitive impairment in older women. Neurology 2004; 63: 658- 663.

Monique M., Claus J., Grobbee D., Hofman A., Cardiovascu- lar disease and distribution of cognitive function in elderly people: the Rotterdam Study. British Medical Journal 1994; 308:1604-8.

Peter Elwood, Cognitive Decilne, in a book ‘Geriatric care in India’, by O P Sharma.1999; chapter 48. pg 404-409.

Schuckit M., Alcohol and alcoholism, in Harrison’s Principles of Internal Medicine,15th edition, published by McGraw-Hill Medical Publishing Division, chapter 9, pg 36-46.

Kim J. M., Shin IS, Stewart R, Yoon JS., Alcoholism in older Korean men: prevalence, etiology and co morbidity with cog- nitive impairment and dementia in urban and rural commu- nities. International Journal of Geriatric Psychiatry. 2002. Sep; 17 (9) : 821-7

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Published

2019-05-31

How to Cite

1.
Shelke PS, Rajput RR, Kolte DR. Study of Cognitive Impairment and Existing Co-Morbidities Observed Among Geriatric Population in an Urban Slum. Natl J Community Med [Internet]. 2019 May 31 [cited 2024 Dec. 22];10(05):256-61. Available from: https://njcmindia.com/index.php/file/article/view/498

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Original Research Articles