Volume 23, Issue 1 (4-2024)
TB 2024, 23(1): 67-83 |
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Research code: 11960
Ethics code: IR.SSU.SPH.REC.1400.147
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borji S, rahaei Z, Aminisani N. Demographic Determinants of the Cognitive Status among Older Adults: Neyshabur Longitudinal Study on Aging. TB 2024; 23 (1) :67-83
URL: http://tbj.ssu.ac.ir/article-1-3601-en.html
URL: http://tbj.ssu.ac.ir/article-1-3601-en.html
Shahid Sadoughi University of Medical Sciences, Yazd , z_rahayy@yahoo.com
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Demographic Determinants of the Cognitive Status among Older Adults: Neyshabur Longitudinal Study on Aging
Somaye Borji (M.D)1, Zohreh Rahaei (Ph.D.)2, Nayyereh Aminisani (Ph.D.)3
1.Master's degree in Elderly health, department of Aging health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Corresponding author: Ph.D, Department of Health Education, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd, Iran. E-mail:z_rahayy@yahoo.com Tel: + 98)35) 31492216
3.Associate Professor, Healthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Abstract
Introduction: Cognitive disorders affect the elderly’s personal and social life by causing disturbances in their nervous system, and it is important to identify who is at the highest risk of these disorders; therefore, the present study aims to investigate demographic determinants of the cognitive status in the elderly visiting the Geriatric Cohort Center in Neyshabur.
Methods: This cross-sectional study was conducted on 3451 people aged 60 and above (52.5% women and 47.5% men) from 2015 to the end of 2017. The selection of statistical sample was done first by classification method, and then, by random method. Data collection was done using demographic questionnaires, and the questionnaires of Mini Mental State Examination (MMSE)and Montreal Cognitive Assessment (MOCA), and data were analyzed using independent t-test, ANOVA, and hierarchical multiple regression in software. were analyzed by SPSS16 software.
Results: With MMSE, one fifth of the participants (20/3%) and with MOCA, almost half of the respondents (49/3%) did not have cognitive disorder. Cognitive disorder became more severe with aging. The severity of cognitive disorder was higher in women (P< 0/05) those who were living alone(P <0/05), the women who only did housework(P < 0/05), and the cases who were illiterate (P< 0/05).
Conclusion: Screening of cognitive disorders in the elderly and early interventions including holding educational classes, especially for women with low literacy levels whose husbands have died, can prevent the progression of the disorder and improve their quality of life.
Keywords: The elderly, Demographic, Cognitive, MMSE, MOCA
References
1-Eftekhar Ardebili H, Mirsaeidi ZS. Assessment of Factors Affecting Quality of Life of Elderly Clients Coveraged Bye Health Centers of Southern of Tehran. Salmand: Iranian Journal of Ageing. 2015;9(4):268-77.
2-Kushkestani M, Parvani M, Hosseini Mr & et al. Investigating the cognitive function of the elderly and related factors in nursing homes in Tehran in 2019. Journal of Gerontology. 2020;5(1):40-7.
3-Rahmani M, Darvishpour A, Pourghane P. The cognitive status and its relationship with some demographic characteristics of the elderly under hemodialysis. Journal of Caspian Health and Aging. 2020;5(1):9-18.
4- Jelveh M, Rahbari S, Hooshmand E & et al. Examination of nursing students and nurses' attitudes towards the Elderly (A Descriptive Analytical Study). Navid No. 2022;25(82):72-80.
5-Dehnuolian A, Saadati M, Jafariani S & et al. Epidemiology of misbehavior with the elderly in Neishabur city in 2016. Pars Journal of Medical Sciences. 2022;16(4):65-72.
6-Hosseinpour S, Behpour N, Tadibi V & et al. Effect of Cognitive-motor Exercises on Physical Health and Cognitive Status in Elderly. Iranian Journal of Health Education and Health Promotion. 2018;5(4):336-44.
7-Nourbakhsh SF, Fadayevatan R, Alizadeh-Khoei M & et al. Determining the status of activity of daily living (ADL) and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies. Jorjani Biomedicine Journal. 2017;5(2):63-77.
8-Ghiasian M, Daneshyar S, NouruzBeigi E & et al. Evaluation the relationship between serum level of vitamin D and cognitive impairment in elderly patients. Razi Journal of Medical Sciences. 2019;26(2):30-8.
9-Mirzaei M SA, Sahafer R, Mirzaei S & et al . Studying the frequency of cognitive impairment in the elderly living in a nursing home in Khorram Abad city. . Sabzevar University of Medical Sciences (Asrar) 2017;23(6):896-901.
10-Rezaei jamaloei h. Frequency of cognitive impairment, functional decline and its related factors in aging women and men. Journal title. 2018;4(2):61-9.
11-Rahaei Z, borji s, aminisani n & et al. The relationship between social support and cognitive status among older adults: Neyshabur longitudinal study on ageing. Journal of Gerontology. 2023;8(3):20-9.
12-Sima Khodadadi SP, Seyed Reza Hosseini , Shima Sum & et al. Investigating the Relationship Between Social Support, Cognitive Status, and
Depression With Daily Life Activities of the Elderly in Amirkola Cityا. Salmand: Iranian Journal of Ageing. 2020-2021;65(17):5-15.
13-Mirzaei M, Sepahvand E, Sahaf R & et al. The Prevalence of Cognitive Impairment in Elderly Nursing Home Residents. Journal of Sabzevar University of Medical Sciences. 2017;23(6):896-901.
14-Kazemi H, Ghasemi S, Sharifi F & et al. The Relationship Between Mental State and Functional Status in Elderly Residents of Kahrizak. Salmand: Iranian Journal of Ageing. 2010;4(2):0-.
15-Masoumi N, Jafrodi S, Ghanbari A, Ebrahimi S, Kazem Nejad E, Shojaee F, Sharafi S. Assessment of cognitive status and related factors in elder people in Rasht. Iranian Journal of Nursing Research. 2013;8(2):80-6.
16-Aminisani N, Azimi-Nezhad M, Shamshirgaran SM & et al. Cohort Profile: The IRanian Longitudinal Study on Ageing (IRLSA): the first comprehensive study on ageing in Iran. Int J Epidemiol. 2022;51(4):e177-e88.
17-Nagin Chen FS, Sareh Z, Fatemeh K. Studying the concordance of the Montreal cognitive test with the brief examination of mental status in healthy elderly Research in rehabilitation sciences. 1390;seventh year(5):674-.
18-Rahmani M, Darvishpour A, pourghane p & et al. Application of MoCA, MMSE and AMTs tests in diagnosing the cognitive status of the elderly under hemodialysis in Medical centers of Guilan University of Medical Sciences in 2019. Journal of Gerontology. 2020;5(3):64-76.
19-Arsalani N, Nobahar M, Ghorbani R & et al. Cognitive disorders and some associated social factors in elderly pepole. Koomesh journal. 1397;20(2):240-7.
20-Sikaroodi H, Majidi A, Samadi S & et al. Evaluating Reliability of the Montreal Cognitive Assessment Test and its Agreement with Neurologist Diagnosed among Patients with Cognitive Complaints. Journal of Police Medicine. 2012;1(1):15-21.
21-Uchmanowicz I, Jankowska-Polańska B, Mazur G & et al. Cognitive deficits and self-care behaviors in elderly adults with heart failure. Clin Interv Aging. 2017;12:1565-72.
22-Kheirkhah F, Hosseini SR, Fallah R & et al. Prevalence of Cognitive Disorders in Elderly People of Amirkola (2011-2012). Iranian Journal of Psychiatry and Clinical Psychology. 2014;19(4):247-54.
23-Dokoohaki N, Farhadi A, Tahmasebi R & et al. Relationship of Social Participation with Mental Health and Cognitive Function of the Oolder People with Chronic Disease. Iranian Journal of Rehabilitation Research in Nursing. 2021;7(2):29-39.
24-Ahmadi Ahangar A, Saadat P, Hosseini SR & et al. Relationship of Serum Lipid Levels and Other Underlying Factors With Cognitive Impairment in the Elderly. Salmand: Iranian Journal of Ageing. 2019;13(5):534-49.
25-Lobo A, Launer LJ, Fratiglioni L & et al. Prevalence of dementia and major subtypes in Europe: A collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group. Neurology. 2000;54(11 Suppl 5):S4-9.
26-Karel MJ, Ogland-hand S, Gatz M. (2009). Assessing and treating late-life depression: A casebook and resource guide. Basic Books. 2009.
27-Khoshniat Niko M, Madarshahian F, Hassanabadi M & et al. Comparative study of cognitive status in elderly with and without type 2 diabetes. Iranian Journal of Diabetes and Lipid Disorders. 2007;7(1):71-6.
28-Wu MS, Lan TH, Chen CM & et al. Socio-demographic and health-related factors associated with cognitive impairment in the elderly in Taiwan. BMC Public Health. 2011;11:22.
29-Papi S, Zanjari N, Karimi Z & et al. The Role of Health-promoting Lifestyle in Predicting Cognitive Status of Older Clergymen. Salmand: Iranian Journal of Ageing. 2021;15(4):472-83.
Somaye Borji (M.D)1, Zohreh Rahaei (Ph.D.)2, Nayyereh Aminisani (Ph.D.)3
1.Master's degree in Elderly health, department of Aging health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
2.Corresponding author: Ph.D, Department of Health Education, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd, Iran. E-mail:z_rahayy@yahoo.com Tel: + 98)35) 31492216
3.Associate Professor, Healthy Ageing Research Centre, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Abstract
Introduction: Cognitive disorders affect the elderly’s personal and social life by causing disturbances in their nervous system, and it is important to identify who is at the highest risk of these disorders; therefore, the present study aims to investigate demographic determinants of the cognitive status in the elderly visiting the Geriatric Cohort Center in Neyshabur.
Methods: This cross-sectional study was conducted on 3451 people aged 60 and above (52.5% women and 47.5% men) from 2015 to the end of 2017. The selection of statistical sample was done first by classification method, and then, by random method. Data collection was done using demographic questionnaires, and the questionnaires of Mini Mental State Examination (MMSE)and Montreal Cognitive Assessment (MOCA), and data were analyzed using independent t-test, ANOVA, and hierarchical multiple regression in software. were analyzed by SPSS16 software.
Results: With MMSE, one fifth of the participants (20/3%) and with MOCA, almost half of the respondents (49/3%) did not have cognitive disorder. Cognitive disorder became more severe with aging. The severity of cognitive disorder was higher in women (P< 0/05) those who were living alone(P <0/05), the women who only did housework(P < 0/05), and the cases who were illiterate (P< 0/05).
Conclusion: Screening of cognitive disorders in the elderly and early interventions including holding educational classes, especially for women with low literacy levels whose husbands have died, can prevent the progression of the disorder and improve their quality of life.
Keywords: The elderly, Demographic, Cognitive, MMSE, MOCA
References
1-Eftekhar Ardebili H, Mirsaeidi ZS. Assessment of Factors Affecting Quality of Life of Elderly Clients Coveraged Bye Health Centers of Southern of Tehran. Salmand: Iranian Journal of Ageing. 2015;9(4):268-77.
2-Kushkestani M, Parvani M, Hosseini Mr & et al. Investigating the cognitive function of the elderly and related factors in nursing homes in Tehran in 2019. Journal of Gerontology. 2020;5(1):40-7.
3-Rahmani M, Darvishpour A, Pourghane P. The cognitive status and its relationship with some demographic characteristics of the elderly under hemodialysis. Journal of Caspian Health and Aging. 2020;5(1):9-18.
4- Jelveh M, Rahbari S, Hooshmand E & et al. Examination of nursing students and nurses' attitudes towards the Elderly (A Descriptive Analytical Study). Navid No. 2022;25(82):72-80.
5-Dehnuolian A, Saadati M, Jafariani S & et al. Epidemiology of misbehavior with the elderly in Neishabur city in 2016. Pars Journal of Medical Sciences. 2022;16(4):65-72.
6-Hosseinpour S, Behpour N, Tadibi V & et al. Effect of Cognitive-motor Exercises on Physical Health and Cognitive Status in Elderly. Iranian Journal of Health Education and Health Promotion. 2018;5(4):336-44.
7-Nourbakhsh SF, Fadayevatan R, Alizadeh-Khoei M & et al. Determining the status of activity of daily living (ADL) and instrumental activity of daily living (IADL) in healthy and cognitive impaired elderlies. Jorjani Biomedicine Journal. 2017;5(2):63-77.
8-Ghiasian M, Daneshyar S, NouruzBeigi E & et al. Evaluation the relationship between serum level of vitamin D and cognitive impairment in elderly patients. Razi Journal of Medical Sciences. 2019;26(2):30-8.
9-Mirzaei M SA, Sahafer R, Mirzaei S & et al . Studying the frequency of cognitive impairment in the elderly living in a nursing home in Khorram Abad city. . Sabzevar University of Medical Sciences (Asrar) 2017;23(6):896-901.
10-Rezaei jamaloei h. Frequency of cognitive impairment, functional decline and its related factors in aging women and men. Journal title. 2018;4(2):61-9.
11-Rahaei Z, borji s, aminisani n & et al. The relationship between social support and cognitive status among older adults: Neyshabur longitudinal study on ageing. Journal of Gerontology. 2023;8(3):20-9.
12-Sima Khodadadi SP, Seyed Reza Hosseini , Shima Sum & et al. Investigating the Relationship Between Social Support, Cognitive Status, and
Depression With Daily Life Activities of the Elderly in Amirkola Cityا. Salmand: Iranian Journal of Ageing. 2020-2021;65(17):5-15.
13-Mirzaei M, Sepahvand E, Sahaf R & et al. The Prevalence of Cognitive Impairment in Elderly Nursing Home Residents. Journal of Sabzevar University of Medical Sciences. 2017;23(6):896-901.
14-Kazemi H, Ghasemi S, Sharifi F & et al. The Relationship Between Mental State and Functional Status in Elderly Residents of Kahrizak. Salmand: Iranian Journal of Ageing. 2010;4(2):0-.
15-Masoumi N, Jafrodi S, Ghanbari A, Ebrahimi S, Kazem Nejad E, Shojaee F, Sharafi S. Assessment of cognitive status and related factors in elder people in Rasht. Iranian Journal of Nursing Research. 2013;8(2):80-6.
16-Aminisani N, Azimi-Nezhad M, Shamshirgaran SM & et al. Cohort Profile: The IRanian Longitudinal Study on Ageing (IRLSA): the first comprehensive study on ageing in Iran. Int J Epidemiol. 2022;51(4):e177-e88.
17-Nagin Chen FS, Sareh Z, Fatemeh K. Studying the concordance of the Montreal cognitive test with the brief examination of mental status in healthy elderly Research in rehabilitation sciences. 1390;seventh year(5):674-.
18-Rahmani M, Darvishpour A, pourghane p & et al. Application of MoCA, MMSE and AMTs tests in diagnosing the cognitive status of the elderly under hemodialysis in Medical centers of Guilan University of Medical Sciences in 2019. Journal of Gerontology. 2020;5(3):64-76.
19-Arsalani N, Nobahar M, Ghorbani R & et al. Cognitive disorders and some associated social factors in elderly pepole. Koomesh journal. 1397;20(2):240-7.
20-Sikaroodi H, Majidi A, Samadi S & et al. Evaluating Reliability of the Montreal Cognitive Assessment Test and its Agreement with Neurologist Diagnosed among Patients with Cognitive Complaints. Journal of Police Medicine. 2012;1(1):15-21.
21-Uchmanowicz I, Jankowska-Polańska B, Mazur G & et al. Cognitive deficits and self-care behaviors in elderly adults with heart failure. Clin Interv Aging. 2017;12:1565-72.
22-Kheirkhah F, Hosseini SR, Fallah R & et al. Prevalence of Cognitive Disorders in Elderly People of Amirkola (2011-2012). Iranian Journal of Psychiatry and Clinical Psychology. 2014;19(4):247-54.
23-Dokoohaki N, Farhadi A, Tahmasebi R & et al. Relationship of Social Participation with Mental Health and Cognitive Function of the Oolder People with Chronic Disease. Iranian Journal of Rehabilitation Research in Nursing. 2021;7(2):29-39.
24-Ahmadi Ahangar A, Saadat P, Hosseini SR & et al. Relationship of Serum Lipid Levels and Other Underlying Factors With Cognitive Impairment in the Elderly. Salmand: Iranian Journal of Ageing. 2019;13(5):534-49.
25-Lobo A, Launer LJ, Fratiglioni L & et al. Prevalence of dementia and major subtypes in Europe: A collaborative study of population-based cohorts. Neurologic Diseases in the Elderly Research Group. Neurology. 2000;54(11 Suppl 5):S4-9.
26-Karel MJ, Ogland-hand S, Gatz M. (2009). Assessing and treating late-life depression: A casebook and resource guide. Basic Books. 2009.
27-Khoshniat Niko M, Madarshahian F, Hassanabadi M & et al. Comparative study of cognitive status in elderly with and without type 2 diabetes. Iranian Journal of Diabetes and Lipid Disorders. 2007;7(1):71-6.
28-Wu MS, Lan TH, Chen CM & et al. Socio-demographic and health-related factors associated with cognitive impairment in the elderly in Taiwan. BMC Public Health. 2011;11:22.
29-Papi S, Zanjari N, Karimi Z & et al. The Role of Health-promoting Lifestyle in Predicting Cognitive Status of Older Clergymen. Salmand: Iranian Journal of Ageing. 2021;15(4):472-83.
Type of Study: Research |
Subject:
Elderly Health
Received: 2023/12/23 | Accepted: 2024/03/2 | Published: 2024/04/27
Received: 2023/12/23 | Accepted: 2024/03/2 | Published: 2024/04/27
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