Associations between Cognitive Impairment, Weight Status and Comorbid Conditions in Hospitalized Adults of 55 Years and Older in Guadeloupe.

Autor: Nicolas L; Medical Unit, Médical Centre Lucien NICOLAS, Clinique Nouvelles Eaux Marines, Le Moule 97160, Guadeloupe.; Research Team on Cardiometabolic Risk ECM, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Bassien-Capsa V; Research Team on Cardiometabolic Risk ECM, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Ancedy Y; Medical Unit, Médical Centre Lucien NICOLAS, Clinique Nouvelles Eaux Marines, Le Moule 97160, Guadeloupe.; Cardiology Unit, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Chingan-Martino V; Diabetic Foot Unit, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Clotilde JP; Medical Unit, Médical Centre Lucien NICOLAS, Clinique Nouvelles Eaux Marines, Le Moule 97160, Guadeloupe., Afassinou YM; Research Team on Cardiometabolic Risk ECM, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Galantine O; Research Team on Cardiometabolic Risk ECM, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Fanhan R; Medical Unit, Médical Centre Lucien NICOLAS, Clinique Nouvelles Eaux Marines, Le Moule 97160, Guadeloupe., Tabué-Teguo M; Laboratoire de Mathématique Informatique et Applications LAMIA (EA 4540), University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe., Foucan L; Research Team on Cardiometabolic Risk ECM, University Hospital, University of the Antilles, Pointe-à-Pitre 97157, Guadeloupe.; Clinical Research Unit, Médical Centre Lucien NICOLAS, Clinique Nouvelles Eaux Marines, Le Moule 97160, Guadeloupe.
Jazyk: angličtina
Zdroj: Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2024 Aug 27; Vol. 12 (17). Date of Electronic Publication: 2024 Aug 27.
DOI: 10.3390/healthcare12171712
Abstrakt: Cognitive decline and comorbid conditions commonly co-occur, and these conditions can affect cognitive health. We aimed to estimate the prevalence of cognitive impairment (CI) according to weight status and to evaluate the associations between CI, weight status and comorbid conditions in adults of 55 years and older. The Abbreviated Mental Test Score (AMTS) was used. Logistic regressions were performed. Overall, 415 individuals were included. The mean age was 75.7 ± 10.1 years, and the mean BMI was 26.2 ± 6.9 kg/m 2 . The prevalence of CI was 20.7% in the whole study group and 31%, 24.8%, 17.7% and 10.2% in underweight, normal weight, overweight and obese individuals, respectively; p < 0.004. The low folate, vitamin D and prealbumin levels were more frequently found in individuals with CI compared with those without CI. Compared with the obese individuals, a higher odds ratio of prevalent CI was noted for underweight individuals OR 3.89 (95% CI 1.54-9.80); p = 0.004. Additionally, male gender, older age, stroke, having three or more comorbid conditions and findings of undernutrition were significantly associated with CI. Being underweight was associated with an increased risk of CI. Prevention strategies including the monitoring of nutritional status may help to prevent cognitive decline and promote healthy aging.
Databáze: MEDLINE