Social and behavioral risk factors associated with cognitive impairment among the middle-aged and elderly Russian population
-
Published:2023-12-28
Issue:8S
Volume:22
Page:3787
-
ISSN:2619-0125
-
Container-title:Cardiovascular Therapy and Prevention
-
language:
-
Short-container-title:Cardiovasc Ther Prev
Author:
Imaeva A. E.1ORCID, Kapustina A. V.1ORCID, Kutsenko V. A.2ORCID, Balanova Yu. A.1ORCID, Maksimov S. A.1ORCID, Muromtseva G. A.1ORCID, Kotova M. B.1ORCID, Karamnova N. S.1ORCID, Evstifeeva S. E.1ORCID, Litinskaya O. A.1ORCID, Pokrovskaya M. S.1ORCID, Imaeva N. A.1ORCID, Gomanova L. I.1ORCID, Doludin Yu. V.1ORCID, Efimova I. A.1ORCID, Borisova A. L.1ORCID, Svinin G. E.1ORCID, Kuzyakina S. O.1ORCID, Yarovaya E. B.2ORCID, Repkina T. V.3ORCID, Gonoshilova T. O.3ORCID, Kudryavtsev A. V.4ORCID, Belova N. I.4ORCID, Shagrov L. L.4ORCID, Glukhovskaya S. V.5ORCID, Levina I. A.5ORCID, Shirshova E. A.5ORCID, Dorzhieva E. B.6ORCID, Urbanova E. Z.6ORCID, Borovkova N. Yu.7ORCID, Kurashin V. K.7ORCID, Tokareva A. S.7ORCID, Ragino A. S.8ORCID, Simonova G. I.8ORCID, Khudyakova A. D.8ORCID, Nikulin V. N.9ORCID, Aslyamov O. R.9ORCID, Khokhlova O. V.9ORCID, Solovyova A. V.10ORCID, Rodionov A. A.10ORCID, Kryachkova O. V.10ORCID, Shamurova Yu. Yu.11ORCID, Tantsyreva I. V.11ORCID, Baryshnikova I. N.11ORCID, Ataev M. G.12ORCID, Radjabov M. O.12ORCID, Umetov M. A.13ORCID, Elgarova L. V.13ORCID, Khakuasheva I. A.13ORCID, Isakhanova M. M.13ORCID, Yamashkina E. I.14ORCID, Esina M. V.14ORCID, Kunyaeva T. A.15ORCID, Nikitina A. M.16ORCID, Savvina N. V.17ORCID, Spiridonova Yu. E.16ORCID, Naumova E. A.18ORCID, Keskinov A. A.19ORCID, Yudin V. S.19ORCID, Yudin S. M.19ORCID, Shalnova S. A.1ORCID, Kontsevaya A. V.1ORCID, Drapkina O. M.1ORCID
Affiliation:
1. National Medical Research Center for Therapy and Preventive Medicine 2. National Medical Research Center for Therapy and Preventive Medicine;
Lomonosov Moscow State University 3. Regional Center for Public Health and Medical Prevention 4. Northern State Medical University 5. Sverdlovsk Regional Medical College 6. Boyanov Center for Public Health and Medical Prevention 7. Privolzhsky Research Medical University 8. Research Institute of Internal and Preventive Medicine — branch of the Institute of Cytology and Genetics 9. Orenburg Regional Center for Public Health and Medical Prevention 10. Tver State Medical University 11. South Ural State Medical University 12. Abusuev Research Institute of Environmental Medicine, Dagestan State Medical University 13. Berbekov Kabardino-Balkarian State University 14. Ogarev Mordovian State University 15. Ogarev Mordovian State University;
Mordovian Republican Central Clinical Hospital 16. Republican Center for Public Health and Medical Prevention 17. Ammosov North-Eastern Federal University 18. Republican Center for Public Health and Medical Prevention, Exercise therapy and Sports Medicine 19. Center for Strategic Planning and Management of Biomedical Health Risks
Abstract
Aim. To assess the associations of social and behavioral risk factors with cognitive impairment in the Russian population aged 55-74 years.Material and methods. This study was conducted as part of the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation-3 (ESSE-RF3) study. A total of 13736 participants living in 14 Russian regions were examined. Cognition was assessed using the Mini-Mental State Examination (MMSE) score as follows: cognitive impairment was recorded in the total score<24, based on 30 points. Associations were assessed using logistic regression after adjusting for sociodemographic characteristics, drinking status, and the presence of hypertension and stroke.Results. According to the multivariate analysis, no higher education (odds ratio (OR) 2,5 (95% confidence interval (CI): 1,98-3,27), p=0,001), no marriage (OR 1,6 (95% CI: 1,29-2,00), p=0,001), unemployment (OR 2,2 (95% CI: 1,71-2,86), p=0,001), and low income (OR 2,04 (95% CI: 1,60-2,57), p=0,001) are significantly associated with cognitive impairment. Of the 4 behavioral risk factors studied, only insufficient consumption of vegetables and fruits was significantly associated with cognitive impairment (OR 1,52 (95% CI: 1,18-1,99), p=0,001)Conclusion. The study results indicate an association between cognitive impairment and education, marital status, income, employment, professional activity, as well as insufficient consumption of vegetables and fruits.
Publisher
Silicea - Poligraf, LLC
Reference25 articles.
1. Bai W, Chen P, Cai H, et al. Worldwide prevalence of mild cognitive impairment among community dwellers aged 50 years and older: a meta-analysis and systematic review of epidemiology studies. Age Ageing. 2022;51(8):afac173. doi:10.1093/ageing/afac173 2. Knopman DS, Petersen RC. Mild cognitive impairment and mild dementia: a clinical perspective. Mayo Clin Proc. 2014;89(10):1452-9. doi:10.1016/j.mayocp.2014.06.019. 3. Vakhnina N.V. Vascular cognitive impairment. Neurology, Neuropsychiatry, Psychosomatics. 2014;6(1):74-9. (In Russ.) doi:10.14412/2074-2711-2014-1-74-79. 4. Biessels GJ, Strachan MW, Visseren FL, et al. Dementia and cognitive decline in type 2 diabetes and prediabetic stages: towards targeted interventions. Lancet Diabetes Endocrinol. 2014;2(3):246-55. doi:10.1016/S2213-8587(13)70088-3. 5. Livingston G, Huntley J, Sommerlad A, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413-46. doi:10.1016/S0140-6736(20)30367-6.
|
|