Social and behavioral risk factors associated with cognitive impairment among the middle-aged and elderly Russian population

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

Subject

Cardiology and Cardiovascular Medicine,Education

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