Author:
Ribeiro Fabiana Silva,de Oliveira Duarte Yeda Aparecida,Santos Jair Lício Ferreira,Leist Anja K.
Abstract
Abstract
Introduction
Decreases in prevalence of cognitive impairment and dementia over the last two decades have been observed in different countries for cohorts entering older age. This study aimed to assess the cognitive impairment prevalence and explore associated factors among subjects aged >60 living in São Paulo, Brazil.
Method
Data came from a population-based Health, Welfare and Aging survey conducted in 2000, 2006, 2010, and 2015. Cognitive impairment was detected using the abbreviated Mini-Mental State Exam corrected by formal education years. In total, there were 5922 respondents in the statistical analyses.
Results
Logistic regression models adjusted for age group, income, race, cardiovascular risk factors, and depression were used to estimate cognitive impairment prevalence. Between 2015 and 2000, respondents were more likely to report formal education, hypertension, diabetes, and overweight/obesity. Moreover, the weighted analyses showed that cognitive impairment prevalence was higher in 2015, even adjusting for sociodemographic and socioeconomic characteristics, cardiovascular risk factors, and depression.
Conclusion
In contrast to decreases in cognitive impairment prevalence in other countries and despite increases in educational years, our findings suggest no secular improvements in cognitive health for the 2015 wave of older adults residing in São Paulo.
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
Reference72 articles.
1. IBGE. Pesquisa Nacional por Amostra de Domicílios Contínua - PNAD Contínua IBGE [Internet]. 2017. https://www.ibge.gov.br/estatisticas/sociais/populacao/17270-pnad-continua.html?edicao=20915&t=sobre. Accessed 18 May 2021.
2. IBGE. Pesquisa Nacional por Amostra de Domicílios Contínua - PNAD Contínua IBGE [Internet]. 2018 .https://www.ibge.gov.br/estatisticas/sociais/populacao/9171-pesquisa-nacional-por-amostra-de-domicilios-continua-mensal.html?=&t=o-que-e. Accessed 18 May 2021.
3. FAPESP. Brazil will have the world’s sixth-largest population of over-sixties by 2025 [Internet]. AGÊNCIA FAPESP. 2016. https://agencia.fapesp.br/brazil-will-have-the-worlds-sixth-largest-population-of-over-sixties-by-2025/23641/ Accessed 6 May 2021.
4. WHO. Dementia [Internet]. 2020. Available from: https://www.who.int/news-room/fact-sheets/detail/dementia. Accessed 18 May 2021.
5. Bohlken J, Riedel-Heller S, Steininger G, Kostev K, Michalowsky B. Trends in Dementia and Mild Cognitive Impairment Prevalence and Incidence in German General and Specialist Practices Between 2015 and 2019. J Alzheimers Dis JAD. 2021;79(4):1683–90. https://doi.org/10.3233/JAD-201385.
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