Abstract

ZEGARRA-VALDIVIA, Jonathan A.; CHINO-VILCA, Brenda N.  and  PAREDES-MANRIQUE, Carmen N.. Cognitive Impairment Prevalence In Peruvian Middle-Age And Elderly Adults. Rev Ecuat Neurol [online]. 2023, vol.32, n.1, pp.43-54. ISSN 2631-2581.  https://doi.org/10.46997/revecuatneurol32100043.

Appraisals of dementias worldwide envisage an unfavorable scenario, especially in developing countries. Since factors such as education, socioeconomic status and healthiness play an important role in the development of Alzheimer's disease and other dementias. It is known that pathophysiological features begin up to 20 years before an Alzheimer's diagnosis and that the disease transits through three stages that include normal aging, mild cognitive impairment, and Alzheimer's disease. The objective of this study was to determine the prevalence of cognitive impairment in a sample of middle-aged and older adults in southern Peru. A discriminant cognitive evaluation is performed for the absence or presence of cognitive alteration, focused especially on memory, language, visuoperception/visuoconstruction and other cognitive domains. Mini-Mental State Examination, Clock´s Test, and Verbal Fluency test were used, obtaining prevalence data for cognitive impairment with adjusted cut-off points according to age ranges (50-98 years) sex and education. Parametric and non-parametric statistics, logistic regression, Pearson correlation and ANCOVA were performed. The most suitable cut points for our population were selected through the ROC curves and the Youden index. The percentage of global mild cognitive deterioration was 58.80%. It is necessary to generate more effective mental health policies, especially referring to the middle-aged and elderly population, that address the early detection of MCI and Alzheimer's disease.

Keywords : Middle-age adults; elderly adults; cognitive impairment; verbal fluency; epidemiology; MMSE; Clock´s test..

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