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- Title
Dementia onset among community-dwelling older adults with mild cognitive impairment: A longitudinal study.
- Authors
Na-Na Jung; Gwi-Ryung Son Hong
- Abstract
Purpose: The aims of this study were to examine the rate of the changes in cognitive function and the related-factors in progression from the community-dwelling older adults with mild cognitive impairment to dementia during 3 years. Methods: Data were selected from the Seoul Dementia Management Project with 1,375 community-dwelling older adults with mild cognitive impairment at baseline and monitored the changes in cognitive function after 3 years. The main variables were included demographic characteristics, body mass index, cognitive function, attended number of non-pharmacological programs, and activity of daily living (ADL)-related educational programs. Data were analyzed using chi-square test, independent t-test, and logistic regression. Results: Of all the participants, 83.0% remained with mild cognitive impairment, and 17.0% progressed to dementia after 3 years. Old age (odds ratio [OR]=1.06, 95% confidence Interval [CI]=1.04~1.09), no exercise (OR=1.42, 95% CI=1.04~1.93), attendance at non-pharmacological programs less than eight times (OR=4.17, 95% CI=2.05~8.49), and no attendance at ADL-related educational programs (OR=1.05, 95% CI=1.02~1.26) significantly affected dementia progression. Conclusion: Regardless of the types of non-pharmacological programs, regular and continuous non-pharmacological programs must be one of the important services of the dementia care centers in Korea. The result of this study serves the basis for developing further strategies to activate non-pharmacological programs and ADL-related educational programs at the community level for older adults with mild cognitive impairment to prevent in progressing to dementia.
- Subjects
SOUTH Korea; DEMENTIA risk factors; INDEPENDENT living; MILD cognitive impairment; BODY mass index; T-test (Statistics); SECONDARY analysis; LOGISTIC regression analysis; CHI-squared test; DESCRIPTIVE statistics; RETROSPECTIVE studies; LONGITUDINAL method; ODDS ratio; SOCIODEMOGRAPHIC factors; CONFIDENCE intervals; DATA analysis software; DISEASE progression; COGNITION; ACTIVITIES of daily living; OLD age
- Publication
Journal of Korean Gerontological Nursing, 2024, Vol 26, Issue 2, p158
- ISSN
2384-1877
- Publication type
Article
- DOI
10.17079/jkgn.2023.00227