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Cognitive impairment and hypertension in older adults living in extreme poverty: a cross-sectional study in Peru.
Lazo-Porras, Maria; Ortiz-Soriano, Victor; Moscoso-Porras, Miguel; Runzer-Colmenares, Fernando M; Málaga, German; Jaime Miranda, J.
Afiliação
  • Lazo-Porras M; CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru. maria.lazo@upch.pe.
  • Ortiz-Soriano V; Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru. maria.lazo@upch.pe.
  • Moscoso-Porras M; Unidad de Conocimiento y Evidencia (CONEVID), Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru.
  • Runzer-Colmenares FM; CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru.
  • Málaga G; Aging Research Center, School of Medicine, Universidad de San Martin de Porres, Lima, Peru.
  • Jaime Miranda J; CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Av. Armendariz 497, Miraflores, 241 69 78, Lima, Peru.
BMC Geriatr ; 17(1): 250, 2017 10 26.
Article em En | MEDLINE | ID: mdl-29073885
BACKGROUND: Previous studies have shown that hypertension is a risk factor for cognitive impairment, but whether this association is also present in extremely poor populations in Low Middle Income Countries settings remains to be studied. Understanding other drivers of cognitive impairment in this unique population also merits attention. METHODS: We performed a secondary analysis using data from the "Encuesta de Salud y Bienestar del Adulto Mayor", a regional survey conducted in an extremely poor population of people older than 65 years old from 12 Peruvian cities in 2012. The outcome variable was cognitive impairment, determined by a score of ≤7 in the modified Mini-Mental State Examination. The exposure was self-reported hypertension status. Variables such as age, gender, controlled hypertension, education level, occupation, depression and area of living (rural/urban) were included in the adjusted analysis. We used Poisson regression with robust variance to calculate prevalence ratios (PR) and 95% confidence interval (95% CI) adjusting for confounders. RESULTS: Data from 3842 participants was analyzed, 51.8% were older than 70 years, and 45.6% were females. The prevalence of cognitive impairment was 1.7% (95% CI 1.3%-2.1%). There was no significant difference on the prevalence of cognitive impairment between the group of individuals with hypertension in comparison with those without hypertension (PR = 0.64, 95% CI 0.33-1.23). CONCLUSIONS: The association described between hypertension and cognitive impairment was not found in a sample of extremely poor Peruvian older adults.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pobreza / Disfunção Cognitiva / Hipertensão Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pobreza / Disfunção Cognitiva / Hipertensão Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: BMC Geriatr Assunto da revista: GERIATRIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Peru País de publicação: Reino Unido