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Detecting Cognitive Decline and Dementia in Santa Cruz, Galápagos Islands, Ecuador.
Espinosa Del Pozo, Patricio H; Espinosa, Patricio S; Donadi, Eduardo; Rogel, Lenin; Naranjo, Raquel; Haro, Gabriela E; Riera, Diana C; Mendoza, Gabriela S; Garzón, Nicole A; Andrade, Nicolas F.
Afiliação
  • Espinosa Del Pozo PH; Neuroscience, Universidad Central del Ecuador, Quito, ECU.
  • Espinosa PS; Neurology, Marcus Neuroscience Institute, Boca Raton Regional Hospital Baptist Health System, Boca Raton, USA.
  • Donadi E; Departamento De Clinica, Facultad De Medicina Ribeirão Preto, Universidad De São Paulo, Ribeirão Preto, BRA.
  • Rogel L; Educación y Ciencias Sociales, Universidad Central del Ecuador, Santa Cruz, ECU.
  • Naranjo R; Neurosciences Unit, College of Medical Sciences, Central University of Ecuador, Quito, ECU.
  • Haro GE; Neurosciences Unit, College of Medical Sciences, Central University of Ecuador, Quito, ECU.
  • Riera DC; Neurosciences Unit, College of Medical Sciences, Central University of Ecuador, Quito, ECU.
  • Mendoza GS; Neurosciences Unit, College of Medical Sciences, Central University of Ecuador, Quito, ECU.
  • Garzón NA; Neurosciences Unit, College of Medical Sciences, Central University of Ecuador, Quito, ECU.
  • Andrade NF; Biological Sciences, Webster University, St. Louis, USA.
Cureus ; 12(10): e10826, 2020 Oct 06.
Article em En | MEDLINE | ID: mdl-33173633
Objective To assess the cognitive function, prevalence, and risk factors associated with cognitive decline and dementia in people above 65 years of age in Santa Cruz Island, Galápagos, Ecuador.  Methods This is a cross-sectional observational study that was carried out in adults over 65 years of age in Santa Cruz Island, Galápagos, Ecuador. The mini-mental state examination (MMSE) and ascertain dementia eight-item informant questionnaire (AD8)-validated Ecuador Spanish versions were used to assess cognition. Results There were a total of 80 participants, 55 (67%) women and 25 (31.2%) men. The majority of participants were Mestizos (85.3%), with the remainder classified as White (4.8%), Afro-Ecuadorians (2.4%), or Indigenous (3.6%). The prevalence of cognitive impairment is 30.0%-43.7%. The MMSE results showed that older age and lack of education are risk factors for cognitive decline (p < 0.01). There was high correlation between MMSE and AD8 scores. The AD8 showed that older age, widowhood, and living in Santa Rosa were risk factors for cognitive decline (p < 0.01). According to the AD8, the group with the highest education (six years or more) had the lowest risk of cognitive decline and dementia (p < 0.01).  Conclusions The main risk factors for cognitive decline and dementia in individuals above 65 years old in Santa Cruz Island, Galápagos, Ecuador are increased age, lack of education, and widowhood. The prevalence of cognitive impairment is similar to previous studies in Ecuador.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Cureus Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies / Risk_factors_studies País/Região como assunto: America do sul / Ecuador Idioma: En Revista: Cureus Ano de publicação: 2020 Tipo de documento: Article País de publicação: Estados Unidos