Sreenivas P Veeranki1, Brian Downer2, Daniel Jupiter1, Yong-Fang Kuo1, Mukaila Raji3, William Calhoun4, Rebeca Wong1. 1. Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas, USA. 2. Rehabilitation Sciences, University of Texas Medical Branch, Galveston, Texas, USA. 3. Division of Geriatrics, University of Texas Medical Branch, Galveston, Texas, USA. 4. Division of Pulmonary Critical Care and Sleep Medicine, Department of Internal Medicine, University of Texas Medical Branch, Galveston, Texas, USA.
Abstract
BACKGROUND: Cognitive impairment has emerged as an important concern in clinical practice in aging population. Several comorbid factors contribute to etiopathogenesis; one disease of interest is chronic respiratory disease. AIM: The aim of this study is to investigate the association of chronic respiratory disease with risk of cognitive impairment in older Mexicans. MATERIALS AND METHODS: Data were obtained from 2782 Mexicans, aged ≥60 years, enrolled in waves I (2001) and III (2012) of the Mexican Health and Aging Study, a prospective cohort of nationally representative sample of older Mexicans. Participants' self-reported responses were used to categorize them into having respiratory disease or not. Study outcome included participants categorized into "cognitively impaired" or "cognitively normal" groups. Multivariable logistic regression models were used to investigate the relationship. RESULTS: Overall, 16% of cohort participants reported cognitively impaired at Wave III. Compared with older Mexicans without chronic respiratory disease diagnosis, those diagnosed were not significantly associated with risk of cognitive impairment [adjusted odds ratio (OR): 0.94, 95% confidence interval (CI): 0.58-1.58]. CONCLUSION: Chronic respiratory disease is not significantly associated with risk of cognitive impairment in older Mexican adults.
BACKGROUND: Cognitive impairment has emerged as an important concern in clinical practice in aging population. Several comorbid factors contribute to etiopathogenesis; one disease of interest is chronic respiratory disease. AIM: The aim of this study is to investigate the association of chronic respiratory disease with risk of cognitive impairment in older Mexicans. MATERIALS AND METHODS: Data were obtained from 2782 Mexicans, aged ≥60 years, enrolled in waves I (2001) and III (2012) of the Mexican Health and Aging Study, a prospective cohort of nationally representative sample of older Mexicans. Participants' self-reported responses were used to categorize them into having respiratory disease or not. Study outcome included participants categorized into "cognitively impaired" or "cognitively normal" groups. Multivariable logistic regression models were used to investigate the relationship. RESULTS: Overall, 16% of cohort participants reported cognitively impaired at Wave III. Compared with older Mexicans without chronic respiratory disease diagnosis, those diagnosed were not significantly associated with risk of cognitive impairment [adjusted odds ratio (OR): 0.94, 95% confidence interval (CI): 0.58-1.58]. CONCLUSION: Chronic respiratory disease is not significantly associated with risk of cognitive impairment in older Mexican adults.
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Authors: Silvia Mejia-Arango; Jaqueline Avila; Brian Downer; Marc A Garcia; Alejandra Michaels-Obregon; Joseph L Saenz; Rafael Samper-Ternent; Rebeca Wong Journal: Geriatrics (Basel) Date: 2021-06-25