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dc.contributor.authorKoyanagi, Ai-
dc.contributor.authorLara, Elvira-
dc.contributor.authorStubbs, Brendon-
dc.contributor.authorCarvalho, Andre F.-
dc.contributor.authorOh, Hans-
dc.contributor.authorStickley, Andrew-
dc.contributor.authorVeronese, Nicola-
dc.contributor.authorVancampfort, Davy-
dc.identifier.citationKOYANAGI, A. et al. Chronic physical conditions, multimorbidity, and mild cognitive impairment in low‐and middle‐income countries. J Am Geriatr Soc., New York, v. 66, n. 4, p. 721-727, apr. 2018.pt_BR
dc.description.abstractOBJECTIVES: To assess the association between chronic physical conditions and multimorbidity and mild cognitive impairment (MCI) in low- and middle-income countries (LMICs). DESIGN: Nationally representative, cross-sectional, community- based study. SETTING: Six countries that participated in the World Health Organization Study on Global Ageing and Adult Health. PARTICIPANTS: Individuals aged 50 and older (N532,715; mean age 62.1615.6; 51.7% female). MEASUREMENTS: The definition of MCI was based on the recommendations of the National Institute on Ageing and Alzheimer’s Association. Ten chronic conditions were assessed (angina pectoris, arthritis, asthma, cataract, chronic lung disease, diabetes mellitus, edentulism, hearing problems, hypertension, stroke). Multivariable logistic regression analysis was conducted to assess the association between chronic physical conditions, multimorbidity ( 2 chronic conditions), and MCI. RESULTS: The prevalence of multimorbidity was 49.8% (95% confidence interval (CI)548.1–51.5%) and of MCI was 15.3% (95% CI514.4–16.3%). After adjustment for potential confounders, edentulism (odds ratio (OR)51.24), arthritis (OR51.24), chronic lung disease (OR51.29), cataract (OR51.33), stroke (OR51.94), hearing problems (OR52.27), and multimorbidity (OR51.40) were significantly associated with MCI. There was a gradual increase in the likelihood of MCI (1 condition: OR51.21, 95% CI51.03–1.42; 4 conditions: OR52.07, 95% CI51.70–2.52). CONCLUSION: These results highlight the need to investigate the underlying mechanisms linking chronic conditions and MCI and whether prevention or treatment of chronic conditions or multimorbidity can reduce the onset of cognitive decline and subsequent dementia, especially in LMICs.pt_BR
dc.publisherJournal of the American Geriatrics Societypt_BR
dc.subjectDisfunção Cognitivapt_BR
dc.subjectCognitive Dysfunctionpt_BR
dc.titleChronic physical conditions, multimorbidity, and mild cognitive impairment in low- and middle-Income countriespt_BR
dc.typeArtigo de Periódicopt_BR
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