[Association between cognitive impairment and depression in Chilean older adults].

Diagnóstico médico de depresión se asocia a sospecha de deterioro cognitivo en adultos mayores.

Journal

Revista medica de Chile
ISSN: 0717-6163
Titre abrégé: Rev Med Chil
Pays: Chile
ID NLM: 0404312

Informations de publication

Date de publication:
Jul 2020
Historique:
received: 30 11 2018
accepted: 23 06 2020
entrez: 5 1 2021
pubmed: 6 1 2021
medline: 29 1 2021
Statut: ppublish

Résumé

Depression has been previously associated with cognitive impairment in high income country populations. However, its association in the Chilean population has not been investigated. To investigate the association between depression and cognitive impairment. Data from 1384 Chilean adults aged > 60 years, participating in the National Health Survey 2009-2010 was analyzed. Cognitive impairment was assessed using the Mini Mental Examination score. The medical diagnosis of depression was self-reported. The association between depression and cognitive impairment was assessed using a logistic regression. Depression was positively associated with cognitive impairment. However, the magnitude of the association was higher in men (Odds ratio (OR) = 4.02 [95% confidence intervals (CI): 1.44; 6.61], p < 0.01]) than in women (OR = 2.23 [95%CI: 1.03; 3.43], p = 0.04). Older adults who were diagnosed for the first time with depression after 65 years of age, showed a stronger association with cognitive impairment (OR = 6.65 [95% CI: 2.39; 10.9], p < 0.01) than those diagnosed before 55 years. Our study confirms the association between depression and cognitive impairment. Further research is needed to elucidate the nature and potential mechanisms that link depression with cognitive impairment.

Sections du résumé

BACKGROUND BACKGROUND
Depression has been previously associated with cognitive impairment in high income country populations. However, its association in the Chilean population has not been investigated.
AIM OBJECTIVE
To investigate the association between depression and cognitive impairment.
MATERIAL AND METHODS METHODS
Data from 1384 Chilean adults aged > 60 years, participating in the National Health Survey 2009-2010 was analyzed. Cognitive impairment was assessed using the Mini Mental Examination score. The medical diagnosis of depression was self-reported. The association between depression and cognitive impairment was assessed using a logistic regression.
RESULTS RESULTS
Depression was positively associated with cognitive impairment. However, the magnitude of the association was higher in men (Odds ratio (OR) = 4.02 [95% confidence intervals (CI): 1.44; 6.61], p < 0.01]) than in women (OR = 2.23 [95%CI: 1.03; 3.43], p = 0.04). Older adults who were diagnosed for the first time with depression after 65 years of age, showed a stronger association with cognitive impairment (OR = 6.65 [95% CI: 2.39; 10.9], p < 0.01) than those diagnosed before 55 years.
CONCLUSIONS CONCLUSIONS
Our study confirms the association between depression and cognitive impairment. Further research is needed to elucidate the nature and potential mechanisms that link depression with cognitive impairment.

Identifiants

pubmed: 33399679
pii: S0034-98872020000700947
doi: 10.4067/S0034-98872020000700947
pii:
doi:

Types de publication

Journal Article

Langues

spa

Sous-ensembles de citation

IM

Pagination

947-955

Auteurs

Gabriela Nazar (G)

Departamento de Psicología y Centro Vida Saludable de la Universidad de Concepción, Universidad de Concepción, Concepción, Chile.

Natalia Ulloa (N)

Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia y Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile.

María Adela Martínez-Sanguinetti (MA)

Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile.

Ana María Leiva (AM)

Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile.

Fanny Petermann-Rocha (F)

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.

Ximena Díaz Martínez (XD)

Departamento Ciencias de la Educación, Universidad del Biobío, Chillán, Chile.

Fabian Lanuza (F)

Nutrition and Food Safety Research Institute (INSA), Faculty of Pharmacy and Food Sciences, University of Barcelona, Barcelona, Spain.

Igor Cigarroa (I)

Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile.

Yeny Concha-Cisternas (Y)

Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Sede Talca, Sede Talca, Chile.

Claudia Troncoso (C)

Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile.

Lorena Mardones (L)

Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile.

Marcelo Villagrán (M)

Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile.

Carlos Celis-Morales (C)

BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.

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