Risk factors for cognitive dysfunction amongst patients with cardiovascular diseases.

Montreal Cognitive Assessment atrial fibrillation cardiovascular cognitive impairment older adult risk factors stroke

Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2024
Historique:
received: 11 02 2024
accepted: 30 08 2024
medline: 30 9 2024
pubmed: 30 9 2024
entrez: 30 9 2024
Statut: epublish

Résumé

The impact of cardiovascular diseases on cognition raises important research questions. The study aimed to investigate the relationship between demographic data, cardiovascular diseases, kidney disease and depressive symptoms on cognition. A cross-sectional study of patients with cardiovascular diseases was performed. The Montreal Cognitive Assessment (MoCA) was applied for cognitive evaluation. Based on MoCA three groups were defined: preserved cognition, mild, and advanced cognitive dysfunction (CD). Data were analyzed using Cronbach alpha (Cα) and McDonald's ω (Mω) for internal consistency. The Chi-square test, Cramer's V test, and correlation analyses were also applied. Of 628 patients, 55.2% had mild CD, and the mean age was 67.95 (SD 9.53) years. Cα and Mω were 0.7, indicating good internal consistency. We found a moderate positive correlation between depression and the severity of CD ( Mild CD was the most common in patients with cardiovascular diseases. Older age, lower education, being a non-smoker, and renal dysfunction were risk factors for both mild and advanced CD. Female gender, previous diagnosis of atrial fibrillation, and stroke are risk factors for advanced CD.

Sections du résumé

Background UNASSIGNED
The impact of cardiovascular diseases on cognition raises important research questions. The study aimed to investigate the relationship between demographic data, cardiovascular diseases, kidney disease and depressive symptoms on cognition.
Methods UNASSIGNED
A cross-sectional study of patients with cardiovascular diseases was performed. The Montreal Cognitive Assessment (MoCA) was applied for cognitive evaluation. Based on MoCA three groups were defined: preserved cognition, mild, and advanced cognitive dysfunction (CD). Data were analyzed using Cronbach alpha (Cα) and McDonald's ω (Mω) for internal consistency. The Chi-square test, Cramer's V test, and correlation analyses were also applied.
Results UNASSIGNED
Of 628 patients, 55.2% had mild CD, and the mean age was 67.95 (SD 9.53) years. Cα and Mω were 0.7, indicating good internal consistency. We found a moderate positive correlation between depression and the severity of CD (
Conclusion UNASSIGNED
Mild CD was the most common in patients with cardiovascular diseases. Older age, lower education, being a non-smoker, and renal dysfunction were risk factors for both mild and advanced CD. Female gender, previous diagnosis of atrial fibrillation, and stroke are risk factors for advanced CD.

Identifiants

pubmed: 39346594
doi: 10.3389/fpubh.2024.1385089
pmc: PMC11427290
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1385089

Informations de copyright

Copyright © 2024 Pal, Iantovics, Preg, Nemes-Nagy, Nyulas, Baba and German-Sallo.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Auteurs

Tunde Pal (T)

Department of Internal Medicine V, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.
Department of Cardiology, Emergency Institute for Cardiovascular Diseases and Transplantation of Targu Mures, Targu Mures, Romania.

Laszlo Barna Iantovics (LB)

Department of Electrical Engineering and Information, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.

Zoltan Preg (Z)

Department of Family Medicine, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.
Department of Cardiovascular Rehabilitation, County Emergency Clinical Hospital of Targu Mures, Targu Mures, Romania.

Eniko Nemes-Nagy (E)

Department of Chemistry and Medical Biochemistry, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.
Department of Clinical Laboratory, County Emergency Clinical Hospital of Targu Mures, Targu Mures, Romania.

Kinga-Ilona Nyulas (KI)

PhD Student-Doctoral School, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.

Dragos-Florin Baba (DF)

Department of Cardiology, Emergency Institute for Cardiovascular Diseases and Transplantation of Targu Mures, Targu Mures, Romania.
Department of Cell and Molecular Biology, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.

Marta German-Sallo (M)

Department of Cardiovascular Rehabilitation, County Emergency Clinical Hospital of Targu Mures, Targu Mures, Romania.
Department of Internal Medicine III, George Emil Palade University of Medicine Pharmacy, Science, and Technology of Targu Mures, Targu Mures, Romania.

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