Memory complaints and mild cognitive impairment in community-dwelling older adults in Peru
DOI:
https://doi.org/10.31637/epsir-2024-1817Keywords:
older adults, memory complaints, mild cognitive impairment, mental state, community, executive processes, psychomotor slowing, neurocognitive deficitsAbstract
Introduction: Global aging is progressing rapidly, with significant demographic, social, and health implications. This study analyzes the cognitive performance of healthy older adults who report memory complaints, identifying factors that influence their cognition. Methodology: In a mental health campaign, 574 community-dwelling older adults were evaluated using the Mini-Mental State Examination (MMSE) and the Geriatric Depression Scale by Yesavage. Twenty-five individuals with subjective memory complaints (SMC) and 49 with suspected mild cognitive impairment (MCI) were identified and then assessed with specific memory tests, such as the Hopkins Verbal Learning Test, Symbols and Digits Test, and the Rey Complex Figure Test. Results: The groups have high levels of education, few health problems, and good scores on the MMSE and Yesavage tests. However, significant differences are found in the results of the Hopkins and Symbols and Digits tests. Education shows a significant effect on long-term memory in the Hopkins test. Discussions: Subjective memory complaints (SMC) and mild cognitive impairment (MCI) can be early indicators of cognitive decline, although they are often difficult to detect. Conclusions: Community-dwelling older adults, although autonomous and without dementia symptoms, may exhibit subtle cognitive changes that require early detection to prevent neurodegenerative disorders.
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Arévalo, S., Kress, J. y Rodriguez, F. (2020). Validity of Cognitive Assessment Tools for Older Adult Hispanics: A Systematic Review. Journal of the American Geriatrics Society, 68(4), 882–888. https://doi.org/10.1111/jgs.16300 DOI: https://doi.org/10.1111/jgs.16300
Barreda-Parra, A., Núñez-Pacheco, R., Turpo-Gebera, O., Limaymanta, C. y Sánchez-Gómez, M. (2023). Escritura académica y autoeficacia en estudiantes de ciencias sociales y humanas de una universidad peruana. Estudios pedagógicos (Valdivia), 49(2), 357-371. https://dx.doi.org/10.4067/S0718-07052023000200357 DOI: https://doi.org/10.4067/S0718-07052023000200357
Beaman, S. R., Beaman, P. E., García, C., Villa, J. Heres, Córdova, A. y Jagger, C. (2004). Validation of a Modified Version of the Mini-Mental State Examination (MMSE) in Spanish. Aging, Neuropsychology, and Cognition, 11, 1-11. https://psycnet.apa.org/doi/10.1076/anec.11.1.1.29366 DOI: https://doi.org/10.1076/anec.11.1.1.29366
Belón, V. y Soto, M. (2015). Perfil cognitivo del adulto mayor en Arequipa. Revista de Psicología (Trujillo), 17(2), 91-103. https://doi.org/10.18050/revpsi.v17n2a5.2015 DOI: https://doi.org/10.18050/revpsi.v17n2a5.2015
Benedict, R. H. B., Schretlen, D., Groninger, L. y Brandt, J. (1998). Hopkins Verbal Learning Test—Revised: Normative data and analysis of inter-form and test-retest reliability. Prueba de aprendizaje verbal de Hopkins revisada: datos normativos y análisis de la fiabilidad entre formularios y test-retest). Clinical Neuropsychologist, 12(1), 43-55. https://doi.org/10.1076/clin.12.1.43.1726 DOI: https://doi.org/10.1076/clin.12.1.43.1726
Bento-Torres, N. V., Bento-Torres, J., Tomás, A. M., Costa, V. O., Corrêa, P. G., Costa, C. N., Jardim, N. Y. y Picanço-Diniz, C. W. (2017). Influence of schooling and age on cognitive performance in healthy older adults. Brazilian Journal of Medical and Biological Research, 50(4), e5892. https://doi.org/10.1590/1414-431X20165892 DOI: https://doi.org/10.1590/1414-431x20165892
Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P. H., Adey, M. y Rose, T. L. (1982). Screening Tests for Geriatric Depression. Clinical Gerontologist: The Journal of Aging and Mental Health, 1(1), 37-43. https://doi.org/10.1300/J018v01n01_06 DOI: https://doi.org/10.1300/J018v01n01_06
Carnero, C., López, S., Allegri, R. y Russo, M. (2014). A systematic review and meta-analysis of the diagnostic accuracy of the Phototest for cognitive impairment and dementia. Dementia & Neuropsychologia, 8(2), 141-147. https://lc.cx/vp8H99 DOI: https://doi.org/10.1590/S1980-57642014DN82000009
Carnero, C., López, S., Florido, M., Espinosa, M., Rego, I. y Calle-Calle, R. (2021). Utilidad diagnóstica y validez predictiva del uso conjunto de Fototest y Mini-Cog en deterioro cognitivo. Neurología. https://doi.org/10.1016/j.nrl.2021.01.017 DOI: https://doi.org/10.1016/j.nrl.2021.01.017
Ciesielska, N., Sokołowski, R., Mazur, E., Podhorecka, M., Polak-Szabela, A. y Kędziora-Kornatowska, K. (2016). Is the Montreal Cognitive Assessment (MoCA) test better suited than the Mini-Mental State Examination (MMSE) in mild cognitive impairment (MCI) detection among people aged over 60? Metaanaliza. Psychiatria, 50(5), 1039-1052. https://doi.org/10.12740/PP/45368 DOI: https://doi.org/10.12740/PP/45368
Custodio, N., Alva-Díaz, C., Becerra-Becerra, Y., Montesinos, R., Lira, D., Herrera-Pérez, E., Castro-Suárez, S., Cuenca-Alfaro, J. y Valeriano-Lorenzo, E. (2016). Rendimiento en pruebas cognitivas breves, de adultos mayores con demencia en estadios avanzados, residentes de una comunidad urbana de Lima, Perú. Revista Peruana de Medicina Experimental y Salud Publica, 33(4), 662-669. https://doi.org/10.17843/rpmesp.2016.334.2549 DOI: https://doi.org/10.17843/rpmesp.2016.334.2549
Custodio, N. y Lira, D. (2014). Adaptación peruana del Examen Estatal Minimental (MMSE). Anales de la Facultad de Medicina, 75(1), 69-69. https://doi.org/10.15381/anales.v75i1.6951 DOI: https://doi.org/10.15381/anales.v75i1.6951
De Carvalho, L., Monteiro, D., Orlandi, F., Zazzetta, M. y Pavarini, S. (2017). Effect of educational status on performance of older adults in digital cognitive tasks: A systematic review. Dementia & Neuropsychologia, 11(2), 114-120. https://doi.org/10.1590/1980-57642016dn11-020003 DOI: https://doi.org/10.1590/1980-57642016dn11-020003
De Roeck, E., De Deyn, P., Dierckx, E. y Engelborghs, S. (2019). Brief cognitive screening instruments for early detection of Alzheimer's disease: a systematic review. Alzheimer's Research & Therapy, 11(1), 21. https://doi.org/10.1186/s13195-019-0474-3 DOI: https://doi.org/10.1186/s13195-019-0474-3
Escribano, M., Pérez, M., García, F., Pérez, A., Romero, L., Ferrer, G., et al. (1999). Validación del MMSE de Folstein en una población española de bajo nivel educativo. Revista Española de Geriatría y Gerontología, 34(6), 319-326. https://lc.cx/kMb5EO
Fritsch, T., McClendon, M. J., Wallendal, M. S., Hyde, T. F. y Larsen, J. D. (2014). Prevalence and Cognitive Bases of Subjective Memory Complaints in Older Adults: Evidence from a Community Sample. Journal of Neurodegenerative Diseases, 176843. https://doi.org/10.1155/2014/176843 DOI: https://doi.org/10.1155/2014/176843
García, S., Eriksdotter, M., Jelic, V., Porta, J., Kåreholt, I. y Manzano Palomo, S. (2016). Quejas cognitivas subjetivas: Hacia una identificación precoz de la enfermedad de Alzheimer. Neurología, 31(8), 562-571. https://doi.org/10.1016/j.nrl.2016.08.002 DOI: https://doi.org/10.1016/j.nrl.2013.02.007
Gifford, K., Liu, D., Damon, S., Chapman, W., Romano III, R. y Samuels, L. (2015). Subjective memory complaint only relates to verbal episodic memory performance in mild cognitive impairment. Journal of Alzheimer's Disease, 44(1), 309-318. https://doi.org/10.3233/JAD-140604 DOI: https://doi.org/10.3233/JAD-140636
Halil, M., Cemal Kizilarslanoglu, M., Emin Kuyumcu, M., Yesil, Y. y Cruz Jentoft, A. J. (2015). Cognitive aspects of frailty: mechanisms behind the link between frailty and cognitive impairment. The Journal of Nutrition, Health & Aging, 19(3), 276-283. https://doi.org/10.1007/s12603-014-0535-z DOI: https://doi.org/10.1007/s12603-014-0535-z
Harada, C. N., Natelson, M. y Triebel, K. (2013). Normal cognitive aging. Clinics in Geriatric Medicine, 29(4), 737-752. https://doi.org/10.1016/j.cger.2013.07.002 DOI: https://doi.org/10.1016/j.cger.2013.07.002
Harada, K., Kyo, S. y Ito, H. (2018). Japanese version of the Montreal Cognitive Assessment cut-off score to clarify improvement of mild cognitive impairment after exercise training in community-dwelling older adults. Geriatrics & Gerontology International, 18(6), 833-838. https://doi.org/10.1111/ggi.13253 DOI: https://doi.org/10.1111/ggi.13253
Hachinski, V. (2019). Dementia: new vistas and opportunities. Neurological sciences: official journal of the Italian Neurological. Society and of the Italian Society of Clinical Neurophysiology, 40(4), 763-767. https://doi.org/10.1007/s10072-019-3714-1 DOI: https://doi.org/10.1007/s10072-019-3714-1
Huang, Z., Guo, Y., Ruan, Y., Sun, S., Lin, T., Ye, J., Li, J., He, L., Wang, S., Shi, Y. y Wu, F. (2020). Associations of lifestyle factors with cognition in community-dwelling adults aged 50 and older: a longitudinal cohort study. Frontiers in Aging Neuroscience, 12, 601487. https://doi.org/10.3389/fnagi.2020.601487 DOI: https://doi.org/10.3389/fnagi.2020.601487
Instituto Nacional de Estadística e Informática (INEI). (sf). Boletín: Niñez y adulto mayor. https://www.inei.gob.pe/biblioteca-virtual/boletines/ninez-y-adulto-mayor/1/
Jia, L., Du, Y., Chu, L., Zhang, Z., Li, F., Lyu, D., Li, Y., Li, Y., Zhu, M., Jiao, H., Song, Y., Shi, Y., Zhang, H., Gong, M., Wei, C., Tang, Y., Fang, B., Guo, D., Wang, F. y Zhou, A. (2020). Prevalence, risk factors, and management of dementia and mild cognitive impairment in adults aged 60 years or older in China: a cross-sectional study. The Lancet. Public Health, 5(12), e661-e671. https://doi.org/10.1016/S2468-2667(20)30185-7 DOI: https://doi.org/10.1016/S2468-2667(20)30185-7
Jekel, K., Damian, M., Wattmo, C., Hausner, L., Bullock, R., Connelly, P. J., Dubois, B., Eriksdotter, M., Ewers, M., Graessel, E., Kramberger, M. G., Law, E., Mecocci, P., Molinuevo, J. L., Nygård, L., Olde-Rikkert, M. G., Orgogozo, J. M., Pasquier, F., Peres, K., Salmon, E. y Frölich, L. (2015). Mild cognitive impairment and deficits in instrumental activities of daily living: a systematic review. Alzheimer's Research & Therapy, 7(1), 17. https://doi.org/10.1186/s13195-015-0099-0 DOI: https://doi.org/10.1186/s13195-015-0099-0
Kim, J., Kim, M. y Yoon, J. H. (2020). The tip-of-the-tongue phenomenon in older adults with subjective memory complaints. PLoS One, 15(9). https://doi.org/10.1371/journal.pone.0239327 DOI: https://doi.org/10.1371/journal.pone.0239327
Kuslansky, G., Katz, M., Verghese, J., Hall, C. B., Lapuerta, P., LaRuffa, G. y Lipton, R. B. (2004). Detecting dementia with the hopkins verbal learning test and the mini-mental state examination. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, 19(1), 89-104. https://pubmed.ncbi.nlm.nih.gov/14670382/ DOI: https://doi.org/10.1093/arclin/19.1.89
Larner, A. J. (2018). Mini-Mental State Examination: diagnostic test accuracy study in primary care referrals. Neurodegenerative Disease Management, 8(5), 301-305. https://doi.org/10.2217/nmt-2018-0018 DOI: https://doi.org/10.2217/nmt-2018-0018
Leite, M. T., Castioni, D., Kirchner, R. M. y Hildebrandt, L. M. (2015). Capacidad funcional y nivel cognitivo de adultos mayores residentes en una comunidad en el sur de Brasil. Enfermería Global, 14(37). https://lc.cx/Vk8fiq DOI: https://doi.org/10.6018/eglobal.14.1.196461
Lövdén, M., Fratiglioni, L., Glymour, M., Lindenberger, U. y Tucker, E. (2020). Education and Cognitive Functioning Across the Life Span. Psychological science in the public interest: a Journal of the American Psychological Society, 21(1), 6-41. https://doi.org/10.1177/1529100620920576 DOI: https://doi.org/10.1177/1529100620920576
Mitchell, A. J. (2009). A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. Journal of Psychiatric Research, 43(4), 411-431. https://doi.org/10.1016/j.jpsychires.2008.04.014 DOI: https://doi.org/10.1016/j.jpsychires.2008.04.014
Mitchell, A. J. (2017). The mini-mental state examination (MMSE): update on its diagnostic accuracy and clinical utility for cognitive disorders. En Larner, A. J. (Ed.), Cognitive Screening Instruments: A Practical Approach (pp. 37-48). Springer International Publishing. https://doi.org/10.1007/978-3-319-44775-9_3 DOI: https://doi.org/10.1007/978-3-319-44775-9_3
Mías, C. D., Luque, L., Bastida, M. y Correche, M. (2015). Quejas subjetivas de memoria, olvidos de riesgo y dimensiones psicopatológicas: Aspectos diferenciales entre el declive y deterioro cognitivo leve. Revista Neuropsicología, Neuropsiquiatría y Neurociencias, 15(2), 53-70. http://revistaneurociencias.com/index.php/RNNN/article/view/55
Naciones Unidas (s/f). Envejecimiento. Naciones Unidas. https://lc.cx/zTD67r
Naciones Unidas (2019). Envejecimiento, personas mayores y Agenda 2030 para el desarrollo sostenible: Perspectiva regional y de derechos. Naciones Unidas. https://www.unilibrary.org/content/books/9789210586405
O'Bryant, S., Humphreys, J., Smith, G., Ivnik, R., Graff-Radford, N., Petersen, R. y Lucas, J. (2008). Detecting dementia with the mini-mental state examination in highly educated individuals. Archives of Neurology, 65(7), 963-967. https://doi.org/10.1001/archneur.65.7.963 DOI: https://doi.org/10.1001/archneur.65.7.963
Ostrosky, F., López, G. y Ardila, A. (2000). Sensitivity and specificity of the Mini-Mental State Examination in a Spanish-speaking population. Applied neuropsychology, 7(1), 25-31. https://doi.org/10.1207/S15324826AN0701_4
Petersen, R. C. (2004). Mild cognitive impairment as a diagnostic entity. Journal of Internal Medicine, 256(3), 183-194. https://doi.org/10.1111/j.1365-2796.2004.01388.x DOI: https://doi.org/10.1111/j.1365-2796.2004.01388.x
Petersen, R. C. (2016). Mild Cognitive Impairment. Continuum, 22(2 Dementia), 404-418. https://doi.org/10.1212/CON.0000000000000313 DOI: https://doi.org/10.1212/CON.0000000000000313
Petersen, R. C., Lopez, O., Armstrong, M. J., Getchius, T. S. D., Ganguli, M., Gloss, D., Gronseth, G. S., Marson, D., Pringsheim, T., Day, G. S., Sager, M., Stevens, J. y Rae-Grant, A. (2018). Practice guideline update summary: Mild cognitive impairment: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology, 90(3), 126-135. https://doi.org/10.1212/WNL.0000000000004826 DOI: https://doi.org/10.1212/WNL.0000000000004826
Rey (s/f). Test de Copia de una Figura Compleja [Prueba]. TÉ Ediciones. http://web.teaediciones.com/rey-test-de-copia-de-una-figura-compleja.aspx
Rojas, D., Segura, C., Cardona, A., Segura, C. y Garzón, D. (2017). Análisis rasch del mini mental state examination (mmse) en adultos mayores de Antioquia, Colombia. CES Psicología, 10(2). https://doi.org/10.21054/ces.10.2.10 DOI: https://doi.org/10.21615/cesp.10.2.2
Romo, D. y Padilla, E. (2019). Utilidad de los test cognoscitivos breves para detectar la demencia en la población mexicana. Archivos de Neurociencias, 23(4), 26-34. https://doi.org/10.31157/an.v23i4.21 DOI: https://doi.org/10.31157/an.v23i4.21
Russo, M., Iturry, M., Sraka, M., Bartoloni, L., Carnero Pardo, C. y Allegri, R. (2014). Diagnostic accuracy of the Phototest for cognitive impairment and dementia in Argentina. The Clinical Neuropsychologist, 28(5), 826-840. https://doi.org/10.1080/13854046.2014.928748 DOI: https://doi.org/10.1080/13854046.2014.928748
Sánchez, S. S., Abanto, J., Sanchez-Boluarte, A., Boluarte-Carbajal, A., Sanchez-Coronel, D., Custodio-Capuñay, N. y Samalvides-Cuba, F. (2019). Frequency and associated factors of amnestic mild cognitive impairment at four senior citizen clubs in Lima, Peru. Dementia & Neuropsychologia, 13(3), 321-328. https://lc.cx/SjGlck DOI: https://doi.org/10.1590/1980-57642018dn13-030009
Shi, J., Tian, J., Wei, M., Miao, Y. y Wang, Y. (2012). The utility of the Hopkins Verbal Learning Test (Chinese version) for screening dementia and mild cognitive impairment in a Chinese population. BMC Neurology, 12, 136. https://lc.cx/Y7vilO DOI: https://doi.org/10.1186/1471-2377-12-136
Sydney, J. y Adlard, P. (2019). Ageing and Cognition. Sub-cellular Biochemistry, 91, 107-122. https://doi.org/10.1007/978-981-13-3681-2_5 DOI: https://doi.org/10.1007/978-981-13-3681-2_5
Smith, A. (2002). SDMT: Prueba de símbolos y dígitos: Manual. TÉ Ediciones. https://dialnet.unirioja.es/servlet/libro?codigo=52228
Tomita, Y., Tanaka, S., Takahashi, S. y Takeuchi, N. (2020). Detecting cognitive decline in community-dwelling older adults using simple cognitive and motor performance tests. Geriatrics & Gerontology International, 20(3), 212-217. https://doi.org/10.1111/ggi.13863 DOI: https://doi.org/10.1111/ggi.13863
Organizaciones de la Salud (Oficina Regional de la) Panamericana (OPS). (2021). Envejecimiento saludable. https://www.paho.org/es/envejecimiento-saludable
Organizaciones de la Salud (Oficina Mundial de la) (OMS). (2021). Envejecimiento y salud. https://www.who.int/es/news-room/fact-sheets/detail/envejecimiento-y-salud
Ostrosky, F., López, G., & Ardila, A. (2000). Sensitivity and specificity of the Mini-Mental State Examination in a Spanish-speaking population. Applied Neuropsychology, 7(1), 25-31. https://doi.org/10.1207/S15324826AN0701_4 DOI: https://doi.org/10.1207/S15324826AN0701_4
Rosales-Márquez, C., Loayza-López, M., Fernández-Tapia, S., Diaz-Zavala, R., Mango-Quispe, P. y Turpo-Gebera, O. (2024). Análisis multivariado de condicionantes clínicas en hospitalización durante la pandemia en Perú. RISTI: Iberian Journal on Information Systems & Technologies, Issue E70, 177-189. https://www.risti.xyz/issues/ristie70.pdf
Turpo-Gebera O. (2013). Posicionamiento de los docentes de ciencias en la evaluación de los aprendizajes: una aproximación a sus subjetividades. Educación Química, 24( 2 ), 229-236. https://lc.cx/yar8FW DOI: https://doi.org/10.1016/S0187-893X(13)72467-4
Xin, X., Rahardjo, T., Shifu, X. y Hogervorst, E. (2014). The Hopkins Verbal Learning Test and Detection of MCI and Mild Dementia: A Literature Review. Journal of Alzheimers Disease & Parkinsonism, 4, 1-9. https://doi.org/10.4172/2161-0460.1000166 DOI: https://doi.org/10.4172/2161-0460.1000166
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