Global cortical atrophy (GCA) associates with worse performance in the Montreal Cognitive Assessment (MoCA). A population-based study in community-dwelling elders living in rural Ecuador.
Identifieur interne : 000B40 ( PubMed/Corpus ); précédent : 000B39; suivant : 000B41Global cortical atrophy (GCA) associates with worse performance in the Montreal Cognitive Assessment (MoCA). A population-based study in community-dwelling elders living in rural Ecuador.
Auteurs : Oscar H. Del Brutto ; Robertino M. Mera ; Mauricio Zambrano ; Francisco Soriano ; Julio LamaSource :
- Archives of gerontology and geriatrics [ 1872-6976 ]
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Atrophy, Brain Diseases (ethnology), Brain Diseases (pathology), Brain Diseases (psychology), Cognition, Cognition Disorders (diagnosis), Cognition Disorders (ethnology), Cognition Disorders (psychology), Ecuador, Female, Health Status, Humans, Male, Middle Aged, Neuropsychological Tests (statistics & numerical data), Population Surveillance (methods), Psychiatric Status Rating Scales, Residence Characteristics, Rural Population.
- MESH :
- geographic : Ecuador.
- diagnosis : Cognition Disorders.
- ethnology : Brain Diseases, Cognition Disorders.
- methods : Population Surveillance.
- pathology : Brain Diseases.
- psychology : Brain Diseases, Cognition Disorders.
- statistics & numerical data : Neuropsychological Tests.
- Aged, Aged, 80 and over, Atrophy, Cognition, Female, Health Status, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Residence Characteristics, Rural Population.
Abstract
Increasing numbers of individuals with cognitive impairment are posing economic threads to the developing world. Proper assessment of this condition may be complicated by illiteracy and cross-cultural factors. We conducted a population-based study in elders living in rural Ecuador to evaluate whether the MoCA associated with structural brain damage in less-educated populations.
DOI: 10.1016/j.archger.2014.09.010
PubMed: 25306507
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Global cortical atrophy (GCA) associates with worse performance in the Montreal Cognitive Assessment (MoCA). A population-based study in community-dwelling elders living in rural Ecuador.</title><author><name sortKey="Del Brutto, Oscar H" sort="Del Brutto, Oscar H" uniqKey="Del Brutto O" first="Oscar H" last="Del Brutto">Oscar H. Del Brutto</name><affiliation><nlm:affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador; Department of Neurology, Hospital-Clínica Kennedy, Guayaquil, Ecuador. Electronic address: oscardelbrutto@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mera, Robertino M" sort="Mera, Robertino M" uniqKey="Mera R" first="Robertino M" last="Mera">Robertino M. Mera</name><affiliation><nlm:affiliation>Gastroenterology Department, Vanderbilt University, Nashville, TN, United States.</nlm:affiliation></affiliation></author><author><name sortKey="Zambrano, Mauricio" sort="Zambrano, Mauricio" uniqKey="Zambrano M" first="Mauricio" last="Zambrano">Mauricio Zambrano</name><affiliation><nlm:affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</nlm:affiliation></affiliation></author><author><name sortKey="Soriano, Francisco" sort="Soriano, Francisco" uniqKey="Soriano F" first="Francisco" last="Soriano">Francisco Soriano</name><affiliation><nlm:affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</nlm:affiliation></affiliation></author><author><name sortKey="Lama, Julio" sort="Lama, Julio" uniqKey="Lama J" first="Julio" last="Lama">Julio Lama</name><affiliation><nlm:affiliation>Department of Imaging, Hospital-Clínica Kennedy, Guayaquil, Ecuador.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2015 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:25306507</idno><idno type="pmid">25306507</idno><idno type="doi">10.1016/j.archger.2014.09.010</idno><idno type="wicri:Area/PubMed/Corpus">000B40</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B40</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Global cortical atrophy (GCA) associates with worse performance in the Montreal Cognitive Assessment (MoCA). A population-based study in community-dwelling elders living in rural Ecuador.</title><author><name sortKey="Del Brutto, Oscar H" sort="Del Brutto, Oscar H" uniqKey="Del Brutto O" first="Oscar H" last="Del Brutto">Oscar H. Del Brutto</name><affiliation><nlm:affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador; Department of Neurology, Hospital-Clínica Kennedy, Guayaquil, Ecuador. Electronic address: oscardelbrutto@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Mera, Robertino M" sort="Mera, Robertino M" uniqKey="Mera R" first="Robertino M" last="Mera">Robertino M. Mera</name><affiliation><nlm:affiliation>Gastroenterology Department, Vanderbilt University, Nashville, TN, United States.</nlm:affiliation></affiliation></author><author><name sortKey="Zambrano, Mauricio" sort="Zambrano, Mauricio" uniqKey="Zambrano M" first="Mauricio" last="Zambrano">Mauricio Zambrano</name><affiliation><nlm:affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</nlm:affiliation></affiliation></author><author><name sortKey="Soriano, Francisco" sort="Soriano, Francisco" uniqKey="Soriano F" first="Francisco" last="Soriano">Francisco Soriano</name><affiliation><nlm:affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</nlm:affiliation></affiliation></author><author><name sortKey="Lama, Julio" sort="Lama, Julio" uniqKey="Lama J" first="Julio" last="Lama">Julio Lama</name><affiliation><nlm:affiliation>Department of Imaging, Hospital-Clínica Kennedy, Guayaquil, Ecuador.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Archives of gerontology and geriatrics</title><idno type="eISSN">1872-6976</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Atrophy</term><term>Brain Diseases (ethnology)</term><term>Brain Diseases (pathology)</term><term>Brain Diseases (psychology)</term><term>Cognition</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (ethnology)</term><term>Cognition Disorders (psychology)</term><term>Ecuador</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neuropsychological Tests (statistics & numerical data)</term><term>Population Surveillance (methods)</term><term>Psychiatric Status Rating Scales</term><term>Residence Characteristics</term><term>Rural Population</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ecuador</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Brain Diseases</term><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Population Surveillance</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Diseases</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Brain Diseases</term><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Neuropsychological Tests</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Atrophy</term><term>Cognition</term><term>Female</term><term>Health Status</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Psychiatric Status Rating Scales</term><term>Residence Characteristics</term><term>Rural Population</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Increasing numbers of individuals with cognitive impairment are posing economic threads to the developing world. Proper assessment of this condition may be complicated by illiteracy and cross-cultural factors. We conducted a population-based study in elders living in rural Ecuador to evaluate whether the MoCA associated with structural brain damage in less-educated populations.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25306507</PMID><DateCompleted><Year>2015</Year><Month>08</Month><Day>19</Day></DateCompleted><DateRevised><Year>2014</Year><Month>12</Month><Day>08</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1872-6976</ISSN><JournalIssue CitedMedium="Internet"><Volume>60</Volume><Issue>1</Issue><PubDate><MedlineDate>2015 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Archives of gerontology and geriatrics</Title><ISOAbbreviation>Arch Gerontol Geriatr</ISOAbbreviation></Journal><ArticleTitle>Global cortical atrophy (GCA) associates with worse performance in the Montreal Cognitive Assessment (MoCA). A population-based study in community-dwelling elders living in rural Ecuador.</ArticleTitle><Pagination><MedlinePgn>206-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.archger.2014.09.010</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0167-4943(14)00177-0</ELocationID><Abstract><AbstractText Label="BACKGROUND/OBJECTIVE" NlmCategory="OBJECTIVE">Increasing numbers of individuals with cognitive impairment are posing economic threads to the developing world. Proper assessment of this condition may be complicated by illiteracy and cross-cultural factors. We conducted a population-based study in elders living in rural Ecuador to evaluate whether the MoCA associated with structural brain damage in less-educated populations.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Atahualpa residents aged ≥60 years were identified during a door-to-door survey and invited to undergo MRI for grading GCA. Using a multivariate generalized linear model, we evaluated whether MoCA scores correlates with GCA, after adjusting for demographics, education, cardiovascular health (CVH) status, depression and edentulism.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Out of 311 eligible persons, 241 (78%) were enrolled. Mean age was 69.2±7.5 years, 141 (59%) were women, 199 (83%) had primary school education, 175 (73%) had poor CVH status, 30 (12%) had symptoms of depression and 104 (43%) had edentulism. Average MoCA scores were 18.5±4.7 points. GCA was mild in 108, moderate in 95, and severe in 26 persons. Total and most domain-specific MoCA scores were significantly worse in persons with moderate to severe GCA. In the multivariate model, mean MoCA score was associated with GCA severity (β=2.38, SE=1.07, p=0.027).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MoCA scores associate with severity of GCA after adjusting for potential confounders, and may be used as reliable estimates of structural brain damage. However, a lower cut-off than that recommended for developed countries, would be better for recognizing cognitive impairment in less educated populations.</AbstractText><CopyrightInformation>Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Del Brutto</LastName><ForeName>Oscar H</ForeName><Initials>OH</Initials><AffiliationInfo><Affiliation>School of Medicine, Universidad Espíritu Santo - Ecuador, Guayaquil, Ecuador; Department of Neurology, Hospital-Clínica Kennedy, Guayaquil, Ecuador. Electronic address: oscardelbrutto@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mera</LastName><ForeName>Robertino M</ForeName><Initials>RM</Initials><AffiliationInfo><Affiliation>Gastroenterology Department, Vanderbilt University, Nashville, TN, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zambrano</LastName><ForeName>Mauricio</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soriano</LastName><ForeName>Francisco</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Community Center, The Atahualpa Project, Atahualpa, Ecuador.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lama</LastName><ForeName>Julio</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Imaging, Hospital-Clínica Kennedy, Guayaquil, Ecuador.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>09</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Arch Gerontol Geriatr</MedlineTA><NlmUniqueID>8214379</NlmUniqueID><ISSNLinking>0167-4943</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001284" MajorTopicYN="N">Atrophy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001927" MajorTopicYN="N">Brain Diseases</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003072" MajorTopicYN="N">Cognition Disorders</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004484" MajorTopicYN="N" Type="Geographic">Ecuador</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006304" MajorTopicYN="N">Health Status</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009483" MajorTopicYN="N">Neuropsychological Tests</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011159" MajorTopicYN="N">Population Surveillance</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012111" MajorTopicYN="Y">Residence Characteristics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="Y">Rural Population</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Atahualpa project</Keyword><Keyword MajorTopicYN="N">Ecuador</Keyword><Keyword MajorTopicYN="N">Global cortical atrophy</Keyword><Keyword MajorTopicYN="N">Montreal cognitive assessment</Keyword><Keyword MajorTopicYN="N">Population-based study</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>07</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>09</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>09</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>10</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>10</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>8</Month><Day>20</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25306507</ArticleId><ArticleId IdType="pii">S0167-4943(14)00177-0</ArticleId><ArticleId IdType="doi">10.1016/j.archger.2014.09.010</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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