Internal Medicine
mahmoud parham; Sajad Rezvan; fatemeh amirkanian; akram barati; mohmmad hassan nikkhah
Volume 27, Issue 4 , November and December 2020, , Pages 570-576
Abstract
Introduction: Metabolic syndrome is known as a risk factor for dementia and various degrees of cognitive impairment. The aim of this study was to Comparative study of diagnostic value of Montreal cognitive assessment (MoCA) and Mini–Mental state examination (MMSE) tests for assessment and cognitive ...
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Introduction: Metabolic syndrome is known as a risk factor for dementia and various degrees of cognitive impairment. The aim of this study was to Comparative study of diagnostic value of Montreal cognitive assessment (MoCA) and Mini–Mental state examination (MMSE) tests for assessment and cognitive impairments screening in patients with metabolic syndrome.
Materials and Methods: This descriptive-analytical study was performed on 107 patients with metabolic syndrome. Cognitive impairment was examined by MoCA and MMSE tests. Data were analyzed by SPSS 18 software.
Results: Mean score of MMSE and MoCa tests were 23.28 ± 2.66 and 22.06 ± 2.93, respectively. 84 patients (78.5%) had a MoCA test impairment (cognitive impairment). Based on the MMSE test, 66 patients (61.68%) had cognitive impairment. The sensitivity and specificity of the MMSE test were 73.81% and 82.61% respectively. MMSE diagnostic test with age (p=0.000, CC= -0.459), BMI (p = 0.000, CC = -0.338), FBS (p = 0.000, CC=-0.51), the levels of triglyceride (TG) (p = 0.000, CC = -0.56) and HDL (p = 0.000, CC = -0.54) were significantly correlated.
Conclusion: Cognitive impairment is noticeable in patients with metabolic syndrome and it seems that metabolic syndrome markers such as fasting blood glucose, triglyceride levelsand ets associated with cognitive impairment in these patients. MMSE test is a desirable sensitivity and specificity in evaluating cognitive impairment in patients with metabolic syndrome. However, because of the lack of studies in this field, are recommended for more comprehensive conclusions.
Maryam Mirzaei; Elham Sepahvand; Robab Sahaf; Samaneh Mirzaei; Ahmad Pakdel
Abstract
Backgrounds Physical and cognitive impairment in the elderly interferes in their health. Cognitive impairment, as a common complication in the elderly, attracted the attention of many specialists. The current study aimed at assessing the psychological disorders in the elderly living in nursing homes ...
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Backgrounds Physical and cognitive impairment in the elderly interferes in their health. Cognitive impairment, as a common complication in the elderly, attracted the attention of many specialists. The current study aimed at assessing the psychological disorders in the elderly living in nursing homes in Khorramabad, Iran.Methods & Materials The current descriptive-analytical study employed census method to evaluate 70 residents of Sedigh Nursing Home in Khorramabad, 2014. Data were collected by the standardized Mini-Mental State Examination (MMSE) to assess cognitive status. Data were analyzed by SPSS version 16, and descriptive and inferential statistics tests (Chi-square).Results Out of 70 study subjects, 48 (68.6%) were female. The mean age of the subjects was 5.6±4.69 years; ranged 60 to 91 years. Generally, 74.3% of the subjects had different levels of cognitive impairment; (27.1%) mild, (34.3%) moderate, and (22.9%) severe.Conclusion Based on the high prevalence of cognitive impairment among the study subjects, it is recommended to employ measures such as reducing stress and doing proper exercises and cognitive behavior therapies to manage or postpone cognitive impairments. Also, early diagnosis of cognitive impairment in the elderly is recommended. Future well designed studies on community-dwelling older adults are suggested.