Cognitive Function and Vascular Risk Factors Among Older African American Adults.

Cognitive Function and Vascular Risk Factors Among Older African American Adults.
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DOI:
10.1007/s10903-017-0583-7
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发表时间:
2018-06
影响因子:
1.9
通讯作者:
Manning C
Manning C
中科院分区:
医学4区
文献类型:
--
作者:
Williams IC;Park MH;Tsang S;Sperling SA;Manning C

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评估初级保健诊所中老年非裔美国人(AA)中血管危险因素与认知障碍之间的相关性。参与者包括96名60岁或以上的AA成年人,他们接受了全球和特定领域认知的评估。参与者使用记忆和认知障碍计算机评估(CAMCI)进行了采访。采用分层回归模型研究CAMCI认知领域评分与血管危险因素之间的关系。吸烟者、SBP/DBP值较高者在CAMCI认知领域(注意、执行、记忆)的准确率较低,BMI较高者注意得分较好。HbA 1C值较高的患者的言语记忆较差。高血压患者对执行领域的任务反应明显更快。与患有这些VRF的老年AA成人合作的初级保健提供者可以在他们的实践中更早地实施认知筛查,以减少寻求治疗的障碍。
To evaluate the association between vascular risk factors and cognitive impairment among older African American (AA) adults in a primary care clinic. Participants included 96 AA adults aged 60 years or older who were evaluated for global and domain-specific cognition. Participants were interviewed using the Computerized Assessment of Memory and Cognitive Impairment (CAMCI). The relationship between CAMCI cognitive domain scores and vascular risk factors were examined using hierarchical regression models. Patients who smoked, those with higher SBP/DBP values had lower accuracy rates on CAMCI cognitive domains (attention, executive, memory).Those with higher BMI had better attention scores. Patients with higher HbA1C values had worse verbal memory. Patients with higher blood pressure were significantly faster in responding to tasks in the executive domain. Primary care providers working with older AA adults with these VRFs could implement cognitive screening earlier into their practice to reduce barriers of seeking treatment.
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