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| Journal Article | PreJuSER-10808 |
2010
Springer Science + Business Media B.V
Dordrecht [u.a.]
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Please use a persistent id in citations: doi:10.1007/s10967-010-0460-5
Abstract: To examine the association between presence of clinically relevant depressive symptoms (Center for Epidemiologic Studies Depression Scale [CES-D] score >or= 16) and subsequent cognitive function (Mini-Mental State Examination [MMSE]) over a 7-year period in older Mexican Americans, a prospective cohort study was performed. Five south-western states contributed data to the Hispanic Established Populations for Epidemiologic Studies of the Elderly. Participants included 2812 noninstitutionalized Mexican Americans aged 65 and older followed from 1993-1994 until 2000-2001. Cognitive change was assessed using the MMSE at baseline and at 2, 5, and 7 years of follow-up. Independent variables were sociodemographics, CES-D >or= 16, medical conditions (hypertension, diabetes, coronary artery disease, and stroke), and activities of daily living (ADL) status. A general linear mixed model was used to estimate cognitive change. There was a cross-sectional association between CES-D >or= 16 and lower MMSE score (estimate = -0.48; standard error [SE] = 0.15; P < .01), independent of age, gender, education, marital status, time of interview, ADL limitations, vision impairment, and medical conditions. In the fully adjusted longitudinal model, subjects with clinically relevant depressive symptoms had a greater decline in MMSE score over 7 years than those without clinically relevant depressive symptoms (estimate = -0.17; SE = 0.05; P < .001), adjusting for sociodemographics, ADL and medical conditions. Each point increase in the CES-D score was associated with a decline of 0.010 point in MMSE score per year (SE = 0.002; P < 0.0001), adjusting for relevant confounders. Presence of clinically relevant depressive symptoms was associated with subsequent decline in cognitive function over 7 years in older Mexican Americans, independent of demographic and health factors.
Keyword(s): Activities of Daily Living (MeSH) ; Aged (MeSH) ; Aging: psychology (MeSH) ; Cognition (MeSH) ; Cognition Disorders: diagnosis (MeSH) ; Cognition Disorders: epidemiology (MeSH) ; Cognition Disorders: psychology (MeSH) ; Cohort Studies (MeSH) ; Depressive Disorder: diagnosis (MeSH) ; Depressive Disorder: epidemiology (MeSH) ; Depressive Disorder: psychology (MeSH) ; Female (MeSH) ; Follow-Up Studies (MeSH) ; Geriatric Assessment: methods (MeSH) ; Geriatric Assessment: statistics & numerical data (MeSH) ; Health Status (MeSH) ; Humans (MeSH) ; Male (MeSH) ; Mexican Americans: psychology (MeSH) ; Mexican Americans: statistics & numerical data (MeSH) ; Prospective Studies (MeSH) ; Psychiatric Status Rating Scales: statistics & numerical data (MeSH) ; Socioeconomic Factors (MeSH) ; J ; Nuclear reactions (auto) ; Nuclear data (auto) ; Radiochemical methods (auto) ; Complex particle emission (auto) ; Isomeric cross section (auto) ; Fusion reactor technology (auto) ; Medical radionuclide production (auto)
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