Cognitive Screening within Advanced Pharmaceutical Care in Elderly Patients with Suspected Metabolic Syndrome

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F22%3A00077731" target="_blank" >RIV/00159816:_____/22:00077731 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064203:_____/22:10451361 RIV/00216208:11130/22:10451361

Výsledek na webu

<a href="https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=P20190312001-202210-202210140002-202210140002-355-360" target="_blank" >https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=P20190312001-202210-202210140002-202210140002-355-360</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.6890/IJGE.202210_16(4).0008" target="_blank" >10.6890/IJGE.202210_16(4).0008</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Cognitive Screening within Advanced Pharmaceutical Care in Elderly Patients with Suspected Metabolic Syndrome

Popis výsledku v původním jazyce

Background: Cognitive screening by pharmacists may help to identify seniors with metabolic syndrome (MetS)-related cognitive impairment. We aimed to evaluate the implementation of an easy-to-use cognitive screening into the pharmaceutical care of seniors and to test whether cognitive decline is associated with suspected MetS (sMetS).Methods: Questionnaires were completed by 323 randomly selected elderly patients receiving pharmaceutical care in community pharmacies or in senior care centres in Slovakia. The presence of sMetS was estimated according to criteria of the International Diabetes Federation. Cognitive performance was evaluated by the Montreal Cognitive Assessment (MoCA) test and its short form (s-MoCA). In these tests, the cut-offs for impaired cognitive status were &lt;= 24, and &lt;= 12, respectively.Results: 56% of participants scored below the screening cut-off MoCA threshold. Cognitive impairment was significantly more frequent in sMetS+ subjects (71%) vs. sMetS- (52%; p &lt; 0.05). MoCA scores were significantly lower in sMetS+ (mean +/- SD = 20.0 +/- 5.9 points) vs. sMetS- (22.2 +/- 5.4 points; p &lt; 0.05). sMetS components type 2 diabetes mellitus, hypertension and obesity, but not dyslipidaemia, had an influence on lower cognitive performance.Conclusions: We unveiled a significant relationship of cognitive dysfunction to sMetS in elderly patients. A quick and simple cognitive assessment could be a helpful extension of pharmaceutical care.

Název v anglickém jazyce

Cognitive Screening within Advanced Pharmaceutical Care in Elderly Patients with Suspected Metabolic Syndrome

Popis výsledku anglicky

Background: Cognitive screening by pharmacists may help to identify seniors with metabolic syndrome (MetS)-related cognitive impairment. We aimed to evaluate the implementation of an easy-to-use cognitive screening into the pharmaceutical care of seniors and to test whether cognitive decline is associated with suspected MetS (sMetS).Methods: Questionnaires were completed by 323 randomly selected elderly patients receiving pharmaceutical care in community pharmacies or in senior care centres in Slovakia. The presence of sMetS was estimated according to criteria of the International Diabetes Federation. Cognitive performance was evaluated by the Montreal Cognitive Assessment (MoCA) test and its short form (s-MoCA). In these tests, the cut-offs for impaired cognitive status were &lt;= 24, and &lt;= 12, respectively.Results: 56% of participants scored below the screening cut-off MoCA threshold. Cognitive impairment was significantly more frequent in sMetS+ subjects (71%) vs. sMetS- (52%; p &lt; 0.05). MoCA scores were significantly lower in sMetS+ (mean +/- SD = 20.0 +/- 5.9 points) vs. sMetS- (22.2 +/- 5.4 points; p &lt; 0.05). sMetS components type 2 diabetes mellitus, hypertension and obesity, but not dyslipidaemia, had an influence on lower cognitive performance.Conclusions: We unveiled a significant relationship of cognitive dysfunction to sMetS in elderly patients. A quick and simple cognitive assessment could be a helpful extension of pharmaceutical care.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

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OECD FORD obor

30227 - Geriatrics and gerontology

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

International Journal of Gerontology

ISSN

1873-9598

e-ISSN

1873-958X

Svazek periodika

16

Číslo periodika v rámci svazku

4

Stát vydavatele periodika

TW - Čínská republika (Tchaj-wan)

Počet stran výsledku

6

Strana od-do

355-360

Kód UT WoS článku

000888027600009

EID výsledku v databázi Scopus

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