Open AccessFactors Predicting the Onset of Amnestic Mild Cognitive Impairment or Alzheimer's Dementia in Persons With Subjective Cognitive Decline
Author(s) -
Sangwoo Ahn,
Michelle A. Mathiason,
Dereck Salisbury,
Fang Yu
Publication year - 2020
Publication title -
journal of gerontological nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.391
H-Index - 52
eISSN - 1938-243X
pISSN - 0098-9134
DOI - 10.3928/00989134-20200619-01
Subject(s) - dementia , medicine , proportional hazards model , hazard ratio , cognitive decline , obesity , univariate analysis , cohort , psychiatry , psychology , multivariate analysis , confidence interval , disease
The objective of the current retrospective cohort study was to identify vascular and/or neuropsychiatric risk factors predicting clinical progression in persons with subjective cognitive decline (SCD). Information on 1,525 persons with SCD (mean age = 73.8 [SD = 8.1] years) was obtained from the National Alzheimer's Coordinating Center. Clinical progression occurred from SCD to either amnestic mild cognitive impairment or Alzheimer's dementia over an average of 4.7 (SD = 2.9) years. Stepwise Cox regression was used. Compared to obesity (hazard ratio [HR] = 0.59) in the univariate unadjusted model, obesity (HR = 0.64), current smoking (HR = 2.02), and depressive symptoms (HR = 1.35) were significant after adjusting for covariates in the univariate model. In the multivariate adjusted model, obesity (HR = 0.64), current smoking (HR = 2.04), and depressive symptoms (HR = 1.36) remained significant predictors. Interventions should be designed to minimize transition by managing smoking and depressive symptoms. Further research is required for associations between obesity and clinical progression to test the hypothesis of obesity paradox. [Journal of Gerontological Nursing, 46(8), 28-36.].