Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Medical Education Cooperation with Cuba
2011
|
| Subjects: | |
| Online Access: | https://www.redalyc.org/articulo.oa?id=437542104007 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of Contents:
- Dementia and Other Chronic Diseases in Older Adults in Havana and Matanzas: The 10/66 Study in Cuba Juan de Jesús Llibre Adolfo Valhuerdi Marina Calvo Rosa M. García Milagros Guerra Tania Laucerique Ana M. López Juan Carlos Llibre Lisseth Noriega Isis Y. Sánchez Rudbeskia Porto Francis Arencibia Beatriz Marcheco Carmen Moreno Medicina ag ing Cuba stroke Dementia INTRODUCTION Chronic non-communicable diseases are the lead- ing cause of death worldwide, except in Sub-Saharan Africa. None- theless, one of these conditions, dementia, is the major contributor to disability-adjusted life years in people aged 60 years. Few epide- miological studies exist of the prevalence and impact of dementia and selected chronic diseases in older adults in Latin America. OBJECTIVE Describe prevalence of dementia, other chronic vascular diseases and cardiovascular risk factors, as well as resulting disabili- ties and care needs generated in adults aged 65 years in Havana City and Matanzas provinces, Cuba. METHODS The 10/66 study is a prospective longitudinal study involv- ing a cohort of 3015 adults aged 65 years in municipalities of Havana City and Matanzas provinces, divided into two phases: a cross-sec- tional door-to-door study conducted in 2003–2006, and a follow-up and assessment phase in 2007–2010. This article reports ndings from the rst phase. Hypertension diagnosis was based on criteria from the International Society for Hypertension; diabetes mellitus on American Diabetes Association criteria; stroke according to WHO de - nitions; and dementia according to criteria of the American Psychiatric Society’s Diagnostic and Statistical Manual of Mental Disorders DSM- IV and the 10/66 International Dementia Research Group. Ischemic heart disease was de ned by self-report of previous physician diag- nosis. Study variables included age, sex, educational level, substance use (alcohol, tobacco) and dietary habits. A structured physical and neurological exam, including blood pressure measurement, was per- formed on all participants. Laboratory tests included complete blood count, fasting blood glucose, total cholesterol and lipoprotein frac- tions, triglycerides and apolipoprotein E genotype. Prevalence and standardized morbidity ratios (crude and adjusted) were calculated for chronic diseases studied with 95% con dence intervals, using a Poisson regression model and indirect standardization. RESULTS The study assessed 2944 older adults (response rate 97.6%) and found high prevalence of vascular risk factors and of chronic non-communicable diseases: hypertension 73.0% (95% CI 71.4–74.7), diabetes mellitus 24.8% (95% CI 22.9–26.5), ischemic heart disease 14.1% (95% CI 12.9–15.4), dementia 10.8% (95% CI 9.7–12.0) and stroke 7.8% (95% CI 6.9–8.8). The majority of partici- pants (85%) had more than one cardiovascular risk factor. The main cause of disability and dependency in the study population was de- mentia. CONCLUSION The high prevalence of chronic diseases observed in the elderly—with the consequent morbidity, disability and depen- dency—highlights the need for prevention, early diagnosis and risk 2011 artículo científico 1555-7960 https://www.redalyc.org/articulo.oa?id=437542104007 en http://www.redalyc.org/revista.oa?id=4375 MEDICC Review application/pdf Medical Education Cooperation with Cuba MEDICC Review (Estados Unidos de América) Num.4 Vol.13