Muscular function as an alternative to identify cognitive impairment : a secondary analysis from SABE Colombia

Antecedentes: La identificación del deterioro cognitivo se basa tradicionalmente en la pruebas neuropsicológicas y biomarcadores que no están ampliamente disponibles. Este estudio tuvo como objetivo establecer la asociación entre la función motora (velocidad de la marcha y fuerza) y el rendimiento cognitivo en el Mini-Examen del Estado Mental, a nivel mundial y por dominios. Un objetivo secundario fue calcular un punto de corte para la velocidad de la marcha y la prensión manual. fuerza para clasificar a los adultos mayores como con deterioro cognitivo. Métodos: Este es un análisis secundario de SABE Colombia (Salud, Bienestar & Envejecimiento), encuesta realizada en 2015 sobre salud, bienestar y envejecimiento en Colombia. Este estudio utilizó modelos de regresión lineal para buscar un asociación entre la función motora y el rendimiento cognitivo. La precisión del motor las mediciones de función en la identificación del deterioro cognitivo se evaluaron con el receptor curvas características de funcionamiento (ROC). Este estudio también analizó otros aspectos clínicos y variables sociodemográficas. Resultados: La velocidad de la marcha se asoció con la orientación (r2 = 0,16), idioma (r2 = 0.15), recordar memoria (r2 = 0.14), y contando (r2 = 0,08). Del mismo modo, la empuñadura la fuerza se asoció con la orientación (r2 = 0,175), idioma (r2 = 0.164), recordar memoria (r2 = 0.137), y contando (r2 = 0,08). Para diferenciar a los adultos mayores con y sin deterioro cognitivo, se tuvo un punto de corte de velocidad de la marcha de 0,59 m/s. un área bajo la curva (AUC) de 0,629 (0,613–0,646) y un agarre débil (resistencia por debajo de 17,5 kg) tenía un AUC de 0,653 (0,645-0,661). los puntos de corte para la fuerza de agarre y la velocidad de la marcha fueron significativamente mayores en los participantes masculinos. García-Cifuentes et al. Función muscular y deterioro cognitivo Conclusiones: La velocidad de la marcha y la fuerza de prensión se asocian de manera similar con la desempeño cognitivo, exhibiendo la asociación más extensa con la orientación y dominios lingüísticos del Mini-Examen del Estado Mental. Velocidad de marcha y prensión cualquier médico puede medir fácilmente la fuerza, y demuestran ser útiles para la detección herramientas para detectar el deterioro cognitivo. Palabras clave: velocidad de la marcha, fuerza de prensión manual, deterioro cognitivo, biomarcador, demencia preclínica, motora disfunciónQ2Q2Background: Identification of cognitive impairment is based traditionally on the neuropsychological tests and biomarkers that are not available widely. This study aimed to establish the association between motor function (gait speed and handgrip strength) and cognitive performance in the Mini-Mental State Examination, globally and by domains. A secondary goal was calculating a cut-off point for gait speed and handgrip strength to classify older adults as cognitively impaired. Methods: This is a secondary analysis of SABE Colombia (Salud, Bienestar & Envejecimiento), a survey that was conducted in 2015 on health, wellbeing, and aging in Colombia. This study used linear regression models to search for an association between motor function and cognitive performance. The accuracy of motor function measurements in identifying cognitive impairment was assessed with receiver operating characteristic (ROC) curves. This study also analyzed other clinical and sociodemographical variables. Results: Gait speed was associated with orientation (r2 = 0.16), language (r2 = 0.15), recall memory (r2 = 0.14), and counting (r2 = 0.08). Similarly, handgrip strength was associated with orientation (r2 = 0.175), language (r2 = 0.164), recall memory (r2 = 0.137), and counting (r2 = 0.08). To differentiate older adults with and without cognitive impairment, a gait speed cut-off point of 0.59 m/s had an area under the curve (AUC) of 0.629 (0.613–0.646), and a weak handgrip (strength below 17.5 kg) had an AUC of 0.653 (0.645-0.661). The cut-off points for handgrip strength and gait speed were significantly higher in male participants. Conclusions: Gait speed and handgrip strength are similarly associated with the cognitive performance, exhibiting the most extensive association with orientation and language domains of the Mini-Mental State Examination. Gait speed and handgrip strength can easily be measured by any clinician, and they prove to be useful screening tools to detect cognitive impairment.https://orcid.org/0000-0001-5680-7880https://scholar.google.com/citations?view_op=search_authors&mauthors=carlos+alberto+cano-gutierrez&hl=es&oi=aohttps://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000054895&lang=nullRevista Nacional - Indexad

Motoric Cognitive Risk Syndrome: Prevalence and Cognitive Performance. A cross-sectional study

Background Motoric Cognitive Risk Syndrome (MCR) is a predementia stage where slow gait speed and subjective memory complaints are present. The purpose of this study was to estimate the prevalence of MCR and assess its relationship with sociodemographic factors and chronic conditions. Methods This is a secondary analysis of the SABE Colombia study conducted in 2015. The analytic sample consisted of 17·577 participants. After determining MCR prevalence, logistic regression was performed to examine the correlates of MCR. Findings The prevalence of MCR was 10·71 %. The median age was 71 years and women composed 74·63 % of the MCR group. After adjusting for confounding variables MCR was associated with increasing age (OR 1·69, CI 1·43 - 1·92), no or low education (OR 1·99, CI 1·67- 2·37), MMSE (OR 0·93, CI 0·91 - 0·95) and chronic conditions such as mental disorders (OR 1·36, CI 1·11-1·67), history of myocardial infarction (OR 1·24, CI 1·04 - 1·47), hypertension (OR 1·23, CI 1·08 - 1·40) and diabetes (OR 1.18, CI 1.01 – 1.37). Interpretation This study found a prevalence of 10·71 % of MCR in Colombian older adults. Additionally, MCR was associated with chronic conditions and sociodemographic factors identified in prior studies. These results increase the awareness of a novel predementia stage whose identification can be performed by clinicians in the outpatient clinic, minimizing the cost of a full neuropsychologic evaluation performed in a memory clinic.publishedVersio

Comparación plan de estudios programa administración de empresas Uniminuto y Columbus State University

Realizar comparaciones entre los modelos educativos enfocándonos en las asignaturas que se enseñan a los estudiantes de la Corporación Universitaria Minuto de Dios y Columbus State University (CSU), es un proceso que se inicia con el conocimiento de la malla curricular de las dos Universidades para intentar así, identificar cuáles serían las asignaturas con mayor similitud en Columbus, sin embargo los enfoques que se manejan son diferentes, teniendo en cuenta que la demanda y población a la cual se dirigen, por razones económicas, condiciones sociales y características de los estudiantes, como también el mercado laboral que ofrece el entorno

Comparación plan de estudios programa administración de empresas Uniminuto y Columbus State University

Realizar comparaciones entre los modelos educativos enfocándonos en las asignaturas que se enseñan a los estudiantes de la Corporación Universitaria Minuto de Dios y Columbus State University (CSU), es un proceso que se inicia con el conocimiento de la malla curricular de las dos Universidades para intentar así, identificar cuáles serían las asignaturas con mayor similitud en Columbus, sin embargo los enfoques que se manejan son diferentes, teniendo en cuenta que la demanda y población a la cual se dirigen, por razones económicas, condiciones sociales y características de los estudiantes, como también el mercado laboral que ofrece el entorno

Muscular Function as an Alternative to Identify Cognitive Impairment: A Secondary Analysis From SABE Colombia

Background: Identification of cognitive impairment is based traditionally on the neuropsychological tests and biomarkers that are not available widely. This study aimed to establish the association between motor function (gait speed and handgrip strength) and cognitive performance in the Mini-Mental State Examination, globally and by domains. A secondary goal was calculating a cut-off point for gait speed and handgrip strength to classify older adults as cognitively impaired. Methods: This is a secondary analysis of SABE Colombia (Salud, Bienestar & Envejecimiento), a survey that was conducted in 2015 on health, wellbeing, and aging in Colombia. This study used linear regression models to search for an association between motor function and cognitive performance. The accuracy of motor function measurements in identifying cognitive impairment was assessed with receiver operating characteristic (ROC) curves. This study also analyzed other clinical and sociodemographical variables. Results: Gait speed was associated with orientation (r2 = 0.16), language (r2 = 0.15), recall memory (r2 = 0.14), and counting (r2 = 0.08). Similarly, handgrip strength was associated with orientation (r2 = 0.175), language (r2 = 0.164), recall memory (r2 = 0.137), and counting (r2 = 0.08). To differentiate older adults with and without cognitive impairment, a gait speed cut-off point of 0.59 m/s had an area under the curve (AUC) of 0.629 (0.613–0.646), and a weak handgrip (strength below 17.5 kg) had an AUC of 0.653 (0.645-0.661). The cut-off points for handgrip strength and gait speed were significantly higher in male participants. Conclusions: Gait speed and handgrip strength are similarly associated with the cognitive performance, exhibiting the most extensive association with orientation and language domains of the Mini-Mental State Examination. Gait speed and handgrip strength can easily be measured by any clinician, and they prove to be useful screening tools to detect cognitive impairment.publishedVersio

Motoric Cognitive Risk Syndrome: Prevalence and Cognitive Performance. A cross-sectional study

Background Motoric Cognitive Risk Syndrome (MCR) is a predementia stage where slow gait speed and subjective memory complaints are present. The purpose of this study was to estimate the prevalence of MCR and assess its relationship with sociodemographic factors and chronic conditions. Methods This is a secondary analysis of the SABE Colombia study conducted in 2015. The analytic sample consisted of 17·577 participants. After determining MCR prevalence, logistic regression was performed to examine the correlates of MCR. Findings The prevalence of MCR was 10·71 %. The median age was 71 years and women composed 74·63 % of the MCR group. After adjusting for confounding variables MCR was associated with increasing age (OR 1·69, CI 1·43 - 1·92), no or low education (OR 1·99, CI 1·67- 2·37), MMSE (OR 0·93, CI 0·91 - 0·95) and chronic conditions such as mental disorders (OR 1·36, CI 1·11-1·67), history of myocardial infarction (OR 1·24, CI 1·04 - 1·47), hypertension (OR 1·23, CI 1·08 - 1·40) and diabetes (OR 1.18, CI 1.01 – 1.37). Interpretation This study found a prevalence of 10·71 % of MCR in Colombian older adults. Additionally, MCR was associated with chronic conditions and sociodemographic factors identified in prior studies. These results increase the awareness of a novel predementia stage whose identification can be performed by clinicians in the outpatient clinic, minimizing the cost of a full neuropsychologic evaluation performed in a memory clinic