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Cognitive function among older individuals with obstructive airway disease.

Authors
Katz-PP; Eisner-MD; Yelin-EH; Balmes-JR; Blanc-PD
Source
Am J Respir Crit Care Med 2002 Apr; 165(8)(Suppl):A590
NIOSHTIC No.
20023025
Abstract
We estimated self-reported mental health status and prevalence cognitive function problems among subjects with obstructive airway disease (OAD). We conducted telephone interviews with a national random sample of U.S. adults aged 55-75, enriched for subjects with OAD. Subjects classified as having no respiratory condition (NONE; n = 1585; 75%), asthma (ASTH; n = 128; 6%), or chronic obstructive l\U1g disease (COPD, emphysema chronic bronchitis, with or without concomitant asthma; COLD; n = 400; 19'/ Cognitive function was assessed with 3 self-report items concerning the freq. of problems with memory, confusion, or concentration. Reporting these problems at least "half the time" was considered to be a positive response. Multivariate logistic regression analyses controlling for age, sex, race/ethnicity, education, family income, smoking status, and presence of other common chronic health conditions were used to test differences in the frequency of cognitive dysfunction 22% of subjects with COLD reported having memory problems, compared to 13% of ASTH and 9% of NONE (p<.0001). 12% with COLD reported confusion (ASTH 5%, NONE 4%; p<.OOOI), and 18% reported problems concentrating (ASTH 12%, NONE 7%; p<.OOOI). Controlling for covariates, of problems with memory (OR=I.64, 95% CI 1.12,2.41), confusion (1.86[1.~ 3.15]), and concentration (2.09 [1.37, 3.18]) were elevated among those with COLD, compared to NONE. Individuals with COPD, emphysema and chronic bronchitis are at significant risk for cognitive function problems.
Keywords
Mental-processes; Mental-illness; Mental-health; Airway-obstruction; Pulmonary-system-disorders; Respiratory-system-disorders; Sociological-factors
CODEN
AJCMED
Publication Date
20020401
Document Type
Abstract; Conference/Symposia Proceedings
Funding Type
Grant
Fiscal Year
2002
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-HL03947
Issue of Publication
8
ISSN
1073-449X
Priority Area
Disease and Injury; Asthma and Chronic Obstructive Pulmonary Disease
Source Name
American Journal of Respiratory and Critical Care Medicine, 2002 International Conference, The American Thoracic Society, Atlanta Georgia, May 17-22, 2002
State
CA
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