Nomogram for predicting changes in cognitive function in community dwelling older adults with mild cognitive impairment based on Korea Longitudinal Study of Ageing Panel Data: a retrospective study.

Purpose: This study aimed to identify factors associated with normal cognitive reversion and progression to dementia in older adults with mild cognitive impairment (MCI) residing in the community and to develop a nomogram. Methods: This longitudinal study used secondary data from the Korea Longitudi...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 1; pp. 50 - 64
Autores principales: Hyuk Joon Kim, Hye Young Kim
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
      vid: 55
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.24059
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        atl: Nomogram for predicting changes in cognitive function in community dwelling older adults with mild cognitive impairment based on Korea Longitudinal Study of Ageing Panel Data: a retrospective study.
      aug:
        au:
          Hyuk Joon Kim
          Hye Young Kim
        affil: Department of Nursing, Wonkwang Health Science University, Iksan, Korea
      sug:
        subj:
          Models, Statistical
          Mild Cognitive Impairment Pathology
          Community Living In Old Age
          Cognition Evaluation
          Mild Cognitive Impairment Risk Factors
          Human
          Retrospective Design
          Prospective Studies
          Secondary Analysis
          Middle Age
          Aged
          Logistic Regression
          ROC Curve
          Grip Strength
          Descriptive Statistics
          Dementia Prevention and Control
          Depression Complications
          Age Factors
          Exercise
          Activities of Daily Living
          Meetings
          Social Behavior
          Risk Assessment
          South Korea
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Purpose: This study aimed to identify factors associated with normal cognitive reversion and progression to dementia in older adults with mild cognitive impairment (MCI) residing in the community and to develop a nomogram. Methods: This longitudinal study used secondary data from the Korea Longitudinal Study of Ageing Panel Data (2006--2018). The study included 1,262 participants aged 60 or older, with initial Mini-Mental State Examination scores ranging from 18 to 23. Data were analyzed using the Rao-Scott chi-square test, panel binary logistic regression, and receiver operating characteristic (ROC) curve in Stata ver. 17.0 (Stata Corp.). Results: The rate of reversion from MCI to normal cognition was 37.0% after 2 years and 32.9% after 12 years. The rate of progression to dementia was 18.0% after 2 years and 30.2% after 12 years. In the nomogram for reversion to normal cognition, the most significant influences were grip strength, depression, number of meetings, age, and regular exercise, with an area under the ROC curve (AUC) of .66. In contrast, in the nomogram for progression to dementia, the most significant influences were age, grip strength, instrumental activities of daily living, number of social meetings attended, depression, and regular exercise, with an AUC of .69. Conclusion: These nomograms can serve as an effective intervention tool for preventing dementia in the field of community health care since they can serve as a visual technique for presenting information on risk to individuals with MCI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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