• Title/Summary/Keyword: Korean-Mini Mental State Examination (K-MMSE)

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Apolipoprotein E Polymorphism and Cognitive Function Change of the Elderly in a Rural Area, Korea (일개 농촌지역 노인의 아포지단백 E 다형성과 인지기능 변화)

  • Kim, Sang-Kyu;Hwang, Tae-Yoon;Lee, Kyeong-Soo;Kang, Pock-Soo;Cho, Hee-Soon;Bae, Young-Kyung
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.4
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    • pp.261-266
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    • 2009
  • Objectives : The aim of this study is to examine the cognitive function change related to aging, the incidence of cognitive impairment, and the association between apolipoprotein E polymorphism and cognitive impairment through a follow-up of the elderly with normal cognitive ability at baseline. Methods : Two hundred and fifteen subjects aged 65 and over were surveyed in February, 1998 (baseline survey), and their cognitive function was assessed again in 2003 1st follow-up) and the once again in 2006 (2nd follow-up). Ninety one subjects completed all surveys up through the 2nd follow-up and their cognitive function scores using MMSE-K (Korean Version of the Mini-Mental State Examination) and the distribution of apolipoprotein E allele were analyzed. Results : The cognitive function scores decreased with aging and the difference between baseline and the 2nd follow-up scores of the study increased with the age group. The incidence rate of cognitive impairment through an 8-year follow-up was 38.5% and higher in older age groups. Age was the only significant factor for incidence of cognitive impairment, but there was no significant association between apolipoprotein E genotype and incidence of cognitive impairment. Conclusions : The cognition of the elderly decreased with aging and the association of apolipoprotein E genotype with incidence of cognitive impairment was not significant in this study. To confirm the association between apolipoprotein E polymorphism and incidence of cognitive impairment further studies will be needed.

The Effect of Horticultural Therapy on Cognitive Function, Self-esteem, Depression and ADL of Elderly with Dementia (원예요법이 치매노인의 인지기능, 자아존중감, 우울 및 일상생활수행능력에 미치는 영향)

  • Park Jeong Sook;Lee Hyun Gi;Kim Mi Eun
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.69-82
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    • 2003
  • Purpose: The purpose of this research was to evaluate the effect of horticultural therapy on cognitive function, self-esteem, depression and activities of daily living of elderly with dementia. Method: The research design was an one group pre and post-test study design. The subjects of this study were 7 elderly with dementia in K elderly institution in Daegu. Instruments used in this research were MMSE-K(Mini-mental state Examination Korean Version) developed by Kwon & Park, SES(Self-Esteem Scale) developed by Rosenberg. SDS(Self-Rating Depression Scale) developed by Zung and BADL(Bathel Activity Daily Living) developed by Bethel. One-hour horticultural therapy was offered to the study participants weekly for 12 weeks. Results: The results showed that self-esteem was significantly increased after the horticultural therapy. However, in terms of cognitive function. depression and ADL, there was no significant change after the horticultural therapy among these elderly. Conclusion: In this research. there were no obvious change in cognitive function. depression, and ADL after the horticultural therapy among participants. Although the difference was not statistically significant. descriptive statistics showed some difference in scores on these variables after the intervention. So, it is suggested to conduct a further research with larger samples and pre and post-test design with control group.

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Community Based Cross-sectional Study on the Risk Factors of Dementia among the Elderly in a City (도시지역 노인의 치매 위험요인에 관한 단면연구)

  • Kim, Jung-Soon;Chun, Byung-Chul;Cho, Eu-Soo;Jeong, Ihn-Sook
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.4
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    • pp.313-321
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    • 2002
  • Objectives : To identify the risk factors of dementia among the elderly in a large city. Methods : A cross-sectional study was conducted in July 2001, with potential participants selected by stratified two stage cluster sampling of the elderly population of Keumgog dong, Busan. A total of 452 elderly people aged 65 years and over, underwent a two phase diagnostic procedure. Mini-mental State Examination-Korean (MMSE-K) and Samsung Dementia Questionnaire were used for the 1st stage, and the Clinical Dementia Rating Scale (CDR), the Bartel ADL, and IADL Index, the Korean Geriatric Depression Scale (KGDS), the Modified Hatchinski Ischemic Scale (MHIS), and other laboratory tests were used for the 2nd stage. Results : Of the 446 participants finally chosen, 45 were confirmed with dementia, and 363 as normal, with the rests not confirmed with dementia or as normal, were excluded from the analysis. According to the logistic regression analysis, the risk of dementia was significantly higher In: people aged 80 and above (OR=4.36, 95% CI=1.97-9.62), illiterate (OR=3.58, 95% CI=1.71-7.46), who had a history of strokes (OR=6.35, 95% CI=2.71-14.87), or who had 3 history of hyperlipidemia (OR=4.74, 95% CI=1.65-13.61), compared to their counterparts. Conclusions : These results suggest that efforts to prevent strokes and hyperlipidemia can significantly decrease the risk of dementia.

Comparisons of Cognitive Functions between Urban and Rural Dwelling Older Adults: A Preliminary Study (도시와 농촌거주 노인의 인지기능 비교: 예비연구)

  • Kim, Jung Wan;Kang, Yeonwook;Yoon, Ji Hye
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.469-476
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    • 2017
  • Mini-Mental State Examination (MMSE) and naming tests have been used clinically as screening and diagnostic tools for mild cognitive impairment and dementia. Researches in other countries have reported that residential areas would affect one's cognitive abilities. In Korean, however, there was no systematic studies on geographical influences to cognitive ability among a sample of urban/rural residents. The aim of this study was to investigate the effect of urban/rural locality of residence on cognitive tests in normal elderly Korean. Residents aged 65 years and older (N=108) were administered the K-MMSE, confrontation/generative naming tests, and medical/socio-demographic interview. When comparing the total number of correct responses between urban residents and rural residents, the performances of rural group were significantly worse than those of the urban group in K-MMSE. Based on the results, our finding suggests that a factor of residential locality should be considered to examine the function and explain the cognitive decline in rural community-dwelling elders.

Relationship among Plasma Homocysteine, Folate, Vitamin $B_{12}$ and Nutrient Intake and Neurocognitive Function in the Elderly (노인의 혈중 호모시스테인, 엽산, 비타민 $B_{12}$ 수준 및 영양소 섭취 상태와 신경인지기능과의 관련성)

  • Kim, Hee-Jung;Kim, Hye-Sook;Kim, Ki-Nam;Kim, Ggot-Pin;Son, Jung-In;Kim, Seong-Yoon;Chang, Nam-Soo
    • Journal of Nutrition and Health
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    • v.44 no.6
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    • pp.498-506
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    • 2011
  • This study examined the relationship among plasma homocysteine, folate, and vitamin $B_{12}$ levels and neurocognitive function in 118 community-dwelling elderly subjects (mean age, $75.1{\pm}6.7$ years). The Mini-Mental State Examination (MMSE-KC) was used to screen and assess neurocognitive function in the participants. Dietary intake data including the use of dietary supplements were obtained using the 24-hour recall method by well-trained interviewers. Plasma folate and vitamin $B_{12}$ concentrations were analyzed by radioimmunoassay, and homocysteine was assessed by a high performance liquid chromatography-fluorescence method. The proportions of participants with suboptimal levels of plasma folate (< 3 ng/mL), vitamin $B_{12}$ (< 221 pmol/mL), and homocysteine (> $15{\mu}mol/L$) were 16.1%, 5.9%, and 21.2%, respectively. A multiple regression analysis showed that plasma homocysteine was negatively associated with plasma folate and vitamin $B_{12}$ levels. The MMSE-KC test scores were significantly associated with plasma homocysteine and folate, but not with vitamin $B_{12}$, after adjusting for age, gender, body mass index, living with spouse, education, current smoking, energy intake, and chronic diseases such as hypertension, diabetes, thyroid disease, dyslipidemia, stroke, and cardiovascular disease. A general linear model adjusted for covariates revealed that MMSE-KC test scores increased from the lowest to the highest quartiles of vitamin $B_1$, vitamin $B_2$, vitamin $B_6$, vitamin $B_{12}$, and vitamin C intake (p for trend = 0.012, 0.039, 0.014, 0.046, 0.026, respectively). These results indicate that the problem of folate inadequacy and hyperhomocysteinemia are highly prevalent among community-dwelling elderly people and that dietary intake of the B vitamins and vitamin C is positively associated with cognitive function scores.

Prevalence and Risk Factors of Dementia in the Community Elderly (지역사회 노인 치매 유병율과 위험인자)

  • Park, Nam-Hee;Lee, Youn-Mee;E, Lu-Rie
    • Research in Community and Public Health Nursing
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    • v.19 no.1
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    • pp.36-45
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    • 2008
  • Purpose: This study was to estimate the prevalence of dementia in order to estimate the associations of dementia with its risk factors in the community elderly. Methods: The multistage random cluster sampling method was used to select the subjects. The response rate was 94.3%. For the 1st stage screening survey, the Korean-version Mini-Mental State Examination (K-MMSE) and the Bathel Index of activities of daily living (ADL) and instrumental activities of daily living (IADL) were used as primary screening tools. At the 2nd stage. diagnoses were confirmed according to the Clinical Dementia Rating Scale (CBR) and Computer Tomogram (CT). Results: Age-sex adjusted prevalence (%) [95% CI] of dementia was 6.25% [4.47-7.83] (male 4.21% [2.40-6.02]; female 8.28% [5.71-10.85]). Four statistically significant risk factors of the dementia were identified: age 70-74 (OR=1.367), age 75-79 (OR=1.712), age 80-84 (OR=2.465), age 85 over (OR=7.363) illiteracy (OR=3.827); unconsciousness after head injury (OR=3.383), and no exercise (OR=2.188). Hosmer and Lemeshow goodness-of-fit index of dementia risk model was E (legit of dementia)= -4.337+$0.312^*Age(70{\sim}74)+0.538^*Age(75{\sim}79)+0.902^*Age(80{\sim}84)+1.996^*Age$(85over)+$1.342^*$Illiteracy+$1.219^*$Unconsciousness after head trauma+$0.783^*$No exercise. We confirmed that the overall prevalence of dementia in adults aged 65 and older was 94.3%. The risk factors of dementia were explained by age, illiteracy unconsciousness after head trauma and no exercise. Conclusion: These data have been used to estimate the incidence of dementia in elderly community population and to manage the possible role of risk factors as predictors of dementia.

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The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment (인지행동 프로그램이 인지기능저하 노인의 인지기능, 우울, 일상생활 수행능력에 미치는 효과)

  • Chu, Su-Kyong;Yoo, Jang-Hak;Lee, Chung-Yul
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1049-1060
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    • 2007
  • Purpose: This study was conducted to investigate the effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with Cognitive Impairment. Method: The research design was a nonequivalent control group pretest-posttest design. There were 21 subjects in the experimental group and 19 in the control group among 40 senior residents in a Hall for the elderly in the city of S. The subjects scores ranged from 15 to 23 on the MMSE-K(Korean Version of Mini-Mental State Examination) over age 65. The length of time for data collection and intervention was from Jun 26 to September 1, 2006. The cognitive behavior program consisted of 'Facing problem behavior', 'Searching for a coping skill', and 'Training in the coping skill'. It was applied to the experimental group twice a week, fifty minutes per session for six weeks. Result: Cognition(t=-4.232, p< .001) and IADL(t=-2.939, p< .01) in the experimental group were significantly higher than those of the control group. Depression in the experimental group was significantly less than the control group(t=3.870, p< .01). However, ADL in the experimental group was not significantly higher than the control group. Conclusion: These findings confirmed that a cognitive behavior program contributed to improving cognition and IADL, and to reducing depression in the elderly with Cognitive Impairment.

A Study of Clinical Research Acupuncture Treatment on Post-stroke Cognitive Disorder (뇌졸중 후 인지장애의 침 치료에 대한 임상적 연구 고찰)

  • Jin, San-long;Yun, Jong-min;Moon, Byung-soon
    • The Journal of Internal Korean Medicine
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    • v.39 no.3
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    • pp.389-404
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    • 2018
  • Objective: The aim of this study was to investigate acupuncture therapy for post-stroke cognitive disorder to suggest the methods of a study about acupuncture therapy. Methods: Several academic databases were used in this study, including National Digital Science Library (NDSL), National Assembly Library of Korea, Korean Traditional Knowledge Portal, Research Information Sharing Service (RISS), Korean studies Information Service System (KISS), Korean Medical Database (KMBASE), Korea Med, Oriental Medicine Advanced Searching Integrated System (OASIS), PubMed, MEDLINE with Full Text, and China National Knowledge Infrastructure (CNKI). Keywords used were "중풍", "뇌졸중", "인지장애", "침", "acupuncture", and "cognitive disorder". Results: Ultimately, 28 papers were investigated. that were mainly published in 2012 and 2016. Of these, More than two-thirds received a score of one or less on the Jadad scale. Acupuncture points such as GV20, GV24, PC6, EX-HN1, SP6, and GV26 were most frequently used. The treatment duration was mostly 30 minutes or less, and the treatment cycle was mostly for four weeks. Dilatational wave was generally used in pulse wave form, and amplitude of electricity was increased until patients were able to endure. G6805 was generally used in electric acupuncture apparatus. According to results of acupuncture treatment, assessments such as the MMSE (Mini Mental State Examination) and the Montreal Cognitive Function Assessment Scale (MoCA) showed statistically significant improvements in 28 studies. Conclusions: Future research is needed to standardize the treatment of acupuncture, and more diversified high quality papers should be published to help clarify the therapeutic effects of acupuncture and the mechanisms of cognitive disorder post-stroke.

Relationship between Exercising Activity, Muscle Mass, Muscular Strength and Cognitive Function in the Elderly (노인의 운동참여, 근육량, 근력 및 인지기능과의 관련성)

  • Choi, Jae-won;Yoo, Ha-Na;Lee, Hyun-Woo;Kang, Sung-Goo;Jung, Hye-Yeon
    • Journal of the Korea Convergence Society
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    • v.9 no.5
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    • pp.219-229
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    • 2018
  • The purpose of this study was to investigate the relationship among Exercising Activity, muscle mass, Muscular strength and cognitive function of 274 elderly people aged 65 years and older living in Seoul and Gyeonggi-do As for the data collection methods, were measured the Exercising Activity, muscle mass and muscular strength and the Korean version of Mini Mental State Examination(MMSE-K) and digit span test were measured. The results are as follows First, there was a statistically significant correlation between Exercising activity, muscle mass, muscular strength, and cognitive function of the elderly. Second, Exercising activity of the elderly showed a positive (+) influence on muscle mass, muscular strength, and cognitive function. Third, the muscle mass of the elderly showed a statistically significant (+) influence on muscular strength and cognitive function. Fourth, the strength of the elderly showed a positive (+) influence on cognitive function.

Impact of Cognitive Function and Self-efficacy on Medication Adherence of Elderly Patients with Chronic Disease (노인 만성질환자의 인지기능과 자기 효능감이 약물복용 이행도에 미치는 영향)

  • Ryu, Kyung-Hee;Son, Youn-Jung
    • Journal of Korean Biological Nursing Science
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    • v.15 no.3
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    • pp.107-114
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    • 2013
  • Purpose: This study was aimed to describe the level of medication adherence and to identify the impact of cognitive function and self-efficacy on medication adherence of elderly patients with chronic disease. Methods: The descriptive study included 303 patients over 65 years with chronic diseases from two medical centers in Cheonan city. Data were collected from July to November 2011. A questionnaire including questions on the Korean version of mini-mental state examination (MMSE-K), self-efficacy and medication adherence were completed by the subjects. Data were analyzed using the SPSS/WIN 20.0 program. Results: The mean score of medication adherence was $1.4{\pm}1.6$. In univariate analysis, exercise (t=2.85, p=.005), type of disease (F=3.91, p=.001) and self-efficacy (r=-.57, p<.001) were the significant factors related to medication adherence. Linear regression analysis demonstrated that self-efficacy (${\beta}$=-.57, p<.001) was a significantly associated factor with medication adherence. Self-efficacy explained about 33% of the total variance of the medication adherence in elderly patients. Conclusion: The results suggest that self-efficacy to medication can be a facilitator to medication adherence in elderly patients. However, these results indicate that there remains much work to be done in identifying other predictors of medication adherence of elderly patients with chronic diseases.