Association between zinc deficiency and cognitive decline in community-dwelling older adults
This is a cross-sectional study evaluating the association between zinc deficiency and cognitive decline in 591 community-dwelling older adults living in the cities of Campinas, Li-meira, and Piracicaba-SP. Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, con...
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Veröffentlicht in: | Ciência & saude coletiva 2022-07, Vol.27 (7), p.2805-2816 |
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container_title | Ciência & saude coletiva |
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creator | Marchetti, Maisa Furlanetto da Silva, Graziele Maria Freiria, Carolina Neves Borim, Flavia Silva Arbex de Brito, Tabatta Renata Pereira Milanski, Marciane Corona, Ligiana Pires |
description | This is a cross-sectional study evaluating the association between zinc deficiency and cognitive decline in 591 community-dwelling older adults living in the cities of Campinas, Li-meira, and Piracicaba-SP. Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores |
doi_str_mv | 10.1590/1413-81232022277.19932021EN |
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Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores <23 for those aged 60-69 and <20 for those aged [greater than or equal to]70 years. Among the evaluated cognitive domains, older adults with zinc deficiency had significantly lower mean scores on the memory test (p=0.018). For zinc deficiency, values below 70 [micro]g/dL were considered for women and 74 [micro]g/dL for men. The prevalence of zinc deficiency was 3.9%, and cognitive deficit was 9.4%, being significantly higher in those with zinc deficiency compared with those with normal serum zinc concentrations. In adjusted multiple logistic regression analysis, the factors that remained associated with cognitive decline were zinc deficiency (OR=3.80; 95%CI=1.30-11.12), low schooling level (OR=3.12; 95%CI=1.49-6.50), lack of a partner (OR=1.88; 95%CI=1.04-3.42), risk of malnutrition (OR=3.98; 95%CI=2.36-6.71), and a history of encephalic vascular accident (OR=2.70; 95%CI=1.04-6.98). Zinc deficiency was associated with the presence of cognitive decline in older adults. Actions in primary health care are necessary to prevent the deficiency of this nutrient.</description><identifier>ISSN: 1413-8123</identifier><identifier>EISSN: 1678-4561</identifier><identifier>DOI: 10.1590/1413-81232022277.19932021EN</identifier><language>eng</language><publisher>Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</publisher><ispartof>Ciência & saude coletiva, 2022-07, Vol.27 (7), p.2805-2816</ispartof><rights>COPYRIGHT 2022 Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c349t-e974b0a505d9009136a8466d4fe0555ef376347b951947d487fcf8bca6c549293</citedby><cites>FETCH-LOGICAL-c349t-e974b0a505d9009136a8466d4fe0555ef376347b951947d487fcf8bca6c549293</cites><orcidid>0000-0003-0634-275X ; 0000-0003-4890-6875 ; 0000-0001-9466-2993 ; 0000-0001-7316-1145 ; 0000-0002-1493-3202 ; 0000-0001-5298-7714 ; 0000-0002-6322-5368</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids></links><search><creatorcontrib>Marchetti, Maisa Furlanetto</creatorcontrib><creatorcontrib>da Silva, Graziele Maria</creatorcontrib><creatorcontrib>Freiria, Carolina Neves</creatorcontrib><creatorcontrib>Borim, Flavia Silva Arbex</creatorcontrib><creatorcontrib>de Brito, Tabatta Renata Pereira</creatorcontrib><creatorcontrib>Milanski, Marciane</creatorcontrib><creatorcontrib>Corona, Ligiana Pires</creatorcontrib><title>Association between zinc deficiency and cognitive decline in community-dwelling older adults</title><title>Ciência & saude coletiva</title><description>This is a cross-sectional study evaluating the association between zinc deficiency and cognitive decline in 591 community-dwelling older adults living in the cities of Campinas, Li-meira, and Piracicaba-SP. Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores <23 for those aged 60-69 and <20 for those aged [greater than or equal to]70 years. Among the evaluated cognitive domains, older adults with zinc deficiency had significantly lower mean scores on the memory test (p=0.018). For zinc deficiency, values below 70 [micro]g/dL were considered for women and 74 [micro]g/dL for men. The prevalence of zinc deficiency was 3.9%, and cognitive deficit was 9.4%, being significantly higher in those with zinc deficiency compared with those with normal serum zinc concentrations. In adjusted multiple logistic regression analysis, the factors that remained associated with cognitive decline were zinc deficiency (OR=3.80; 95%CI=1.30-11.12), low schooling level (OR=3.12; 95%CI=1.49-6.50), lack of a partner (OR=1.88; 95%CI=1.04-3.42), risk of malnutrition (OR=3.98; 95%CI=2.36-6.71), and a history of encephalic vascular accident (OR=2.70; 95%CI=1.04-6.98). Zinc deficiency was associated with the presence of cognitive decline in older adults. 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Cognitive status was evaluated using the Cognitive Abilities Screening Instrument-CASI-S, considering a decline for scores <23 for those aged 60-69 and <20 for those aged [greater than or equal to]70 years. Among the evaluated cognitive domains, older adults with zinc deficiency had significantly lower mean scores on the memory test (p=0.018). For zinc deficiency, values below 70 [micro]g/dL were considered for women and 74 [micro]g/dL for men. The prevalence of zinc deficiency was 3.9%, and cognitive deficit was 9.4%, being significantly higher in those with zinc deficiency compared with those with normal serum zinc concentrations. In adjusted multiple logistic regression analysis, the factors that remained associated with cognitive decline were zinc deficiency (OR=3.80; 95%CI=1.30-11.12), low schooling level (OR=3.12; 95%CI=1.49-6.50), lack of a partner (OR=1.88; 95%CI=1.04-3.42), risk of malnutrition (OR=3.98; 95%CI=2.36-6.71), and a history of encephalic vascular accident (OR=2.70; 95%CI=1.04-6.98). Zinc deficiency was associated with the presence of cognitive decline in older adults. Actions in primary health care are necessary to prevent the deficiency of this nutrient.</abstract><pub>Associacao Brasileira de Pos-Graduacao em Saude Coletiva - ABRASCO</pub><doi>10.1590/1413-81232022277.19932021EN</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0634-275X</orcidid><orcidid>https://orcid.org/0000-0003-4890-6875</orcidid><orcidid>https://orcid.org/0000-0001-9466-2993</orcidid><orcidid>https://orcid.org/0000-0001-7316-1145</orcidid><orcidid>https://orcid.org/0000-0002-1493-3202</orcidid><orcidid>https://orcid.org/0000-0001-5298-7714</orcidid><orcidid>https://orcid.org/0000-0002-6322-5368</orcidid><oa>free_for_read</oa></addata></record> |
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title | Association between zinc deficiency and cognitive decline in community-dwelling older adults |
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