Predictors of dementia among the oldest old: longitudinal findings from the representative "survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)"

André Hajek; Benedikt Kretzler; Steffi G Riedel-Heller; Razak M Gyasi; Hans-Helmut König

doi:10.1186/s12877-024-05255-z

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Predictors of dementia among the oldest old: longitudinal findings from the representative "survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)"

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Predictors of dementia among the oldest old: longitudinal findings from the representative "survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)"

André Hajek, Benedikt Kretzler, Steffi G Riedel-Heller, Razak M Gyasi and Hans-Helmut König

BMC geriatrics, Vol.24(1), 680

13/08/2024

DOI: https://doi.org/10.1186/s12877-024-05255-z

Appears in Recent National Centre for Naturopathic Medicine Publications

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Abstract

Oldest old

Aged, 80 and over

Dementia

Cognitive decline

Depression

Health literacy

Loneliness

Functional impairment

Education

Network size

Background/Aims Our current study aimed to investigate the determinants of dementia among the oldest old using longitudinal data from a representative sample covering both community-dwelling and institutionalized individuals. Methods/Design Longitudinal representative data were taken from the “Survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)” that surveyed community-dwelling and institutionalized individuals aged 80 years and above (n = 1,296 observations in the analytic sample), living in North Rhine-Westphalia (most populous state of Germany). The established DemTect was used to measure cognitive impairment (i.e., probable dementia). A logistic random effects model was used to examine the determinants of probable dementia. Results The mean age was 86.3 years (SD: 4.2 years). Multiple logistic regressions revealed that a higher likelihood of probable dementia was positively associated with lower education (e.g., low education compared to medium education: OR: 3.31 [95% CI: 1.10–9.98]), a smaller network size (OR: 0.87 [95% CI: 0.79–0.96]), lower health literacy (OR: 0.29 [95% CI: 0.14–0.60]), and higher functional impairment (OR: 13.45 [3.86–46.92]), whereas it was not significantly associated with sex, age, marital status, loneliness, and depressive symptoms in the total sample. Regressions stratified by sex were also reported. Discussion Our study identified factors associated with dementia among the oldest old. This study extends current knowledge by using data from the oldest old; and by presenting findings based on longitudinal, representative data (also including individuals residing in institutionalized settings). Conclusions Efforts to increase, among other things, formal education, network size, and health literacy may be fruitful in postponing dementia, particularly among older women. Developing health literacy programs, for example, may be beneficial to reduce the burden associated with dementia.

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Title: Predictors of dementia among the oldest old: longitudinal findings from the representative "survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)"
Creators: André Hajek - University Medical Center Hamburg-Eppendorf
Benedikt Kretzler - University Medical Center Hamburg-Eppendorf
Steffi G Riedel-Heller - Leipzig University
Razak M Gyasi - Southern Cross University
Hans-Helmut König - University Medical Center Hamburg-Eppendorf
Publication Details: BMC geriatrics, Vol.24(1), 680
Publisher: BioMed Central Ltd.
Grant note: No Statement AvailableDAS:The NRW 80+ data are available via gesis. For interested researchers, please see: https://search.gesis.org/research_data/ZA7558.
Identifiers: 991013214800402368
Academic Unit: National Centre for Naturopathic Medicine
Language: English
Resource Type: Journal article

Predictors of dementia among the oldest old: longitudinal findings from the representative "survey on quality of life and subjective well-being of the very old in North Rhine-Westphalia (NRW80+)"

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