Mild cognitive impairment and alteration in physical, cognitive, and functional independence of institutionalized older adults in Cali
DOI:
https://doi.org/10.47197/retos.v74.117708Keywords:
Independence, mild cognitive impairment, older adults, physical function, public healthAbstract
Introduction: Colombia is undergoing a demographic transition characterized by an increase in the older adult population, resulting from decreased mortality and increased life expectancy. This change poses health challenges, especially due to the high prevalence and socioeconomic impact of mild cognitive impairment (MCI), which affects daily functioning and quality of life.
Objective: This study aimed to analyze the association between MCI and alterations in physical function, cognition, and independence among institutionalized older adults in Cali during 2024.
Methodology: An analytical cross-sectional study was conducted with 260 participants, assessing general cognition, selective attention, functional capacity, balance, gait, and instrumental activities of daily living using the MoCA test, D2 test, SFT, Tinetti scale, and Lawton and Brody index.
Results: A significant association was found between MCI and dynamic balance (OR = 3.488; 95% CI: 1.961–6.205), as well as relevant differences in lower limb strength (p = .033), aerobic capacity (p < .001), and balance (p = .031). Previous studies support this relationship, indicating that older adults with MCI have a higher risk of falls. The findings highlight the need to strengthen health promotion and prevention programs.
Conclusions: It is concluded that MCI is associated with alterations in dynamic balance; therefore, it is recommended to expand research to other regions and consider additional associated variables.
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