Cognitive Function Among Older Individuals with Obstructive Airway Disease

Details

• Personal Author:
  Balmes JR ; Blanc PD ; Eisner MD ; Katz PP ; Yelin EH
• Description:
  We estimated self-reported mental health status and prevalence cognitive function problems among subjects with obstructive airway disease (OAD). We conducted telephone interviews with a national random sample of U.S. adults aged 55-75, enriched for subjects with OAD. Subjects classified as having no respiratory condition (NONE; n = 1585; 75%), asthma (ASTH; n = 128; 6%), or chronic obstructive lung disease (COPD, emphysema chronic bronchitis, with or without concomitant asthma; COLD; n = 400; 19'/ Cognitive function was assessed with 3 self-report items concerning the freq. of problems with memory, confusion, or concentration. Reporting these problems at least "half the time" was considered to be a positive response. Multivariate logistic regression analyses controlling for age, sex, race/ethnicity, education, family income, smoking status, and presence of other common chronic health conditions were used to test differences in the frequency of cognitive dysfunction 22% of subjects with COLD reported having memory problems, compared to 13% of ASTH and 9% of NONE (p<.0001). 12% with COLD reported confusion (ASTH 5%, NONE 4%; p<.OOOI), and 18% reported problems concentrating (ASTH 12%, NONE 7%; p<.OOOI). Controlling for covariates, of problems with memory (OR=I.64, 95% CI 1.12, 2.41), confusion (1.86[1.09, 3.15]), and concentration (2.09 [1.37, 3.18]) were elevated among those with COLD, compared to NONE. Individuals with COPD, emphysema and chronic bronchitis are at significant risk for cognitive function problems. [Description provided by NIOSH]
• Subjects:
  Mental Health Occupational Health Respiratory Tract Diseases Safety
• Keywords:
  Airway-obstruction Mental-health Mental-illness Mental-processes Pulmonary-system-disorders Respiratory-system-disorders Sociological-factors
• ISSN:
  1073-449X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Abstract or Summary ; Proceedings
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  165
• Issue:
  8
• NIOSHTIC Number:
  nn:20023025
• Citation:
  Am J Respir Crit Care Med 2002 Apr; 165(8)(Suppl):A590
• Federal Fiscal Year:
  2002
• Performing Organization:
  University of California, San Francisco
• Peer Reviewed:
  False
• Source Full Name:
  American Journal of Respiratory and Critical Care Medicine, 2002 International Conference, The American Thoracic Society, Atlanta Georgia, May 17-22, 2002
• Supplement:
  Suppl
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:59edf42fd23a3234021952508281795e2929b00f861fc987cfdc1de8da581f6d9e1da16c4230736029fb38286d46b8139849336320463f51998f3224ec185325
• Download URL:
  https://stacks.cdc.gov/view/cdc/199615/cdc_199615_DS1.pdf
• File Type:
  [PDF - 1.22 MB ]