Risk Factors of Subjective Cognitive Decline among Older People with Low Socioeconomic Status
Publication Type
Original research
Authors
Fulltext
Download

The aim of the study is to investigate the predictors associated with Subjective Cognitive Decline (SCD)
especially among older people with low socioeconomic status. This was a cross- sectional study involving
older people with low socioeconomic status in Kelantan, which is one of the poorest states in Malaysia.
Data of anthropometry, body composition, cognitive function, sarcopenia, depressive symptoms,
medical history, blood pressure and polypharmacy were obtained via face-to-face interview. SCD was
determined by a single item in the Geriatric Depression Scale (GDS). Variables were analysed using the
binary logistic regression model for identification of risk factors. A total of 293 older people with mean
age of 69.1 years old was recruited. The SCD proportion in this study was 24.6%. One unit increase in
Geriatric Depression Scale (GDS) score increases risk of subjective cognitive decline by odds of 1.814
(OR=0.595: 95% CI:1.441–2.283; p<0.001). Meanwhile, those with diabetes have a tendency of 2.972
to have SCD as compared to non-diabetics (OR=1.089: 95% CI:1.062–8.315; p<0.038). The prevalence
of SCD in this study is high and may contribute to cognitive impairment. The predictors of SCD were
larger waist circumference, having diabetes, and increasing score in GDS. SCD must be screened earlier
and healthy lifestyle must be emphasized. Routine screening and monitoring of non-communicable
disease risk factors are important for the prevention of SCD.

Journal
Title
Indonesian journal of nutrition and food
Publisher
IPB university
Publisher Country
Indonesia
Indexing
Scopus
Impact Factor
None
Publication Type
Both (Printed and Online)
Volume
18
Year
2023
Pages
71-78