Screening for cognitive impairment in Arabic-speaking Hajj pilgrims

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

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[1] 0000 0000 9137 6644, grid.412832.e, College of Medicine, Umm Al Qura University, 24381, Makkah, Saudi Arabia;0000 0004 0427 1086, grid.498593.a, Mental Health Administration, Neuroscience Center, King Abdullah Medical City, Makkah, Saudi Arabia;0000 0001 2191 4301, grid.415310.2, Neuroscience Department, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia;

关键词: Cognition;    Arab;    Hajj;    Pilgrim;    MINI-Cog;    Dementia;    Activities of daily living;    ADL;   

DOI  :  10.1186/s41983-019-0111-x

来源: publisher

【 摘 要 】

BackgroundAlthough cognitive impairment is common in the elderly population, studies investigating its rate in Hajj pilgrims are lacking.ObjectivesTo estimate the rate of cognitive impairment among a sample of Arabic-speaking elderly Hajj pilgrims and examine its association with their activities of daily living (ADL).MethodsA cross-sectional study was conducted during the Hajj season 1438 Hijri Calendar (August 2017). Hajj pilgrims were recruited using a probability sampling method and were interviewed for demographics, the MINI-Cog and the ADL instrument.ResultsAmong the 340 recruited pilgrims, 99 (29.2%) had positive results in the MINI-Cog indicating probable cognitive impairment. In multivariate logistic regression, the educational level (odds ratio (OD) 0.456; 95% CI 0.346 to 0.598) and the need for help during Hajj (OD 0.581; 95% CI 0.342 to 0.984) were found significantly associated with positive MINI-Cog. Although no significant differences in the ADL were found between pilgrims with and without positive MINI-Cog, the scores of the ADL and the MINI-Cog were found to be positively correlated but weak (rs = 0.134, P = 0.013) indicating a possible association between better cognitive functions and better ADL performance.ConclusionProbable cognitive impairment among Arabic elderly Hajj pilgrims was found to be very common. Further diagnostic studies and studies on the impact of cognitive impairment on the performance of Hajj pilgrims are warranted.

【 授权许可】

CC BY