ABSTRACT. Cognitive complaints are common in older people. They can progress into a more severe cognitive decline and then deterioration of quality of life. They are associated with several factors. Objective: This study aimed to determine the factors associated with cognitive complaints in older adults in the city of Marrakech, Morocco. Methods: This study was conducted between March and June 2022 among 281 people aged 50 years and older who attended primary health care centers in the city of Marrakech. Cognitive complaints were measured using the McNair-Kahn scale. Data on sociodemographic and clinical characteristics were collected through interviews with the participants and consultation of their medical records. Analysis was done using Statistical Package for Social Sciences (SPSS) version 25, Ink software. Results: Of the total participants, 51.6% had cognitive complaints. Multivariate analysis showed that people aged 75 years and over had a sevenfold higher risk of cognitive complaints than people aged 50–64 years (p=0.033; OR=7.64; 95%CI 1.17–49.72), and that illiteracy (p=0.004; OR=3.39; 95%CI 1.48–7.76), cardiovascular disease (p=0.018; OR=4.30; 95%CI 1.29–14.32), diabetes (p=0.001; OR=3.14; 95%CI 1.64–6.04), visual impairment (p=0.017; OR=2.22; 95%CI 1.15–4.19), depression (p= 0.027; OR=2.36; 95%CI 1.10–5.05) and sleepiness (p=0.034; OR=1.96; 95%CI 1.05–3.66) are associated variables. Conclusions: Cognitive complaints are frequent in older adults and are associated with several sociodemographic and health factors. Some measures could help maintain stable memory performance in old age and prevent severe cognitive declines, such as regular follow-up of at-risk individuals, and cognitive, physical and leisure activities. ABSTRACT life Objective Marrakech Morocco Methods 202 28 5 McNairKahn McNair Kahn scale records SPSS (SPSS 25 software Results 516 51 6 51.6 7 5064 64 50–6 p=0.033 p0033 p 0 033 (p=0.033 OR=7.64 OR764 OR 95CI CI 95 1.17–49.72, 1174972 1.17–49.72 , 1 17 49 72 1.17–49.72) p=0.004 p0004 004 (p=0.004 OR=3.39 OR339 3 39 1.48–7.76, 148776 1.48–7.76 48 76 1.48–7.76) p=0.018 p0018 018 (p=0.018 OR=4.30 OR430 4 30 1.29–14.32, 1291432 1.29–14.32 29 14 32 1.29–14.32) p=0.001 p0001 001 (p=0.001 OR=3.14 OR314 1.64–6.04, 164604 1.64–6.04 04 1.64–6.04) p=0.017 p0017 017 (p=0.017 OR=2.22 OR222 2 22 1.15–4.19, 115419 1.15–4.19 15 19 1.15–4.19) p= (p 0.027 0027 027 OR=2.36 OR236 36 1.10–5.05 110505 10 05 p=0.034 p0034 034 (p=0.034 OR=1.96 OR196 96 1.05–3.66 105366 66 variables Conclusions declines followup follow up atrisk at individuals activities 20 51. 506 50– p=0.03 p003 03 (p=0.03 OR=7.6 OR76 9 117497 1.17–49.7 p=0.00 p000 00 (p=0.00 OR=3.3 OR33 14877 1.48–7.7 p=0.01 p001 01 (p=0.01 OR=4.3 OR43 129143 1.29–14.3 OR=3.1 OR31 16460 1.64–6.0 OR=2.2 OR22 11541 1.15–4.1 0.02 002 02 OR=2.3 OR23 1.10–5.0 11050 OR=1.9 OR19 1.05–3.6 10536 p=0.0 p00 (p=0.0 OR=7. OR7 11749 1.17–49. OR=3. OR3 1487 1.48–7. OR=4. OR4 12914 1.29–14. 1646 1.64–6. OR=2. OR2 1154 1.15–4. 0.0 1.10–5. 1105 OR=1. OR1 1.05–3. 1053 p=0. p0 (p=0. OR=7 1174 1.17–49 OR=3 148 1.48–7 OR=4 1291 1.29–14 164 1.64–6 OR=2 115 1.15–4 0. 1.10–5 110 OR=1 1.05–3 105 p=0 (p=0 OR= 117 1.17–4 1.48– 129 1.29–1 16 1.64– 11 1.15– 1.10– 1.05– 1.17– 1.48 12 1.29– 1.64 1.15 1.10 1.05 1.17 1.4 1.29 1.6 1.1 1.0 1. 1.2
RESUMO. Queixas cognitivas são comuns em pessoas idosas. Elas podem evoluir para um declínio cognitivo mais grave e, em seguida, deterioração da qualidade de vida. Elas estão associadas a vários fatores. Objetivo: Este estudo teve como objetivo determinar os fatores associados às queixas cognitivas em idosos da cidade de Marrakech, Marrocos. Métodos: Este estudo foi realizado entre março e junho de 2022 entre 281 pessoas com 50 anos ou mais que se apresentaram em centros de atenção primária à saúde na cidade de Marrakech. As queixas cognitivas foram medidas usando a escala de McNair-Kahn. Os dados sobre características sociodemográficas e clínicas foram coletados por meio de entrevista com os participantes e consulta aos seus prontuários. A análise foi feita usando o software Pacote Estatístico para as Ciências Sociais (SPSS), versão 25. Resultados: Do total de participantes, 51,6% apresentaram queixas cognitivas. A análise multivariada mostrou que pessoas com 75 anos ou mais tiveram risco sete vezes maior de queixas cognitivas do que pessoasentre 50–64 anos (p=0,033; OR=7,64; IC95% 1,17–49,72), e que analfabetismo (p=0,004; OR=3,39; IC95% 1,48–7,76), doenças cardiovasculares (p=0,018; OR=4,30; IC95% 1,29–14,32), diabetes (p=0,001; OR=3,14; IC95% 1,64–6,04), comprometimento visual (p=0,017; OR=2,22; IC95% 1,15–4,19), depressão (p=0,027; OR=2,36; IC95% 1,10–5,05) e sonolência (p=0,034; OR=1,96; IC95% 1,05–3.66) são variáveis associadas. Conclusões: Queixas cognitivas são frequentes em idosos e estão associadas a diversos fatores sociodemográficos e de saúde. Algumas medidas poderiam ajudar a manter o desempenho estável da memória na velhice e prevenir declínios cognitivos graves, como o acompanhamento regular de indivíduos em risco e atividades cognitivas, físicas e de lazer. RESUMO idosas seguida vida Objetivo Marrakech Marrocos Métodos 202 28 5 McNairKahn. McNairKahn McNair Kahn. Kahn McNair-Kahn prontuários SPSS, SPSS , (SPSS) 25 Resultados 516 51 6 51,6 7 5064 64 50–6 p=0,033 p0033 p 0 033 (p=0,033 OR=7,64 OR764 OR IC95 IC 1,17–49,72, 1174972 1,17–49,72 1 17 49 72 1,17–49,72) p=0,004 p0004 004 (p=0,004 OR=3,39 OR339 3 39 1,48–7,76, 148776 1,48–7,76 48 76 1,48–7,76) p=0,018 p0018 018 (p=0,018 OR=4,30 OR430 4 30 1,29–14,32, 1291432 1,29–14,32 29 14 32 1,29–14,32) p=0,001 p0001 001 (p=0,001 OR=3,14 OR314 1,64–6,04, 164604 1,64–6,04 04 1,64–6,04) p=0,017 p0017 017 (p=0,017 OR=2,22 OR222 2 22 1,15–4,19, 115419 1,15–4,19 15 19 1,15–4,19) p=0,027 p0027 027 (p=0,027 OR=2,36 OR236 36 1,10–5,05 110505 10 05 p=0,034 p0034 034 (p=0,034 OR=1,96 OR196 96 1,05–3.66 105366 66 Conclusões graves lazer 20 (SPSS 51, 506 50– p=0,03 p003 03 (p=0,03 OR=7,6 OR76 IC9 117497 1,17–49,7 p=0,00 p000 00 (p=0,00 OR=3,3 OR33 14877 1,48–7,7 p=0,01 p001 01 (p=0,01 OR=4,3 OR43 129143 1,29–14,3 OR=3,1 OR31 16460 1,64–6,0 OR=2,2 OR22 11541 1,15–4,1 p=0,02 p002 02 (p=0,02 OR=2,3 OR23 1,10–5,0 11050 OR=1,9 OR19 9 1,05–3.6 10536 p=0,0 p00 (p=0,0 OR=7, OR7 11749 1,17–49, OR=3, OR3 1487 1,48–7, OR=4, OR4 12914 1,29–14, 1646 1,64–6, OR=2, OR2 1154 1,15–4, 1,10–5, 1105 OR=1, OR1 1,05–3. 1053 p=0, p0 (p=0, OR=7 1174 1,17–49 OR=3 148 1,48–7 OR=4 1291 1,29–14 164 1,64–6 OR=2 115 1,15–4 1,10–5 110 OR=1 1,05–3 105 p=0 (p=0 OR= 117 1,17–4 1,48– 129 1,29–1 16 1,64– 11 1,15– 1,10– 1,05– p= (p= 1,17– 1,48 12 1,29– 1,64 1,15 1,10 1,05 (p 1,17 1,4 1,29 1,6 1,1 1,0 1, 1,2