[A population-based study on factors associated with performance on the Mini-Mental State Examination in the elderly: the Bambuí Study]

Cad Saude Publica. 2009 Apr;25(4):918-26. doi: 10.1590/s0102-311x2009000400023.
[Article in Portuguese]

Abstract

The aim of this study was to examine factors associated with cognitive functioning in community-dwelling older adults with low schooling. 1,588 subjects residing in Bambuí, Minas Gerais State, Brazil, and aged > 60 years participated in this cross-sectional study. Multivariate ordinal logistic regression was used to assess associations between exploratory variables and the Mini-Mental State Examination score (MMSE): < 13 (below the 5th percentile), 14-21 (between the 5th percentile and the lowest quintile), and > 22. Lower MMSE scores were significantly and independently associated with age > 80 years (OR: 2.20; 95%CI: 1.52-3.48), male gender (OR: 2.20; 95%CI: 1.52-3.38), < 3 complete years of schooling (OR: 5.92; 95%CI: 3.92-8.94), lack of spouse (OR: 1.91; 95%CI: 1.39-2.62), vegetable and fruit consumption less than 5 times a week (OR: 1.94; 95%CI: 1.39-2.62), and depressive symptoms (OR: 1.94; 95%CI: 1.39-2.62). The results suggest that individuals with poor MMSE performance also have other markers of vulnerability.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Aged
  • Brazil
  • Brief Psychiatric Rating Scale / standards*
  • Cognition Disorders / diagnosis*
  • Cross-Sectional Studies
  • Educational Status
  • Female
  • Humans
  • Male
  • Reproducibility of Results