Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia

Introduction. Ethnicity in Latin America is a factor of poverty and social exclusion. Like in developed countries, demographic, medical, psychosocial, global cognitive, and functional variables interact in a complex relationship on the elderly population. Such interaction should be considered to det...

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Main Authors: Yenny Vicky Paredes-Arturo, Eunice Yarce-Pinzon, Diego Mauricio Diaz-Velasquez, Daniel Camilo Aguirre-Acevedo
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2019/4542897
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author Yenny Vicky Paredes-Arturo
Eunice Yarce-Pinzon
Diego Mauricio Diaz-Velasquez
Daniel Camilo Aguirre-Acevedo
author_facet Yenny Vicky Paredes-Arturo
Eunice Yarce-Pinzon
Diego Mauricio Diaz-Velasquez
Daniel Camilo Aguirre-Acevedo
author_sort Yenny Vicky Paredes-Arturo
collection DOAJ
description Introduction. Ethnicity in Latin America is a factor of poverty and social exclusion. Like in developed countries, demographic, medical, psychosocial, global cognitive, and functional variables interact in a complex relationship on the elderly population. Such interaction should be considered to determine cognitive and functional performance using screening tests. The aim of this study was to evaluate the demographic, medical, and psychosocial factors affecting global cognitive performance as well as functional activities. Methods. The study was conducted in a Colombian elderly indigenous population which included a sample of 518 adults. This research employed a structural model of latent factors to assess the effects of demographic, medical, and psychosocial factors on cognitive and functional performance. The model was estimated by least squares and used a maximum-likelihood procedure, and it was determined RMSEA, TLI, and CFI to assess the model’s goodness of fit. The categorical variables used in the model were as follows: (1) demographics, (2) psychosocial factors, (3) medical condition, (4) global cognition, and (5) functional factors. Results. Demographics, in addition to medical and psychosocial factors, were related to global cognition and functional factors (RMSEA = 0.051, CI 90% 0.045–0.057, CFI = 0.901, and TLI = 0.881). Conclusion. These results provide strong evidence about the complex relationships among demographics, medical conditions, and psychosocial factors and their influence on global cognition and functional performance in Colombian indigenous elderly population.
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spelling doaj-art-46feebcd479d49bfb30c95b4d951017e2025-08-20T02:39:19ZengWileyJournal of Aging Research2090-22042090-22122019-01-01201910.1155/2019/45428974542897Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, ColombiaYenny Vicky Paredes-Arturo0Eunice Yarce-Pinzon1Diego Mauricio Diaz-Velasquez2Daniel Camilo Aguirre-Acevedo3Mariana University Faculty of Humanities and Social Sciences, Psychology Program, Pasto, ColombiaMariana University Health Sciences Faculty, Occupational Therapy Program, Pasto, ColombiaThe University of Edinburgh, Global Health Unit, Social Policy Programme, Edinburgh, UKUniversity of Antioquia, School of Medicine, Medellín, ColombiaIntroduction. Ethnicity in Latin America is a factor of poverty and social exclusion. Like in developed countries, demographic, medical, psychosocial, global cognitive, and functional variables interact in a complex relationship on the elderly population. Such interaction should be considered to determine cognitive and functional performance using screening tests. The aim of this study was to evaluate the demographic, medical, and psychosocial factors affecting global cognitive performance as well as functional activities. Methods. The study was conducted in a Colombian elderly indigenous population which included a sample of 518 adults. This research employed a structural model of latent factors to assess the effects of demographic, medical, and psychosocial factors on cognitive and functional performance. The model was estimated by least squares and used a maximum-likelihood procedure, and it was determined RMSEA, TLI, and CFI to assess the model’s goodness of fit. The categorical variables used in the model were as follows: (1) demographics, (2) psychosocial factors, (3) medical condition, (4) global cognition, and (5) functional factors. Results. Demographics, in addition to medical and psychosocial factors, were related to global cognition and functional factors (RMSEA = 0.051, CI 90% 0.045–0.057, CFI = 0.901, and TLI = 0.881). Conclusion. These results provide strong evidence about the complex relationships among demographics, medical conditions, and psychosocial factors and their influence on global cognition and functional performance in Colombian indigenous elderly population.http://dx.doi.org/10.1155/2019/4542897
spellingShingle Yenny Vicky Paredes-Arturo
Eunice Yarce-Pinzon
Diego Mauricio Diaz-Velasquez
Daniel Camilo Aguirre-Acevedo
Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
Journal of Aging Research
title Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
title_full Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
title_fullStr Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
title_full_unstemmed Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
title_short Factors Associated with Cognitive and Functional Performance in Indigenous Older Adults of Nariño, Colombia
title_sort factors associated with cognitive and functional performance in indigenous older adults of narino colombia
url http://dx.doi.org/10.1155/2019/4542897
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