Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS

Background:The Rowland Universal Dementia Assessment Scale (RUDAS) is a validated cognitive screening tool for illiterate and low-educated individuals, adaptable across languages and cultures. In Peru, we adapted it for Quechua speakers (Q-RUDAS) to assess cognitive status in older adults. Objective...

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Autores principales: Zegarra-Valdivia, Jonathan Adrián, Mamani Quispe, Ruth Diana, Chinoapaza Turpo, Jose Felix, Paredes-Manrique, Carmen Noelia, Malaga, Marco, Mamani Benito, Oscar Javier, Montesinos, Rosa, Custodio Capuñay, Nilton Santos, Tosto, Giuseppe
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Publicado: Multidisciplinary Digital Publishing Institute (MDPI) 2025
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author Zegarra-Valdivia, Jonathan Adrián
Mamani Quispe, Ruth Diana
Chinoapaza Turpo, Jose Felix
Paredes-Manrique, Carmen Noelia
Malaga, Marco
Mamani Benito, Oscar Javier
Montesinos, Rosa
Custodio Capuñay, Nilton Santos
Tosto, Giuseppe
author_browse Chinoapaza Turpo, Jose Felix
Custodio Capuñay, Nilton Santos
Malaga, Marco
Mamani Benito, Oscar Javier
Mamani Quispe, Ruth Diana
Montesinos, Rosa
Paredes-Manrique, Carmen Noelia
Tosto, Giuseppe
Zegarra-Valdivia, Jonathan Adrián
author_facet Zegarra-Valdivia, Jonathan Adrián
Mamani Quispe, Ruth Diana
Chinoapaza Turpo, Jose Felix
Paredes-Manrique, Carmen Noelia
Malaga, Marco
Mamani Benito, Oscar Javier
Montesinos, Rosa
Custodio Capuñay, Nilton Santos
Tosto, Giuseppe
author_sort Zegarra-Valdivia, Jonathan Adrián
collection Producción científica
description Background:The Rowland Universal Dementia Assessment Scale (RUDAS) is a validated cognitive screening tool for illiterate and low-educated individuals, adaptable across languages and cultures. In Peru, we adapted it for Quechua speakers (Q-RUDAS) to assess cognitive status in older adults. Objective: We aimed to estimate the prevalence of neurocognitive disorders—mild cognitive impairment (MCI) and dementia—among Quechua-speaking older adults in one of the most socially vulnerable districts of Peru using the Quechua version of the Rowland Universal Dementia Assessment Scale (Q-RUDAS), a brief cognitive screening tool validated in Peru. Methods: We studied 511 participants from Puno a region in the southern Peruvian Andes (mean age 65.04 ± 6.73 years; 80.4% females), collecting sociodemographic data and Q-RUDAS scores. After excluding 18 individuals with medical conditions that could affect cognitive performance, such as neurological, psychiatric, or cerebrovascular disorders, 493 completed the test. Results: All Q-RUDAS items were well understood, although over 50% of participants struggled with visuospatial construction. The mean Q-RUDAS score was 26.01 ± 2.71. Of the participants, 446 (90.5%) scored within normal ranges (26.67 ± 1.92), 41 (8.3%) were classified as having mild cognitive impairment (MCI) (21.49 ± 1.92), and 6 (1.2%) as having dementia (17.00 ± 2.71) based on established Q-RUDAS cut-offs. Urban participants scored higher. The prevalence of MCI and dementia combined was 9.52%. Conclusions: The Q-RUDAS is a culturally sensitive tool that can support the identification of cognitive impairment in Indigenous populations. Our findings highlight the need for further cross-validation studies to refine diagnostic accuracy in Quechua-speaking populations.
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spelling oai:cris.upeu.edu.pe:20.500.15037/28402026-10-30T16:43:59ZPrevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDASZegarra-Valdivia, Jonathan AdriánMamani Quispe, Ruth DianaChinoapaza Turpo, Jose FelixParedes-Manrique, Carmen NoeliaMalaga, MarcoMamani Benito, Oscar JavierMontesinos, RosaCustodio Capuñay, Nilton SantosTosto, GiuseppeDementiaCognitive impairmentNeurocognitive DisordersQ-rudasQuechua PopulationBackground:The Rowland Universal Dementia Assessment Scale (RUDAS) is a validated cognitive screening tool for illiterate and low-educated individuals, adaptable across languages and cultures. In Peru, we adapted it for Quechua speakers (Q-RUDAS) to assess cognitive status in older adults. Objective: We aimed to estimate the prevalence of neurocognitive disorders—mild cognitive impairment (MCI) and dementia—among Quechua-speaking older adults in one of the most socially vulnerable districts of Peru using the Quechua version of the Rowland Universal Dementia Assessment Scale (Q-RUDAS), a brief cognitive screening tool validated in Peru. Methods: We studied 511 participants from Puno a region in the southern Peruvian Andes (mean age 65.04 ± 6.73 years; 80.4% females), collecting sociodemographic data and Q-RUDAS scores. After excluding 18 individuals with medical conditions that could affect cognitive performance, such as neurological, psychiatric, or cerebrovascular disorders, 493 completed the test. Results: All Q-RUDAS items were well understood, although over 50% of participants struggled with visuospatial construction. The mean Q-RUDAS score was 26.01 ± 2.71. Of the participants, 446 (90.5%) scored within normal ranges (26.67 ± 1.92), 41 (8.3%) were classified as having mild cognitive impairment (MCI) (21.49 ± 1.92), and 6 (1.2%) as having dementia (17.00 ± 2.71) based on established Q-RUDAS cut-offs. Urban participants scored higher. The prevalence of MCI and dementia combined was 9.52%. Conclusions: The Q-RUDAS is a culturally sensitive tool that can support the identification of cognitive impairment in Indigenous populations. Our findings highlight the need for further cross-validation studies to refine diagnostic accuracy in Quechua-speaking populations.Article10.3390/brainsci151213072-s2.0-105025978867https://hdl.handle.net/20.500.15037/2840enBrain SciencesBrain Sciences2076-3425Multidisciplinary Digital Publishing Institute (MDPI)2025-12-042026-06-27T02:34:13Z2026-06-27T02:34:13Z
spellingShingle Dementia
Cognitive impairment
Neurocognitive Disorders
Q-rudas
Quechua Population
Zegarra-Valdivia, Jonathan Adrián
Mamani Quispe, Ruth Diana
Chinoapaza Turpo, Jose Felix
Paredes-Manrique, Carmen Noelia
Malaga, Marco
Mamani Benito, Oscar Javier
Montesinos, Rosa
Custodio Capuñay, Nilton Santos
Tosto, Giuseppe
Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title_full Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title_fullStr Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title_full_unstemmed Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title_short Prevalence of Neurocognitive Disorders in the Elderly Quechua Population Using the Q-RUDAS
title_sort prevalence of neurocognitive disorders in the elderly quechua population using the q rudas
topic Dementia
Cognitive impairment
Neurocognitive Disorders
Q-rudas
Quechua Population
topic_facet Dementia
Cognitive impairment
Neurocognitive Disorders
Q-rudas
Quechua Population
url https://hdl.handle.net/20.500.15037/2840
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