Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru

ABSTRACT Background Cognitive impairment in older adults is a public health concern influenced by unhealthy lifestyle behaviors such as poor diet, physical inactivity, and stress. This study aimed to describe the prevalence of cognitive impairment and explore its association with lifestyle among old...

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Autores principales: Damaris Elena Valdez-Sanchez, Luis Enrique Bonifacio, Anderson Nelver Soriano-Moreno
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Lenguaje:inglés
Publicado: 2026
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author Damaris Elena Valdez-Sanchez
Luis Enrique Bonifacio
Anderson Nelver Soriano-Moreno
author_browse Anderson Nelver Soriano-Moreno
Damaris Elena Valdez-Sanchez
Luis Enrique Bonifacio
author_facet Damaris Elena Valdez-Sanchez
Luis Enrique Bonifacio
Anderson Nelver Soriano-Moreno
author_sort Damaris Elena Valdez-Sanchez
collection Producción científica
description ABSTRACT Background Cognitive impairment in older adults is a public health concern influenced by unhealthy lifestyle behaviors such as poor diet, physical inactivity, and stress. This study aimed to describe the prevalence of cognitive impairment and explore its association with lifestyle among older adults receiving care at a public hospital in east Lima, Peru. Methods We conducted a cross-sectional study of 126 older adults receiving care at a public hospital in East Lima. Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ) and the Mini-Mental State Examination (MMSE). Lifestyle habits were measured with the FANTASTIC Lifestyle Questionnaire. Adjusted prevalence ratios (aPRs) were estimated using Poisson regression models with robust variance. Results Overall, 36.5% of participants had cognitive impairment according to the SPMSQ, while 42.1% had cognitive impairment or dementia based on the MMSE. Regarding lifestyle, 25.4% were categorized as having a “Fair” lifestyle. In adjusted analyses, having a “Fair” lifestyle was associated with a lower prevalence of cognitive impairment according to both the SPMSQ (aPR 0.35; 95% CI 0.20–0.61) and the MMSE (0.49; 0.28–0.86). The association was even stronger among participants in the “Good work / Congratulations” category for the SPMSQ (0.29; 0.18–0.47) and the MMSE (0.48; 0.30–0.77). Conclusion Among older adults receiving care at a public hospital in east Lima, the prevalence of cognitive impairment was high and showed an inverse association with healthier lifestyle behaviors.
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spelling openalex:W7162630053Association between lifestyle and cognitive impairment in older adults attending a public hospital in PeruDamaris Elena Valdez-SanchezLuis Enrique BonifacioAnderson Nelver Soriano-Morenocognitive impairmentolder adultslifestyle habitsdementiaphysical inactivitydietstressprevalencepublic hospital patientsLimaDementia and Cognitive Impairment ResearchAging, Health, and DisabilityNutrition and Health in AgingABSTRACT Background Cognitive impairment in older adults is a public health concern influenced by unhealthy lifestyle behaviors such as poor diet, physical inactivity, and stress. This study aimed to describe the prevalence of cognitive impairment and explore its association with lifestyle among older adults receiving care at a public hospital in east Lima, Peru. Methods We conducted a cross-sectional study of 126 older adults receiving care at a public hospital in East Lima. Cognitive function was assessed using the Short Portable Mental Status Questionnaire (SPMSQ) and the Mini-Mental State Examination (MMSE). Lifestyle habits were measured with the FANTASTIC Lifestyle Questionnaire. Adjusted prevalence ratios (aPRs) were estimated using Poisson regression models with robust variance. Results Overall, 36.5% of participants had cognitive impairment according to the SPMSQ, while 42.1% had cognitive impairment or dementia based on the MMSE. Regarding lifestyle, 25.4% were categorized as having a “Fair” lifestyle. In adjusted analyses, having a “Fair” lifestyle was associated with a lower prevalence of cognitive impairment according to both the SPMSQ (aPR 0.35; 95% CI 0.20–0.61) and the MMSE (0.49; 0.28–0.86). The association was even stronger among participants in the “Good work / Congratulations” category for the SPMSQ (0.29; 0.18–0.47) and the MMSE (0.48; 0.30–0.77). Conclusion Among older adults receiving care at a public hospital in east Lima, the prevalence of cognitive impairment was high and showed an inverse association with healthier lifestyle behaviors.Articlehttps://doi.org/10.1016/j.aggp.2026.100299W7162630053enArchives of Gerontology and Geriatrics Plus2950-30782026-05-28
spellingShingle cognitive impairment
older adults
lifestyle habits
dementia
physical inactivity
diet
stress
prevalence
public hospital patients
Lima
Dementia and Cognitive Impairment Research
Aging, Health, and Disability
Nutrition and Health in Aging
Damaris Elena Valdez-Sanchez
Luis Enrique Bonifacio
Anderson Nelver Soriano-Moreno
Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title_full Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title_fullStr Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title_full_unstemmed Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title_short Association between lifestyle and cognitive impairment in older adults attending a public hospital in Peru
title_sort association between lifestyle and cognitive impairment in older adults attending a public hospital in peru
topic cognitive impairment
older adults
lifestyle habits
dementia
physical inactivity
diet
stress
prevalence
public hospital patients
Lima
Dementia and Cognitive Impairment Research
Aging, Health, and Disability
Nutrition and Health in Aging
topic_facet cognitive impairment
older adults
lifestyle habits
dementia
physical inactivity
diet
stress
prevalence
public hospital patients
Lima
Dementia and Cognitive Impairment Research
Aging, Health, and Disability
Nutrition and Health in Aging
url https://doi.org/10.1016/j.aggp.2026.100299
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