Cognitive Function and Vascular Risk Factors Among Older African American Adults

Ishan C. Williams, Moon Ho Park, Siny Tsang, Scott A. Sperling, Carol Manning

Research output: Contribution to journalArticle

Abstract

To evaluate the association between vascular risk factors and cognitive impairment among older African American (AA) adults in a primary care clinic. Participants included 96 AA adults aged 60 years or older who were evaluated for global and domain-specific cognition. Participants were interviewed using the Computerized Assessment of Memory and Cognitive Impairment (CAMCI). The relationship between CAMCI cognitive domain scores and vascular risk factors were examined using hierarchical regression models. Patients who smoked, those with higher SBP/DBP values had lower accuracy rates on CAMCI cognitive domains (attention, executive, memory).Those with higher BMI had better attention scores. Patients with higher HbA1C values had worse verbal memory. Patients with higher blood pressure were significantly faster in responding to tasks in the executive domain. Primary care providers working with older AA adults with these VRFs could implement cognitive screening earlier into their practice to reduce barriers of seeking treatment.

Original languageEnglish
Pages (from-to)1-7
Number of pages7
JournalJournal of Immigrant and Minority Health
DOIs
Publication statusAccepted/In press - 2017 Apr 17

Keywords

  • African American
  • Cognitive impairment
  • Computerized assessment
  • Primary care

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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