Association of Cognitive Impairment With Chronic Viral Hepatitis Among Older Adults in Taiwan.
Am J Geriatr Psychiatry
; 32(2): 180-191, 2024 02.
Article
en En
| MEDLINE
| ID: mdl-37838541
ABSTRACT
OBJECTIVE:
To evaluate the risk of cognitive impairment among patients with chronic viral hepatitis.DESIGN:
A cross-sectional study.SETTING:
Population-based.PARTICIPANTS:
Individuals 60 years or older were enrolled from the Taiwan Biobank database from 2012. EXPOSURE Hepatitis B virus and hepatitis C virus infections. MEASUREMENT Cognitive impairment was evaluated using the mini-mental state examination (MMSE). Logistic regression models were used to calculate odds ratios and 95% confidence intervals (CIs). The effects of APOE ε4 polymorphisms on the association between viral hepatitis and the risk of cognitive impairment were also investigated.RESULTS:
We recruited 912 participants with cognitive impairment and 22 869 participants without cognitive impairment. The adjusted odds ratio (aOR) for cognitive impairment was 1.38 (95% CI 1.03-1.85, p = 0.033) among participants with hepatitis C virus infection and 1.14 (95% CI 0.91-1.43, p = 0.257) among participants with hepatitis B virus infection. Participants with hepatitis C virus infection and without hepatitis B virus infection had a higher risk of cognitive impairment (aOR 1.52, 95% CI 1.13-2.04, p = 0.006). The MMSE subcategories most associated with hepatitis C virus infection were orientation and design copying. The association between hepatitis C virus infection and cognitive impairment was higher among participants with ε4 alleles of the APOE gene than among those without alleles (aOR 2.18, 95% CI 1.21-3.91, p = 0.009).CONCLUSIONS:
Our findings suggest that individuals 60 years or older with chronic hepatitis C virus infection are at increased risk of cognitive impairment.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Hepatitis C Crónica
/
Disfunción Cognitiva
/
Hepatitis B
Límite:
Aged
/
Humans
País/Región como asunto:
Asia
Idioma:
En
Revista:
Am J Geriatr Psychiatry
Asunto de la revista:
GERIATRIA
/
PSIQUIATRIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Taiwán