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Published on: February 8, 2019
Cognitive status in the community dwelling Thai elderly.
V Senanarong1, N Poungvarin, K Sukhatunga
1Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Summary
Dementia affects nearly 10% of elderly Thais. Early detection using cognitive screening tests like the Thai Mental State Examination (TMSE) is crucial for timely intervention and management.
Area of Science:
- Gerontology
- Neurology
- Public Health
Background:
- Cognitive impairment and dementia are significant health concerns in aging populations worldwide.
- Understanding the prevalence of dementia in specific ethnic groups is vital for targeted healthcare strategies.
Purpose of the Study:
- To determine the prevalence of cognitive impairment and dementia among community-dwelling elderly in Thailand.
- To evaluate the psychometric properties of the Thai Mental State Examination (TMSE) as a screening tool.
Main Methods:
- A nationwide survey of 3,177 Thai individuals aged 60 and above was conducted between 1995 and 1997.
- Trained medical personnel collected medical histories and assessed daily living activity capabilities.
- The Thai Mental State Examination (TMSE) was administered, and participants underwent clinical examination by internists or neurologists.
Main Results:
- The study enrolled 3,177 elderly participants (38.8% male, 61.2% female).
- A significant correlation was observed between age, education, and TMSE scores (p<0.001).
- The prevalence of dementia was found to be 9.88% in the surveyed population.
Conclusions:
- Dementia represents a substantial public health issue among the elderly in Thailand.
- Early detection and assessment of dementia are essential, given the availability of treatments for various causes.
- Public awareness campaigns are needed to differentiate dementia from normal aging.
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