{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T12:24:11Z","timestamp":1781007851700,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T00:00:00Z","timestamp":1492992000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To identify potentially modifiable risk factors for cognitive decline among veterans\u2019 home residents in Taiwan<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present retrospective cohort study was part of the Veteran Affairs\u2010Comprehensive Geriatric Assessment study that retrieved data of the comprehensive geriatric assessment for 946 residents living at four veterans\u2019 homes in Taiwan. The study participants were interviewed every 3\u20136\u00a0months from January 2012 and December 2014. Demographic characteristics,multimorbidity by Charlson's Comorbidities Index, physical function by the Barthel Index, cognition by the Mini\u2010Mental State Examination (MMSE), depression by the five\u2010item Geriatric Depression Scale and nutritional status by the Mini\u2010Nutrition Assessment\u2010Short Form were collected for analysis. A generalized estimating equation model was used after it was adjusted for age, educational level, five\u2010item Geriatric Depression Scale, and problem of communication difficulty to identify potential modifiable risk factors for cognitive decline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age of the participants was 85.7\u00a0\u00b1\u00a05.2\u00a0years, with a mean follow\u2010up period of 41\u00a0\u00b1\u00a021.6\u00a0weeks. The prevalence of cognitive impairment (defined by MMSE &lt;24) was 65.6%, whereas 34% of the study participants were positive for depressive symptoms. Approximately one\u2010fifth of the study participants were using psychotropic agents, which was higher among participants with cognitive impairment (23.6% <jats:italic>vs<\/jats:italic> 15.6%, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) than those without. In the generalized estimating equation model, physical function, nutritional status, depressive symptoms, ex\u2010drinker, multimorbidity and stool incontinence were positively correlated with MMSE score; whereas advanced age, low educational level (&lt;6\u00a0years), presence of communication difficulty and use of psychotropic agents were inversely associated with the MMSE score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Physical function and nutritional status were positively associated with the MMSE score, and use of psychotropic agents was negatively correlated with cognitive function. Further intervention study is required to improve the cognitive health of older adults living in the veterans\u2019 retirement communities. <jats:bold>Geriatr Gerontol Int 2017: 17 (Suppl. 1): 7\u201313<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.13039","type":"journal-article","created":{"date-parts":[[2017,4,24]],"date-time":"2017-04-24T08:38:19Z","timestamp":1493023099000},"page":"7-13","source":"Crossref","is-referenced-by-count":13,"title":["Predictive factors for dementia and cognitive impairment among residents living in the veterans\u2019 retirement communities in Taiwan: Implications for cognitive health promotion activities"],"prefix":"10.1111","volume":"17","author":[{"given":"Liang\u2010Yu","family":"Chen","sequence":"first","affiliation":[{"name":"Aging and Health Research Center National Yang\u2010Ming University  Taipei Taiwan"},{"name":"Institute of Public Health National Yang\u2010Ming University  Taipei Taiwan"},{"name":"Center for Geriatrics and 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