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KMID : 0869220160200010020
Journal of Korean Geriatric Psychiatry
2016 Volume.20 No. 1 p.20 ~ p.24
Association between Alcohol Use Disorder and Cognitive Function According to Gender in the Elderly
Kim D.-S.

Chang Ki-Jung
Hong Chang-Hyung
Roh Hyun-Woong
Noh Jai-Sung
Chung Young-Ki
Lim Ki-Young
Jang Mi
Son Sang-Joon
Abstract
Objective£ºThis study aims to investigate the association between alcohol use disorder and cognition in Korean communitydwelling elderly, especially the gender-specific difference.

Methods£ºData obtained from 1,141 subjects (976 men and 165 women) aged above 60 years was analyzed from the Gwangju Dementia and Mild Cognitive Impairment Study. All subjects completed the study questionnaire including demographic characteristics, history of current and past illnesses, drug history, Korean Mini-Mental State Examination (K-MMSE), and cut down, annoyed, guilty feelings, eye-opener (CAGE), Short Form of Geriatric Depression Scale-Korean version (SGDS-K).

Results£ºOf the 1,141 subjects (mean age 72.17¡¾6.20, mean educational level 6.50¡¾4.48), 267 demonstrated alcohol use disorder (23.40%) and 874 were non-alcohol use disorder (76.60%). The mean of K-MMSE for alcohol use disorder group was 23.23¡¾4.99, and for non-alcohol use disorder group was 23.70¡¾3.94. When alcohol use disorder is accompanying, the decrement of K-MMSE score was 3.07 for female, and 0.35 for male. And we confirmed the interactive effect on K-MMSE score between sex and alcohol use disorder after adjusting for age, education level, depression (F=5.798, p=0.016).

Conclusion£ºIn conclusion, our study demonstrates an association between alcohol use disorder and cognitive impairment by gender in the elderly.
KEYWORD
The aged, Alcohols, Cognition
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