Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T05:25:31.815Z Has data issue: false hasContentIssue false
  • English
  • Français

Alcohol consumption and cognitive impairment among Korean older adults: does gender matter?

Published online by Cambridge University Press:  11 November 2013

Jiyoung Lyu  and
Seungah Hannah Lee
Jiyoung Lyu*
Affiliation:
Department of Gerontology, University of Massachusetts Boston, Boston, Massachusetts, USA
Seungah Hannah Lee
Affiliation:
Department of Gerontology, University of Massachusetts Boston, Boston, Massachusetts, USA
*
Correspondence should be addressed to: Jiyoung Lyu, MS, Department of Gerontology, McCormack Graduate School of Policy and Global Studies, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125, USA. Phone: +617-913-6768; Fax: +617-287-7080. Email: [email protected].
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

This study investigated gender differences in the relationship between alcohol consumption and cognitive impairment among older adults in South Korea.

Methods:

Using data from the Korean Longitudinal Study of Ageing, 2,471 females and 1,657 males were analyzed separately. Cognitive impairment was measured based on the Korean version of the Mini-Mental State Exam score. Logistic regression was conducted to examine the relationship between alcohol consumption and cognitive impairment among Korean older adults.

Results:

Multivariate analysis showed that compared to moderate drinkers, past drinkers were more likely to be cognitively impaired for women, while heavy drinkers were more likely to be cognitively impaired for men.

Conclusions:

Findings suggest that the relationship between alcohol consumption and cognition varies with gender. Clinicians and service providers should consider gender differences when developing strategies for the prevention and treatment of alcohol-related cognitive decline among older adults.

Keywords

alcohol consumptioncognitionolder adultsKoreangender difference
Type
Research Article
Information
International Psychogeriatrics , Volume 26 , Issue 2 , February 2014 , pp. 335 - 340
Copyright
Copyright © International Psychogeriatric Association 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, T. M., Sachdev, P. S., Brodaty, H., Trollor, J. N. and Andrews, G. (2007). Effects of sociodemographic and health variables on Mini-Mental State Exam scores in older Australians. American Journal of Geriatric Psychiatry, 15, 467–476. http://dx.doi.org/10.1097/JGP.0b013e3180547053.CrossRefGoogle ScholarPubMed
Andresen, E. M., Malmgren, J. A., Carter, W. B. and Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10, 77–84.CrossRefGoogle Scholar
Chan, K. K., Chiu, K. C. and Chu, L. W. (2010). Association between alcohol consumption and cognitive impairment in Southern Chinese older adults. International Journal of Geriatric Psychiatry, 25, 1272–1279. doi:10.1002/gps.2470.CrossRefGoogle ScholarPubMed
Dufouil, C., Ducimetière, P., Ducimetière, P. and Alpérovitch, A. (1997). Sex differences in the association between alcohol consumption and cognitive performance. American Journal of Epidemiology, 146, 405–412. http://dx.doi.org/10.1093/oxfordjournals.aje.a009293.CrossRefGoogle ScholarPubMed
Elias, P. K., Elias, M. F., D'Agostino, R. B., Silbershatz, H. and Wolf, P. A. (1999). Alcohol consumption and cognitive performance in the Framingham Heart Study. American Journal of Epidemiology, 150, 580–589. http://dx.doi.org/10.1093/oxfordjournals.aje.a010056.CrossRefGoogle ScholarPubMed
Ewing, J. A. (1984). Detecting alcoholism: the CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907. http://dx.doi.org/10.1001/jama.252.14.1905.CrossRefGoogle ScholarPubMed
Harwood, D. G.et al. (2010). The effect of alcohol and tobacco consumption, and apolipoprotein E genotype, on the age of onset in Alzheimer's disease. International Journal of Geriatric Psychiatry, 25, 511–518. doi:10.1002/gps.2372.CrossRefGoogle ScholarPubMed
Jeong, H. G.et al. (2012). Impact of alcohol use on mortality in the elderly: results from the Korean Longitudinal Study on Health and Aging. Drug and Alcohol Dependence, 121, 133–139. http://dx.doi.org/10.1016/j.drugalcdep.2011.08.017.CrossRefGoogle ScholarPubMed
Kang, Y., Na, D. L. and Hahn, S. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of Korean Neurological Assocication, 15, 300–308.Google Scholar
Kim, J. M., Shin, I. S., Stewart, R. and Yoon, J. S. (2002). Alcoholism in older Korean men: prevalence, aetiology, and comorbidity with cognitive impairment and dementia in urban and rural communities. International Journal of Geriatric Psychiatry, 17, 821–827. doi:10.1002/gps.687.CrossRefGoogle ScholarPubMed
Kim, J., Chu, S. K., Kim, K. and Moon, J. R. (2011a). Alcohol use behaviors and risk of metabolic syndrome in South Korean middle-aged men. BMC Public Health, 11, 489–496. http://dx.doi.org/10.1186/1471-2458-11-489.CrossRefGoogle ScholarPubMed
Kim, K. W.et al. (2011b). A nationwide survey on the prevalence of dementia and mild cognitive impairment in South Korea. Journal of Alzheimers Disease, 23, 281–291. doi:10.3233/JAD-2010-101221.CrossRefGoogle ScholarPubMed
Korea Labor Institute. (2010). About KLoSA: The Korean Longitudinal Study of Ageing. Seoul, Korea: Korea Labor Institute.Google Scholar
Lang, I., Wallace, R. B., Huppert, F. A. and Melzer, D. (2007). Moderate alcohol consumption in older adults is associated with better cognition and well-being than abstinence. Age and Ageing, 36, 256–261. doi:10.1093/ageing/afm001.CrossRefGoogle ScholarPubMed
Lee, E. K. and Lee, J. (2011). Gender differences in predictors of mental health among older adults in South Korea. International Journal of Aging and Human Development, 72, 207–223. http://dx.doi.org/10.2190/AG.72.3.c.CrossRefGoogle ScholarPubMed
Lyu, J. and Lee, S. H. (2012). Gender differences in the link between excessive drinking and domain-specific cognitive functioning among older adults. Journal of Aging and Health, 24, 1380–1398. doi:10.1177/0898264312459346.CrossRefGoogle ScholarPubMed
McGuire, L. C., Ajani, U. A. and Ford, E. S. (2007). Cognitive functioning in late life: the impact of moderate alcohol consumption. Annals of Epidemiology, 17, 93–99. http://dx.doi.org/10.1016/j.annepidem.2006.06.005.CrossRefGoogle ScholarPubMed
Mukamal, K. J., Kuller, L. H., Fitzpatrick, A. L., Longstreth, W. T. Jr, Mittleman, M. A. and Siscovick, D. S. (2003). Prospective study of alcohol consumption and risk of dementia in older adults. JAMA, 289, 1405–1413. http://dx.doi.org/10.1001/jama.289.11.1405.CrossRefGoogle ScholarPubMed
Mungas, D., Marshall, S. C., Weldon, M., Haan, M. and Reed, B. R. (1996). Age and education correction of Mini-Mental State Examination for English and Spanish-speaking elderly. Neurology, 46, 700–706. http://dx.doi.org/10.1212/WNL.46.3.700.CrossRefGoogle ScholarPubMed
Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical Psychology Review, 24, 981–1010. http://dx.doi.org/10.1016/j.cpr.2004.08.003.CrossRefGoogle ScholarPubMed
Panza, F.et al. (2012). Alcohol consumption in mild cognitive impairment and dementia: harmful or neuroprotective? International Journal of Geriatric Psychiatry, 27, 1218–1238. http://dx.doi.org/10.1002/gps.3772.CrossRefGoogle ScholarPubMed
World Health Organization. (2011a). Global Status Report on Alcohol and Health. Available at: http://www.who.int/substance_abuse/publications/global_alcohol_report/msbgsruprofiles.pdf; last accessed 5 February 2012.Google Scholar
World Health Organization. (2011b). Global Health Observatory, Republic of Korea. Available at: http://www.who.int/substance_abuse/publications/global_alcohol_report/profiles/kor.pdf; last accessed 5 February 2012.Google Scholar