Motoric cognitive risk syndrome as a predictor of mortality in older male adults with cancer: A prospective cohort study in Peru

Geriatr Nurs. 2024 Nov-Dec:60:497-503. doi: 10.1016/j.gerinurse.2024.10.007. Epub 2024 Oct 19.

Abstract

We aimed to assess motoric cognitive risk syndrome (MCRS) as a mortality predictor in older male adults with cancer at Centro Médico Naval (CEMENA) in Peru from 2012 to 2015. We conducted a secondary analysis of a prospective cohort within CEMENA's Geriatrics Service. We considered all-cause mortality as the primary outcome. MCRS was defined as slow gait speed, cognitive impairment, preserved activities of daily living, and absence of dementia. We utilized Poisson family generalized linear models with a logarithmic link function and robust variance to calculate both crude and adjusted relative risks (RR) with 95 % confidence intervals (95 % CI). We included 832 older male adults, with an MCRS frequency of 18.27 % (n = 152) and a mortality incidence of 22.84 % (n = 190). MCRS was a predictor of mortality in older adults at the end of follow-up (aRR=2.55; 95 % CI: 2.13-2.66). Survival was lower in older adults with MCRS (log-rank test p < 0.001). MCRS was a mortality predictor in older male adults with cancer.

Keywords: Cancer; Cognitive dysfunction; Gait speed; Mortality; Motoric cognitive risk syndrome.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Cognitive Dysfunction
  • Humans
  • Male
  • Neoplasms* / mortality
  • Peru
  • Prospective Studies
  • Risk Factors
  • Syndrome