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Cognitive functional screening with the Indonesian Montreal Cognitive Assessment of farmers exposed to pesticides: A cross-sectional study.

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Title: Cognitive functional screening with the Indonesian Montreal Cognitive Assessment of farmers exposed to pesticides: A cross-sectional study.
Authors: Khoiriyah, Miftahul, Ilhamsyah, Nafi, Putri, Alfitriani Alislamic Burhamsi, Soleman, Sani Rachman, Prasasti, Gita Diah
Source: Journal of Neurosciences in Rural Practice; Apr-Jun2025, Vol. 16 Issue 2, p1-7, 7p
Subject Terms: MONTREAL Cognitive Assessment, PESTICIDE pollution, FARMERS, CROSS-sectional method, INDONESIANS, COGNITIVE ability, COGNITIVE testing, PERSONAL protective equipment
Geographic Terms: INDONESIA, JAWA Tengah (Indonesia)
Abstract: Objectives: Cognitive assessment with the Indonesian Montreal Cognitive Assessment (MoCA Ina) is essential to detect mild cognitive impairment in farmers in Indonesia. This study aims to observe cognitive function with the MoCa Ina in high-exposed and low-exposed areas in Magelang Regency, Central Java, Indonesia. Materials and Methods: A cross-sectional study is proposed to collect 101 respondents from Pakis District, high-exposed pesticides, and 100 respondents from Mertoyudan District, low-exposed ones. Covariates are baseline demographic and pesticide-use behavior, and dependent variables are exposure level and MoCA Ina components. Statistical analysis uses chi-square and Binary Logistic for categorical data. Independent t -tests, analysis variance, and covariance analysis are used to analyze continuous data. All data are set at <0.05 significance with the Statistical Package for the Social Sciences version 25. Results: Elementary school (adjusted odd ratio [AOR] = 0.43; confidence interval [CI] 95% = 0.07, 0.27; P = 0.00) and junior high school (AOR = 0.11; CI 95% = 0.01, 0.74; P = 0.02) are associated with exposure status, as well as MoCA Ina components exclusively visuospatial (P < 0.001), naming (P < 0.001), abstraction (P = 0.00), delayed recall (P = 0.02), and total MoCA (P = 0.00). However, after controlling for confounding, only orientation finds its significance (mean difference 0.20, P = 0.04). The mean difference proves that the high-exposed area has a worse score MoCA than the low-exposed pesticide one. Specifically, in highly exposed one, pesticide use behavior, broflanilide pesticide application (P = 0.02), length of used pesticide (P = 0.01), and spraying time (P = 0.00) get their significance. Wearing glass protection contributes to cognitive scoring MoCA Ina components such as naming (P < 0.001), language (P = 0.02), abstraction (P = 0.02), orientation (P = 0.00), and total MoCA (P = 0.01). Conclusion: Pesticide exposure contributes to cognitive function. Additional precautions regarding educational background, pesticide-use behavior, and personal protective equipment compliance should be handled. [ABSTRACT FROM AUTHOR]
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Database: Biomedical Index
Description
Abstract:Objectives: Cognitive assessment with the Indonesian Montreal Cognitive Assessment (MoCA Ina) is essential to detect mild cognitive impairment in farmers in Indonesia. This study aims to observe cognitive function with the MoCa Ina in high-exposed and low-exposed areas in Magelang Regency, Central Java, Indonesia. Materials and Methods: A cross-sectional study is proposed to collect 101 respondents from Pakis District, high-exposed pesticides, and 100 respondents from Mertoyudan District, low-exposed ones. Covariates are baseline demographic and pesticide-use behavior, and dependent variables are exposure level and MoCA Ina components. Statistical analysis uses chi-square and Binary Logistic for categorical data. Independent t -tests, analysis variance, and covariance analysis are used to analyze continuous data. All data are set at <0.05 significance with the Statistical Package for the Social Sciences version 25. Results: Elementary school (adjusted odd ratio [AOR] = 0.43; confidence interval [CI] 95% = 0.07, 0.27; P = 0.00) and junior high school (AOR = 0.11; CI 95% = 0.01, 0.74; P = 0.02) are associated with exposure status, as well as MoCA Ina components exclusively visuospatial (P < 0.001), naming (P < 0.001), abstraction (P = 0.00), delayed recall (P = 0.02), and total MoCA (P = 0.00). However, after controlling for confounding, only orientation finds its significance (mean difference 0.20, P = 0.04). The mean difference proves that the high-exposed area has a worse score MoCA than the low-exposed pesticide one. Specifically, in highly exposed one, pesticide use behavior, broflanilide pesticide application (P = 0.02), length of used pesticide (P = 0.01), and spraying time (P = 0.00) get their significance. Wearing glass protection contributes to cognitive scoring MoCA Ina components such as naming (P < 0.001), language (P = 0.02), abstraction (P = 0.02), orientation (P = 0.00), and total MoCA (P = 0.01). Conclusion: Pesticide exposure contributes to cognitive function. Additional precautions regarding educational background, pesticide-use behavior, and personal protective equipment compliance should be handled. [ABSTRACT FROM AUTHOR]
ISSN:09763147
DOI:10.25259/JNRP_360_2024