scholarly journals Influence of chronic pain on cognitive performance in elderly caregivers: a longitudinal study

2021 ◽  
Vol 74 (suppl 2) ◽  
Author(s):  
Marielli Terassi ◽  
Pedro Montoya ◽  
Sofia Cristina Iost Pavarini ◽  
Priscilla Hortense
Keyword(s):  
Chronic Pain ◽  
Data Analysis ◽  
Longitudinal Study ◽  
Cognitive Performance ◽  
Mixed Linear Model ◽  
Community Dwelling ◽  
Point Scale ◽  
Significance Level ◽  
Elderly Caregivers ◽  
Addenbrooke’S Cognitive Examination

ABSTRACT Objective: to compare cognitive performance of elderly caregivers with and without chronic pain over four years and verify the effect of pain intensity on cognitive performance of elderly caregivers with chronic pain. Method: a longitudinal study with data collected in 2014 and 2018. Community-dwelling elderly caregivers of a Brazilian city participated in the study. Cognition was assessed using the Addenbrooke’s Cognitive Examination instrument. Pain was assessed by an 11-point scale. For data analysis, a mixed linear model and ANCOVA with a 5% significance level were used. Results: they were divided into two groups. A cognitive decline over four years was found in elderly people with pain (p=0.02; 95%CI=0.32-4.25), while those without pain did not show a significant change. Conclusion: the results show that elderly caregivers with pain had a worse cognitive performance, but when comparing groups with the ANCOVA test for intergroup analysis, there was no difference in cognitive performance.

scholarly journals Factors associated with cognitive performance in elderly caregivers

2018 ◽  
Vol 76 (10) ◽  
pp. 685-691 ◽  
Author(s):  
Sofia Cristina Iost Pavarini ◽  
Allan Gustavo Brigola ◽  
Ana Carolina Ottaviani ◽  
Bruna Moretti Luchesi ◽  
Érica Nestor Souza ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Verbal Fluency ◽  
Family Income ◽  
Healthcare Services ◽  
Cognitive Domains ◽  
Factors Associated ◽  
Dependent Variables ◽  
Attention Memory ◽  
Elderly Caregivers ◽  
Addenbrooke’S Cognitive Examination

Abstract Objectives: To explore the socioeconomic, demographic and psychosocial factors associated with cognitive performance in elderly caregivers from Brazil. Methods: We evaluated 351 Brazilian elderly caregivers attending primary healthcare services regarding sociodemographic and care variables. Addenbrooke's Cognitive Examination-Revised (ACE-R) domains of orientation/attention, memory, verbal fluency, language and visuospatial were used as dependent variables in the Tobit model. Results: Literacy and family income were positively associated with all ACE-R domains. Age, gender, time of care (days/week) were negatively associated with some cognitive domains. Moreover, receiving emotional help and the level of hope were positively associated with specific domains. Discussion: The results may be useful for planning interventions aimed at elderly caregivers in order to prevent deficits in the different cognitive domains.

scholarly journals Temporal Sequence of Hearing Impairment and Cognition in the Baltimore Longitudinal Study of Aging

2018 ◽  
Vol 75 (3) ◽  
pp. 574-580 ◽  
Author(s):  
Nicole M Armstrong ◽  
Yang An ◽  
Luigi Ferrucci ◽  
Jennifer A Deal ◽  
Frank R Lin ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Hearing Impairment ◽  
Cognitive Performance ◽  
Digit Span ◽  
Verbal Learning ◽  
Temporal Sequence ◽  
Community Dwelling ◽  
California Verbal Learning Test ◽  
Baltimore Longitudinal Study ◽  
Learning Test

Abstract Background Hearing impairment (HI) could be a risk factor for cognitive decline, but cognition could plausibly also affect psychoacoustic assessment of hearing with audiometry. We examined the temporal sequence of hearing and cognitive function among nondemented, community-dwelling older adults. Methods Hearing and cognition were assessed between 2012 and 2015 and 2 years thereafter in 313 nondemented participants aged ≥60 years in the Baltimore Longitudinal Study of Aging. Poorer hearing was defined by pure-tone average of 0.5–4 kHz tones in the better-hearing ear. Cognitive measures with either visual or auditory inputs were Trail-making Test Part B; Digit Symbol Substitution Test; California Verbal Learning Test immediate recall, short delay, and long delay; Digit Span Forward/Backward; Benton Visual Retention Test; and Mini-Mental State Examination. We used linear regression models for cross-sectional associations at each timepoint and autoregressive, cross-lagged models to evaluate whether baseline hearing impairment (Time 1) predicted cognitive performance 2 years after baseline (Time 2) and vice versa. Results Cross-sectionally, there were no associations between poorer hearing and cognitive performance. Longitudinally, poorer hearing was associated with declines in California Verbal Learning Test immediate (β = −0.073, SE = 0.032, p = .024), short-delayed (β = −0.134, SE = 0.043, p = .002), long-delayed (β = −0.080, SE = 0.032, p = .012) recall, and Digit Span Forward (β = −0.074, SE = 0.029, p = .011).) from Time 1 to Time 2. Cognitive performance at Time 1 did not predict change in hearing status at Time 2. Conclusions Audiometric hearing impairment predicted short-term cognitive declines in both California Verbal Learning Test and auditory stimuli for attention.

scholarly journals Comparison of the cognitive performance of elderly caregivers with and without chronic pain

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Marielli Terassi ◽  
Estefani Serafim Rossetti ◽  
Karina Gramani-Say ◽  
Tiago da Silva Alexandre ◽  
Priscilla Hortense ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Data Collection ◽  
Cognitive Performance ◽  
Scientific Knowledge ◽  
Elderly Person ◽  
Family Health ◽  
The Elderly ◽  
Initial Hypothesis ◽  
Objective Understanding ◽  
Elderly Caregivers

Abstract OBJECTIVE Understanding and characterizing chronic pain in elderly caregivers, verifying the cognitive performance of the elderly of the sample and verifying whether there is difference in the cognitive performance of elderly caregivers with and without chronic pain. METHOD Participants were people aged 60 years or older who lived with another elderly person in the same household and who were registered in Family Health Units. Data collection took place at participants' homes. Pain was assessed by the EMADOR and cognition was assessed by ACE-R. Statistical analyzes were performed using Shapiro-Wilk's and Mann-Whitney U tests. RESULTS The study included 187 elderly caregivers with chronic pain and 133 without chronic pain, with a higher frequency of women. Chronic pain was present in 58.4% of the participants. Regarding the sociodemographic variables, there was no difference between the groups except for the gender variable (p=0.025). No difference was found in cognitive performance among the elderly with chronic pain and those without chronic pain for any domain of the ACE-R instrument. CONCLUSION The results contradicted the initial hypothesis that there would be a difference between the groups; however, there is a gap in the scientific knowledge on chronic pain and cognition, especially in elderly caregivers, opening perspectives for future investigations.

scholarly journals Poorer Visual Acuity Is Associated with Declines in Cognitive Performance Across Multiple Cognitive Domains: The Maine-Syracuse Longitudinal Study

2018 ◽  
Vol 24 (7) ◽  
pp. 746-754 ◽  
Author(s):  
Peter J. Dearborn ◽  
Merrill F. Elias ◽  
Kevin J. Sullivan ◽  
Cara E. Sullivan ◽  
Michael A. Robbins
Keyword(s):  
Visual Acuity ◽  
Longitudinal Study ◽  
Cognitive Function ◽  
Episodic Memory ◽  
Cognitive Performance ◽  
Spatial Organization ◽  
Disease Risk ◽  
Community Dwelling ◽  
Visual Spatial ◽  
Verbal Episodic Memory

AbstractObjectives: Prior studies have found associations between visual acuity (VA) and cognitive function. However, these studies used a limited range of cognitive measures and did not control for cardiovascular disease risk factors (CVD-RFs) and baseline function. The primary objective of this study was to analyze the associations of VA and cognitive performance using a thorough neuropsychological test battery. Methods: This study used community-dwelling sample data across the sixth (2001–2006) and seventh (2006–2010) waves of the Maine-Syracuse Longitudinal Study (n=655). Wave 6 VA as measured by the Snellen Eye Test was the primary predictor of wave 6 and wave 7 Global cognitive performance, Visual-Spatial Organization and Memory, Verbal Episodic Memory, Working Memory, Scanning and Tracking, and Executive Function. Additionally, VA was used to predict longitudinal changes in wave 7 cognitive performance (wave 6 performance adjusted). We analyzed these relationships with multiple linear and logistic regression models adjusted for age, sex, education, ethnicity, depressive symptoms, physical function deficits in addition to CVD-RFs, chronic kidney disease, homocysteine, continuous systolic blood pressure, and hypertension status. Results: Adjusted for demographic covariates and CVD-RFs, poorer VA was associated with concurrent and approximate 5-year declines in Global cognitive function, Visual-Spatial Organization and Memory, and Verbal Episodic Memory. Discussion: VA may be used in combination with other screening measures to determine risk for cognitive decline. (JINS, 2018, 24, 1–9)

scholarly journals EARLY FRAILTY PHENOTYPES AND PREDICTIONS OF COGNITIVE AGING: EVIDENCE FROM THE VICTORIA LONGITUDINAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S292-S293
Author(s):  
Linzy Bohn ◽  
Yao Zheng ◽  
G Peggy McFall ◽  
Roger A Dixon
Keyword(s):  
Longitudinal Study ◽  
Cognitive Performance ◽  
Cognitive Aging ◽  
Latent Variables ◽  
Latent Profile Analysis ◽  
Cardiovascular Health ◽  
Profile Analysis ◽  
Community Dwelling ◽  
Data Driven ◽  
Data Driven Approach

Abstract Frailty is an aging condition that reflects multisystem decline. A prominent approach to frailty assessment is to create an index, whereby responses across multiple indicators of aging systems are summed to create a single score. These studies indicate that frailty is associated with adverse aging outcomes (e.g., mortality, dementia). We employ a data-driven approach to detecting and differentiating emerging frailty phenotypes and examine their associations with non-demented cognitive aging trajectories. Participants (n = 653; M age = 70.6, range 53-95) were community-dwelling older adults from the Victoria Longitudinal Study. Participants contributed (a) baseline data for 30 frailty-related items representing deficits across 7 domains (e.g., instrumental and cardiovascular health) and (b) longitudinal data for latent variables of executive function, speed, and memory. For each participant, we calculated the proportion of deficits present in each frailty-related domain and submitted these data to a latent profile analysis (LPA; Mplus 7.0). We used latent growth modeling (LGM) to test these frailty phenotypes for prediction of cognitive performance and decline. LPA results revealed three profiles, one large normal low-frailty profile and two emerging frailty phenotypes. Whereas the latter represented profiles of individuals with respiratory-type frailty (i.e., marked impairment in respiratory function; 7%) and mobility-type frailty (i.e., marked impairment in mobility function; 9%), the former featured limited impairment across frailty domains (83%). Findings from LGM indicated that these profiles were differentially related to cognitive performance and decline. Data-driven approaches can help detect early differentiation of frailty profiles and contribute to personalized intervention.

scholarly journals HIGHER COGNITIVE PERFORMANCE IS PROSPECTIVELY ASSOCIATED WITH HEALTHY DIETARY CHOICES: THE MAINE SYRACUSE LONGITUDINAL STUDY

2015 ◽  
pp. 1-9
Author(s):  
G.E. Crichton ◽  
M.F. Elias ◽  
A. Davey ◽  
A. Alkerwi ◽  
G.A. Dore
Keyword(s):  
Longitudinal Study ◽  
Dietary Intake ◽  
Cognitive Performance ◽  
Neuropsychological Testing ◽  
New York State ◽  
Later Life ◽  
Community Dwelling ◽  
Socioeconomic Indicators ◽  
Adult Intelligence Scale ◽  
Dietary Choices

Objectives: Few studies have examined whether cognitive function predicts dietary intake. The majority of research has focused on how diet can influence cognitive performance or risk for cognitive impairment in later life. The aim of this study was to examine prospective relationships between cognitive performance and dietary intake in participants of the Maine-Syracuse Longitudinal Study. Design: A prospective study with neuropsychological testing at baseline and nutritional assessments measured a mean of 18 years later. Setting: Community-dwelling individuals residing in central New York state. Participants: 333 participants free of dementia and stroke. Measurements: The Wechsler Adult Intelligence Scale (WAIS) was assessed at baseline and dietary intake was measured using the Nutrition and Health Questionnaire. Results: Higher WAIS Scores at baseline were prospectively associated with higher intakes of vegetables, meats, nuts and legumes, and fish, but inversely associated with consumption of total grains and carbonated soft drinks. After adjustment for sample selection, socioeconomic indicators, lifestyle factors (smoking and physical activity), and cardiovascular risk factors, the relations between higher cognitive performance and greater consumption of vegetables, meat, and fish, and lower consumption of grains remained significant. Conclusion: These data suggest that cognition early in life may influence dietary choices later in life.

scholarly journals Aromatherapy: Does It Help to Relieve Pain, Depression, Anxiety, and Stress in Community-Dwelling Older Persons?

2014 ◽  
Vol 2014 ◽  
pp. 1-12 ◽  
Author(s):  
Shuk Kwan Tang ◽  
M. Y. Mimi Tse
Keyword(s):  
Chronic Pain ◽  
Older Persons ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Slight Reduction ◽  
Point Scale ◽  
Pain Scores ◽  
Relieve Pain ◽  
Community Dwelling Older Adults

To examine the effectiveness of an aromatherapy programme for older persons with chronic pain. The community-dwelling elderly people who participated in this study underwent a four-week aromatherapy programme or were assigned to the control group, which did not receive any interventions. Their levels of pain, depression, anxiety, and stress were collected at the baseline and at the postintervention assessment after the conclusion of the four-week programme. Eighty-two participants took part in the study. Forty-four participants (37 females, 7 males) were in the intervention group and 38 participants (30 females, 8 males) were in the control group. The pain scores were 4.75 (SD 2.32) on a 10-point scale for the intervention group and 5.24 (SD 2.14) for the control group before the programme. There was a slight reduction in the pain score of the intervention group. No significant differences were found in the same-group and between-group comparisons for the baseline and postintervention assessments. The depression, anxiety, and stress scores for the intervention group before the programme were 11.18 (SD 6.18), 9.64 (SD 7.05), and 12.91 (SD 7.70), respectively. A significant reduction in negative emotions was found in the intervention group (P<0.05). The aromatherapy programme can be an effective tool to reduce pain, depression, anxiety, and stress levels among community-dwelling older adults.

scholarly journals Cognition and chronic pain: an analysis on community-dwelling elderly caregivers and non-caregivers

2021 ◽  
Vol 79 (3) ◽  
pp. 201-208
Author(s):  
Marielli TERASSI ◽  
Ana Carolina OTTAVIANI ◽  
Érica Nestor de SOUZA ◽  
Francisco José FRAGA ◽  
Pedro MONTOYA ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Elderly People ◽  
Cognitive Processing ◽  
Elderly Person ◽  
Event Related Potentials ◽  
Community Dwelling ◽  
P300 Amplitude ◽  
Visual Spatial ◽  
Related Potentials ◽  
Elderly Caregivers

ABSTRACT Background: In recent years there has been an increasing number of elderly people who care for another elderly person in the same household. These elderly people are more susceptible to overload and the presence of chronic pain, while pain can negatively influence cognitive variables. Objective: To compare the performance and cognitive processing of elderly caregivers and non-caregivers with and without chronic pain. Methods: This was a cross-sectional study carried out among 149 elderly people divided into four groups that were matched according to sex, age and schooling. The tests used were a numerical pain assessment scale, the Brief Cognitive Screening Battery (BCSB), Addenbrooke’s Cognitive Examination (ACER-R) and cognitive processing through event-related potentials (P300). Results: Statistically significant differences between participants with and without chronic pain were found with regard to attention/orientation (p=0.045) and visual-spatial skills (p=0.017), and in the total score (p=0.033). In the pain-free group, the caregivers showed better results than the non-caregivers. There were no effects between subjects or interactions (caregiving and pain factors) either on P300 amplitude or on P300 latency. Conclusion: In general, it was observed that pain-free individuals presented better performance. No relationship was observed between the factors care and pain regarding cognitive performance.

scholarly journals Sugar-sweetened soft drinks are associated with poorer cognitive function in individuals with type 2 diabetes: the Maine–Syracuse Longitudinal Study

2016 ◽  
Vol 115 (8) ◽  
pp. 1397-1405 ◽  
Author(s):  
Georgina E. Crichton ◽  
Merrill F. Elias ◽  
Rachael V. Torres
Keyword(s):  
Type 2 Diabetes ◽  
Longitudinal Study ◽  
Cognitive Function ◽  
Cognitive Performance ◽  
Soft Drink ◽  
Soft Drinks ◽  
Community Dwelling ◽  
Dietary Factors ◽  
Causal Mechanisms

AbstractThe importance of adequate nutrition on cognitive performance is well recognised. Greater intakes of soft drinks are associated with a higher risk for type 2 diabetes, as well as other cardiometabolic diseases. A few studies have specifically examined whether the intake of soft drinks may be related to cognitive function. The aim of this study was to investigate whether soft drink intakes, including both sugar-sweetened and diet beverages, are associated with cognitive function, with adjustment for cardiovascular, lifestyle and dietary factors, and stratified according to type 2 diabetes status. Cross-sectional analyses were undertaken using 803 community-dwelling participants, aged 23–98 years, from the Maine–Syracuse Longitudinal Study. Cognitive function was measured using an extensive battery of neuropsychological tests. Usual dietary intake of soft drinks was assessed using a FFQ. Stratification by type 2 diabetes indicated that a greater intake of sugar-sweetened soft drinks was significantly associated with poorer performance in visual spatial memory, working memory, scanning and tracking, executive function, the global composite and the Mini-Mental State Examination in diabetic individuals. These relations were not attenuated with statistical control for BMI and other cardiovascular, lifestyle and dietary factors. Diet soft drink intake was unrelated to cognitive performance. Frequent sugar-sweetened soft drink intake was associated with poorer cognitive performance, particularly in individuals with type 2 diabetes, but the underlying causal mechanisms are yet to be determined. Longitudinal studies are needed to clarify these findings and the underlying causal mechanisms.

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