AVALIAÇÃO DA FUNÇÃO COGNITIVA EM IDOSOS QUE VIVEM EM INSTITUIÇÃO DE LONGA PERMANÊNCIA

O envelhecimento populacional ocorre de forma acelerada nos dias atuais. Entre os idosos que vivenciam a perda da funcionalidade destacam-se aqueles que residem em instituição de longa permanência (ILP). O estudo objetiva conhecer a função cognitiva de idosos que vivem em instituição de longa permanência no Sertão Central. Trata-se de um estudo transversal, com abordagem quantitativa. Os dados foram coletados em uma instituição de longa permanência, localizada na zona urbana de Quixeramobim - CE. Participaram do estudo 35 idosos. Para a coleta de dados utilizou-se um instrumento para levantamento de dados sociodemográfico. Além desse instrumento, foi aplicado o Mini-Exame do Estado Mental (MEEM) para avaliação cognitiva. Todos os aspectos éticos foram respeitados, a pesquisa foi aprovada pelo Comitê de Ética e Pesquisa da Unicatólica sob o nº 2.505.547. Entre os participantes, 65,7% são do sexo feminino. A idade média foi de 73 anos (± 7,5 anos), variando de 60 a 92 anos. O score médio total do MEEM foi de 17,3 pontos entre os idosos, referente aos critérios de avaliação o que obteve menor pontuação foi o item de cálculo e atenção, com relação de acerto de 0,68 pontos do total de 5 pontos, o item linguagem de reconhecimento obteve melhor média com 1,9 pontos do total de 2. Os idosos obtiveram 17,3 pontos (escore total médio) no MEEM, abaixo dos 20 pontos proposto pela Sociedade Brasileira de Neurologia (SBN) para analfabetos, visto que este nível de instrução correspondia a 91,4% da amostra, o que nos indica um déficit cognitivo. EVALUATION OF THE COGNITIVE FUNCTION IN ELDERLY PERSONS LIVING IN A LONG-STAY INSTITUTION ABSTRACT Population aging occurs rapidly today. Among the elderly who experience loss of functionality, those who live in a long-term institution (LTI) stand out. This study aims to know the cognitive function of elderly people living in a long-term institution in the Central Hinterland. This is a cross-sectional study with a quantitative approach. Data were collected at a long - term institution, located in the urban area of Quixeramobim - CE. 35 subjects participated in the study. A sociodemographic data collection instrument was used to collect data. In addition to this instrument, the Mini-Exam of the Mental State (MEMS) was applied for cognitive evaluation. All the ethical aspects were respected, the research was approved by the Ethics and Research Committee of the Unicatólica under nº 2,505,547. Among the participants, 65.7% were female. The mean age was 73 years (± 7.5 years), ranging from 60 to 92 years. The mean total score of the MEMS was 17.3 points among the elderly, referring to the evaluation criteria. The lowest score was the item of calculation and attention, with a score of 0.68 points out of the total of 5 points. item recognition language got better average with 1.9 points out of the total of 2. The elderly had 17.3 points (average total score) in the MEMS, below the 20 points proposed by the Brazilian Neurology Society (BNS) for illiterates, since this level of education corresponded to 91.4% of the sample, which indicates cognitive deficit.

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Better Cognitive Function Increase the Independence Level of Eldery

Indonesian Journal of Physical Medicine & Rehabilitation ◽

10.36803/ijpmr.v5i02.206 ◽

1970 ◽

Vol 5 (02) ◽

pp. 22-29

Author(s):

Syahreza Nazhara ◽

Maria Regina Rachmawati

Keyword(s):

Cognitive Function ◽

Daily Activity ◽

The Elderly ◽

Cross Sectional Study ◽

Cross Sectional ◽

Katz Index ◽

The Common ◽

The Mean ◽

Common Problems ◽

The Relationship

Background: The number of elderly is increasing, estimated by the year of 2020 reach 28,800,000 (11.34%) ofthe total population. One of the common problems of the elderly is dependence on daily activity function andcognitive function. There is no data about the relationship between cognitive function with independence indaily activity in rthe nursing home. The objective of this study is to analyze the relationship between cognitivefunction with the level of independence on daily activity in the elderly who live in a nursing home.Methods: Study design was analytical observation by the cross-sectional study. The instruments that used inthis study was the Mini Mental Status Evaluation (MMSE) questionnaire, to measure the cognitive function,Katz index questionnaire to measure the level of independency. analyzed by Spearman correlation test.Results: The subjects were 107 elderly, the mean age was 69.7±8.7. MMSE score were 0-17 (severe), 18-23(moderate), and 24-30 (Normal), respectively were; 62 (57.9%) ,26 (24.3%),19 (17.8%). Katz Index score were02 (severe dependency), 3-5 (moderate dependency), and 6 (independence), respectively were; 8 (7,5%), 24(22,4%), 70 (70,1%). There is the positive relationship between cognitive function and the level of independencein elderly (p=0.000, r = 0.335).Conclusion: The higher cognitive function correlates with the higher independence level of elderly in nurseryhome.Keywords: cognitive function, independence level, elderly, nursery home

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Prevalence of and factors associated with polypharmacy among elderly persons resident in the community

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562017020.160086 ◽

2017 ◽

Vol 20 (1) ◽

pp. 138-148 ◽

Cited By ~ 2

Author(s):

Natália Araujo de Almeida ◽

Annelita Almeida Oliveira Reiners ◽

Rosemeiry Capriata de Souza Azevedo ◽

Ageo Mário Cândido da Silva ◽

Joana Darc Chaves Cardoso ◽

...

Keyword(s):

The Elderly ◽

Cross Sectional Study ◽

Health Condition ◽

Bivariate Analysis ◽

Elderly Persons ◽

Chi Square ◽

Cross Sectional ◽

Mato Grosso ◽

Significance Level ◽

Factors Associated

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.

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Self-skincare knowledge and practice described by elderly persons in the mid-west of Minas Gerais

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1809-9823.2016.14237 ◽

2016 ◽

Vol 19 (1) ◽

pp. 45-56 ◽

Cited By ~ 3

Author(s):

Juliana Ladeira Garbaccio ◽

Amanda Domingos Ferreira ◽

Amanda Laís Gonçalves Gama Pereira

Keyword(s):

The Elderly ◽

Median Number ◽

Cross Sectional Study ◽

Skin Aging ◽

Minas Gerais ◽

Sample Population ◽

Elderly Persons ◽

Cross Sectional ◽

Basic Care ◽

And Gender

The present study aimed to assess the knowledge and practices reported by the elderly in relation to basic care of one's skin. A cross sectional study was performed from November 2011 to August 2012 in Arcos, Minas Gerais, based on a structured questionnaire administered to 250 elderly persons, with answers statistically analyzed. Knowledge and practices of self-skincare were evaluated from the median number of ten questions answered by the elderly. Most of the sample population were women (54.8%), aged between 60 and 69 years (52.4%), with a primary education (71.6%) and working in a job where they were exposed to direct sunlight (58.0%). The majority (76.4%) said they did not use protective sun filter despite considering it important (77.6%). The use of body moisturizing creams was reported by 55.6%. An association (p<0.05) was identified between the variables practice/knowledge and gender and practice outdoor activity. Further studies can be conducted as a result of the present research to clarify factors related to non-adherence to self-skincare, and educational measures should be put in place for the entire population, regardless of age, to prevent pathological skin aging.

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Correlation between hair zinc level and cognitive function in elderly population

World Nutrition Journal ◽

10.25220/wnj.v03.i2.0008 ◽

2020 ◽

Vol 3 (2) ◽

pp. 59

Author(s):

Dian Sarah Mutiara ◽

Diana Sunardi ◽

Esthika Dewiasty

Keyword(s):

Cognitive Function ◽

Inductively Coupled Plasma ◽

Rank Correlation ◽

Amyloid Β ◽

Cross Sectional Study ◽

Zinc Level ◽

P Value ◽

Hair Zinc ◽

Cross Sectional ◽

The Mean

Introduction: Neurodegenerative disease is the most problem in elderly. Amyloid β (Aβ) accumulation is the major cause of cognitive impairment. Zinc has an important role in antioxidant and Aβ accumulation process. This study aimed to evaluate the correlation between hair zinc level and cognitive function in elderly.Methods: A cross sectional study was conducted involving 58 subjects of elderly in Jakarta. Subjects were recruited by consecutive sampling. Hair zinc level was measured by inductively coupled plasma emission spectrometer (ICPS) and cognitive function assessed by abbreviated mental test (AMT). Data analysis was done by spearman rank correlation test and p-value less than 0.05 were considered statistically significant.Results: The mean of age was 65.4 ± 4.4 years old and 56.9% of subjects were female. The mean of hair zinc level was 123.23 ± 69.71 µg/gram hair and 32.8% subjects had hair zinc deficiency. There was 91.4% subjects had normal cognitive function. The study showed no correlation between hair zinc level and cognitive function in elderly (p=0.871 ; r=-0.022).Conclusions: There was no correlation between hair zinc level and cognitive function in elderly. Further research is expected to be performed with different level of cognitive function.Keywords: cognitive, elderly, hair zinc level, zinc.

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Impact of cognitive performance on the functional capacity of an elderly population in Natal, Brazil

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2008000600006 ◽

2008 ◽

Vol 66 (4) ◽

pp. 809-813 ◽

Cited By ~ 5

Author(s):

Keithlen Cruz Moreira de Castro ◽

Ricardo Oliveira Guerra

Keyword(s):

Cognitive Impairment ◽

Cognitive Performance ◽

Functional Capacity ◽

Elderly Population ◽

Population Sample ◽

The Elderly ◽

Cross Sectional Study ◽

Elderly Persons ◽

Cross Sectional ◽

State Examination

Functional incapacity and cognitive impairment are conditions related to the process of human aging. Cognitive impairment is considered an important predicitve factor for functional impairment in elderly populations. This cross-sectional study analyzes the association between cognitive performance and functional capacity in an elderly population sample in Natal, Brazil. A total of 213 elderly persons were assessed by the BOAS Multidimensional Questionnaire (Brazil Old Age Schedule) and the Mini-Mental State Examination (MMSE). The results of multivariate analysis and linear regression showed that age and schooling level are factors associated with cognitive performance in the elderly of this study. The final explicative model, elaborated by logistic regression, found that cognitive performance was the only predicitve variable of functional incapacity for the activities of daily living even when adjusted for sociodemographic variables.

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Increased Psychopathology and Maladaptive Personality Traits, But Normal Cognitive Functioning, In Patients after Long-Term Cure of Acromegaly

Endocrine Reviews ◽

10.1210/edrv.31.5.9993 ◽

2010 ◽

Vol 31 (5) ◽

pp. 778-779

Author(s):

Jitske Tiemensma ◽

Nienke R. Biermasz ◽

Roos C. van der Mast ◽

Moniek J. E. Wassenaar ◽

Huub A. M. Middelkoop ◽

...

Keyword(s):

Cognitive Function ◽

Personality Traits ◽

Cognitive Dysfunction ◽

Short Form ◽

Depression Scale ◽

Cross Sectional Study ◽

Cross Sectional ◽

Personality Changes ◽

Irreversible Effects

ABSTRACT Objective Active acromegaly is associated with psychopathology, personality changes, and cognitive dysfunction. It is unknown whether, and to what extent, these effects are present after long-term cure of acromegaly. Aim The aim of the study was to assess psychopathology, personality traits, and cognitive function in patients after long-term cure of acromegaly. Design This was a cross-sectional study. Patients and Methods We studied 68 patients after long-term cure (13 ± 1 yr) of acromegaly and 68 matched controls. We compared these data with 60 patients treated for nonfunctioning pituitary macroadenomas (NFMAs) and 60 matched controls. Psychopathology was assessed using the Apathy Scale, Irritability Scale, Hospital Anxiety and Depression Scale, and Mood and Anxiety Symptoms Questionnaire short-form and personality by the Dimensional Assessment of Personality Pathology short-form (DAPP). Cognitive function was assessed by 11 tests. Results Compared with matched controls, patients cured from acromegaly scored significantly worse on virtually all psychopathology questionnaires and on several subscales of the DAPP. Compared with NFMA patients, patients cured from acromegaly scored worse on negative affect (P = 0.050) and somatic arousal (P = 0.009) and seven of 18 subscales of the DAPP (P < 0.05). Cognitive function in patients cured from acromegaly did not differ from matched controls or patients treated for NFMA. Conclusion Patients with long-term cure of acromegaly show a higher prevalence of psychopathology and maladaptive personality traits but not cognitive dysfunction, compared with matched controls and patients treated for NFMA. These results suggest irreversible effects of previous GH excess, rather than effects of pituitary adenomas per se and/or their treatment, on the central nervous system.

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Sense of coherence and its associations with psychosocial health: results of survey of the unemployed in Kaunas

Medicina ◽

10.3390/medicina45100105 ◽

2009 ◽

Vol 45 (10) ◽

pp. 807 ◽

Cited By ~ 9

Author(s):

Mindaugas Stankūnas ◽

Ramunė Kalėdienė ◽

Skirmantė Starkuvienė

Keyword(s):

Sense Of Coherence ◽

Adult Population ◽

Psychosocial Health ◽

Cross Sectional Study ◽

Life Questionnaire ◽

Cross Sectional ◽

Reported Health ◽

The Mean ◽

The Unemployed

Objective. To evaluate the associations between sense of coherence and psychosocial health among unemployed adult population. Material and methods. The data were collected during a cross-sectional study in 2005. There were 429 filled-in questionnaires received (response rate, 53.6%) from unemployed persons registered at the Kaunas Labor Market Office (Lithuania). For the assessment of the sense of coherence, a short 13-item version of the Orientation to Life Questionnaire was used. Long-term unemployment was defined as lasting 12 months or longer. Logistic regression was used to estimate the risk factors having influence on sense of coherence. The risk was evaluated using odds ratio (OR). Results. The mean score for sense of coherence was 56.6±11.2 (min, 13; max, 91). Significantly higher sense of coherence was found among the short-term unemployed as compare to the long-term ones. Analysis showed that sense of coherence was significantly higher in males, more educated and less materially deprived groups. The findings indicated that persons with depression, suicide intentions, more intensive alcohol consumption (after the job loss), poor self-reported health, feelings of loneliness and shame, and poor relations with family reported lower sense of coherence. The risk of low sense of coherence was significantly higher for females (OR=2.97) and the long-term unemployed (OR=1.81). Nevertheless, higher education (OR=0.73) and income (OR=0.83) were the factors that significantly improved sense of coherence. Conclusions. Sense of coherence was low among the unemployed in Kaunas. Sense of coherence was lower among the unemployed with negative psychosocial health characteristics in comparison to the unemployed with positive characteristics.

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P0160HOW TO MANAGE INTRADIALYTIC HYPERTENSION?

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfaa142.p0160 ◽

2020 ◽

Vol 35 (Supplement_3) ◽

Author(s):

Ramia BENHAMOU ◽

Hajar ELASSAS ◽

Meriem Chettati ◽

Wafaa Fadili ◽

Inass Laouad

Keyword(s):

Dry Weight ◽

Cross Sectional Study ◽

Antihypertensive Medications ◽

Cross Sectional ◽

Female Predominance ◽

High Calcium ◽

Great Solution ◽

The Mean ◽

Group 1

Abstract Background and Aims Hypertension in subjects on long term dialysis is frequent. Intradialytic hypertension affects up to 20% of hemodialysis patients and occurs more frequently in patients who are older, have lower dry weights, are prescribed more antihypertensive medications. Elevated BP detected by home or ambulatory BP monitoring is clearly associated with shorter survival. Method We realized a cross sectional study in two hemodialysis center patients during october 2019. We compared two groups of patients: group 1 with HTA (HTA+) and the second without (HTA-). Prevalence of hypertension intra dialysis (increase in systolic BP > 15mmHg during dialysis) was determined by blood pressure recordings every thirty minutes during hemodialysis. We collect information about prescription patients (bolus dose of IV nicardipine or administration of captopril orally) after HTA inicident. We collected and analyzed datas of 1476 hemodialysis sessions for 123 patients. Results The mean age of your patients was 46 ± 26,3 years with a female predominance. The mean duration of hemodialysis was 9,8 years. The initial nephropathy was hypertensive in 14,6%. 44,7% (n=55) patients used at least one antihypertensive treatment (HTA+ group), in 72,7% calcic inhibitor. Hypertension crisis in HTA+ group was higher than HTA- group, respectively 37,9% and 4,7% (p=0,0002). Concerning HTA+ group, in 9,35% of cases patients receveid IV bolus of nicardipine, 7,9% captopril and 17,9% of cases have not receveid any antihypertensive medication. In HTA- group they receveid IV nicardipine on only 2,5% cases and no drugs in half of all cases. Patients who were older and receive erythropoietin-stimulating agents were more likely to exhibit an increase in SPB despite similar amounts of ultrafiltration in each groups. It appears HTA- group had better control of hypertension crisis in 77,5% versus 65,5% in HTA+ group, at 20minutes of crisis (p= 0,004). Administration of captopril in the both group allowed better control of hypertension 90% (HTA+ group) and 84,2%(HTA- group). Hypertension crisis was more controlled in group with high ultrafiltration rate with administration of captopril . Conclusion Use of ACE inhibitors during dialysis to manage hypertension crisis appears a great solution and confirm hypothesis of activation of the renin–angiotensin–aldosterone system. Treatment of intradialytic hypertension may include careful attention to dry weight, avoidance of dialyzable antihypertensive medications, limiting the use of high calcium dialysate, achieving adequate sodium solute removal during hemodialysis, and using medications which inhibit the rennin-angiotensin-aldosterone system or which lower endothelin 1.

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Frequency of osteoporosis in patients with peptic ulcer disease

Journal of University Medical & Dental College ◽

10.37723/jumdc.v12i4.547 ◽

2021 ◽

Vol 12 (4) ◽

Author(s):

Amber Amin ◽

Qaisar Farooq ◽

Rizwan Jameel

Keyword(s):

Peptic Ulcer ◽

Peptic Ulcer Disease ◽

Cross Sectional Study ◽

Cross Sectional ◽

Ulcer Disease ◽

Short And Long Term ◽

The Common ◽

The Mean ◽

Age Range

BACKGROUND & OBJECTIVE: Peptic ulcer disease (PUD) is one of the common presentations in the medical as well as Gastroenterology clinics and it can end up in various short- and long-term complications among which osteoporosis is highly under rated. Therefore, the present study was designed to determine the frequency of osteoporosis in cases having PUD. METHODOLOGY: A cross-sectional study was conducted at the Department of Medicine during 1st January 2020 to 30th June 2020 in Sheikh Zayed Hospital, Lahore. The diagnosed cases of PUD on the basis of history and endoscopic findings with the age range of 20 to 60 years were included. Osteoporosis was labelled as yes, where a T-score of ≤ -2.5 on DEXA scan was noted. RESULTS: In this study, there were a total of 139 cases, out of which 75 (53.95%) were males and 64 (46.05%) females. The mean age of the participants was 48.11±9.43 years. Osteoporosis was observed in 14 (10.07%) out of 139 cases. Osteoporosis was seen in 05 (6.67%) males vs 09 (14.06%) females in their respective groups with p= 0.148. Osteoporosis was observed in 4 (5.80%) cases with a duration of PUD up to 2 years and 10 (14.28%) cases with duration more than this with p= 0.096 CONCLUSION: Osteoporosis is not uncommon in cases with Peptic ulcer disease, and there is no significant association with any of the confounders of this study.

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Profile of drug spend among elderly individuals from different socioeconomic groups

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1809-98232016019.150038 ◽

2016 ◽

Vol 19 (4) ◽

pp. 591-601 ◽

Cited By ~ 1

Author(s):

Christiane de Fátima Colet ◽

Paulo Eduardo Mayorga Borges ◽

Tânia Alves Amador

Keyword(s):

Social Class ◽

The Elderly ◽

Cross Sectional Study ◽

Elderly Persons ◽

Cross Sectional ◽

Socioeconomic Groups ◽

Class A ◽

The Difference ◽

The Cost ◽

Care Costs

Abstract The increase in the elderly population is associated with increased health care costs. The objective of the present study was to describe the results of research conducted in groups of elderly persons from different socioeconomic classes in Porto Alegre in the state of Rio Grande do Sul, and to compare the drugs spending profiles of different groups. A cross-sectional study was performed using a sample of individuals aged 60 years or older who participated in community groups. Analysis of variance (ANOVA) and the Tukey test were used to analyze the difference in costs of drugs among different socioeconomic classes. A total of 225 seniors were interviewed and females were predominant in all classes. The most common chronic diseases included hypertension, which occurred in 21.0%, 36.0% and 38.0% of elderly persons in social classes A, C and E, respectively. The average number of medications was 5.34 (±2.64) in social class A, 4.07 (±2.73) in social class C and 4.28 (±2.39) in social class E. The share of household income spent on medication for elderly persons in classes A, C and E was 4.0%, 5.7% and 10.0%, respectively. The drugs with the highest monthly cost for each patient in class A, C and E, respectively, were antipsychotic and anti-Parkinson's medication, diabetes medicine, and medication for the treatment of bone disease. It was concluded that there are specific differences in the cost and expenses incurred on spending on medication for the elderly of different socioeconomic classes.

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