Cognitive decline, depression and frailty in the elderly: incidence and relations

Detalhes bibliográficos
Autor(a) principal: Torqueti, Aléxia Ximenes
Data de Publicação: 2018
Outros Autores: Soares, Edvaldo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Kairós (Online)
Texto Completo: https://revistas.pucsp.br/index.php/kairos/article/view/44638
Resumo: The objective of the research was to verify the incidence of cognitive decline, depression and frailty in a sample composed of institutionalized elderly people and elderly residents in the community and, from this, to identify correlations between these variables. The study subjects were 33 elderly people living in two Long-term Institutions for Elderly People (LIEP) and the elderly of the community that were attended at the Center for Education and Health Studies, city of Marília, SP. In order to collect data on cognitive decline, the Mini Mental Status Exam (MMSE) and CDR were used; GDS-30 to identify incidence of depression and EFS for frailty. For the correlation analysis between the variables, the Pearson correlation coefficient and Spearmann correlation coefficient were used due to theoretical restriction. Institutionalized elderly individuals were more vulnerable in relation to all analyzed variables. Depression is positively correlated to frailty and cognitive ability. Fragility positively influences cognitive ability. The results of the analysis indicated a negative regular correlation between MMSE and CDR. The identification of risk factors related to cognitive decline and dementias; to depression and frailty, as well as the relations between these factors are fundamental for the establishment of preventive and therapeutic strategies.Keywords: Elderly; Cognitive disorders; Depression; Frailty; Prevalence.
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spelling Cognitive decline, depression and frailty in the elderly: incidence and relationsDeterioro cognitivo, depresión y fragilidad en los ancianos: incidencia y relacionesDeclínio cognitivo, depressão e fragilidade em idosos: incidência e relaçõesAncianosTrastornos cognitivosDepresiónFragilidadPrevalencia.ElderlyCognitive disordersDepressionFrailtyPrevalence.IdosoTranstornos cognitivosDepressãoFragilidadePrevalência.The objective of the research was to verify the incidence of cognitive decline, depression and frailty in a sample composed of institutionalized elderly people and elderly residents in the community and, from this, to identify correlations between these variables. The study subjects were 33 elderly people living in two Long-term Institutions for Elderly People (LIEP) and the elderly of the community that were attended at the Center for Education and Health Studies, city of Marília, SP. In order to collect data on cognitive decline, the Mini Mental Status Exam (MMSE) and CDR were used; GDS-30 to identify incidence of depression and EFS for frailty. For the correlation analysis between the variables, the Pearson correlation coefficient and Spearmann correlation coefficient were used due to theoretical restriction. Institutionalized elderly individuals were more vulnerable in relation to all analyzed variables. Depression is positively correlated to frailty and cognitive ability. Fragility positively influences cognitive ability. The results of the analysis indicated a negative regular correlation between MMSE and CDR. The identification of risk factors related to cognitive decline and dementias; to depression and frailty, as well as the relations between these factors are fundamental for the establishment of preventive and therapeutic strategies.Keywords: Elderly; Cognitive disorders; Depression; Frailty; Prevalence.El objetivo de esta investigación fue verificar la incidencia de deterioro cognitivo, depresión y fragilidad en una muestra compuesta por ancianos institucionalizados y ancianos que viven en la comunidad, y de esto, identificar correlaciones entre estas variables. Treinta y tres residentes mayores de dos LSIE y personas mayores que viven en la comunidad asistieron al Centro de Estudios de Educación y Salud, ciudad de Marília, SP, fueron encuestados. Para la recopilación de datos relacionados con el deterioro cognitivo, se utilizaron MMSE y CDR; GDS-30 para identificar la incidencia de depresión y EFS por fragilidad. Para el análisis de correlación entre las variables, utilizamos el coeficiente de correlación de Pearson y el coeficiente de correlación de Spearmann por restricción teórica. Los ancianos institucionalizados fueron más vulnerables en relación con todas las variables analizadas. La depresión se correlaciona positivamente con la fragilidad y la capacidad cognitiva. La fragilidad influye positivamente en la capacidad cognitiva. Los resultados del análisis indicaron una correlación regular negativa entre MMSE y CDR. La identificación de los factores de riesgo se relacionó con el deterioro cognitivo y la demencia; la depresión y la fragilidad, así como las relaciones entre dichos factores son fundamentales para el establecimiento de estrategias preventivas y terapéuticas. O objetivo da pesquisa foi verificar a incidência de declínio cognitivo, depressão e fragilidade em amostra composta por idosos institucionalizados e idosos residentes na comunidade e, a partir disso, identificar correlações entre essas variáveis. Foram sujeitos da pesquisa 33 idosos residentes em duas ILPI’s e idosos da comunidade atendidos no Centro de Estudos da Educação e da Saúde, cidade de Marília, SP.  Para coleta de dados relativos ao declínio cognitivo, foram utilizados o MEEM e o CDR; o GDS-30 para identificar a incidência de depressão e o EFS, para a fragilidade. Para a análise de correlação entre as variáveis, foi utilizado o coeficiente de correlação de Pearson e o coeficiente de correlação de Spearmann por restrição teórica. Idosos institucionalizados se mostraram mais vulneráveis em relação a todas as variáveis analisadas. A depressão está positivamente correlacionada com a fragilidade e com a capacidade cognitiva. A fragilidade influencia de maneira positiva a capacidade cognitiva. Os resultados da análise indicaram correlação regular negativa entre o MEEM e o CDR. A identificação dos fatores de risco foram relacionados ao declínio cognitivo e às demências; à depressão e à fragilidade, bem como as relações entre tais fatores são fundamentais para o estabelecimento de estratégias preventivas e terapêuticas. Pontifícia Universidade Católica de São Paulo2018-12-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revistas.pucsp.br/index.php/kairos/article/view/4463810.23925/2176-901X.2018v21i4p109-128Revista Kairós-Gerontologia; v. 21 n. 4 (2018); 109-1282176-901X1516-2567reponame:Revista Kairós (Online)instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPporhttps://revistas.pucsp.br/index.php/kairos/article/view/44638/29644Copyright (c) 2019 Revista Kairós : Gerontologiainfo:eu-repo/semantics/openAccessTorqueti, Aléxia XimenesSoares, Edvaldo2019-11-20T11:17:05Zoai:ojs.pkp.sfu.ca:article/44638Revistahttp://revistas.pucsp.br/index.php/kairosPRIhttps://revistas.pucsp.br/kairos/oaikairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br2176-901X1516-2567opendoar:2019-11-20T11:17:05Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)false
dc.title.none.fl_str_mv Cognitive decline, depression and frailty in the elderly: incidence and relations
Deterioro cognitivo, depresión y fragilidad en los ancianos: incidencia y relaciones
Declínio cognitivo, depressão e fragilidade em idosos: incidência e relações
title Cognitive decline, depression and frailty in the elderly: incidence and relations
spellingShingle Cognitive decline, depression and frailty in the elderly: incidence and relations
Torqueti, Aléxia Ximenes
Ancianos
Trastornos cognitivos
Depresión
Fragilidad
Prevalencia.
Elderly
Cognitive disorders
Depression
Frailty
Prevalence.
Idoso
Transtornos cognitivos
Depressão
Fragilidade
Prevalência.
title_short Cognitive decline, depression and frailty in the elderly: incidence and relations
title_full Cognitive decline, depression and frailty in the elderly: incidence and relations
title_fullStr Cognitive decline, depression and frailty in the elderly: incidence and relations
title_full_unstemmed Cognitive decline, depression and frailty in the elderly: incidence and relations
title_sort Cognitive decline, depression and frailty in the elderly: incidence and relations
author Torqueti, Aléxia Ximenes
author_facet Torqueti, Aléxia Ximenes
Soares, Edvaldo
author_role author
author2 Soares, Edvaldo
author2_role author
dc.contributor.author.fl_str_mv Torqueti, Aléxia Ximenes
Soares, Edvaldo
dc.subject.por.fl_str_mv Ancianos
Trastornos cognitivos
Depresión
Fragilidad
Prevalencia.
Elderly
Cognitive disorders
Depression
Frailty
Prevalence.
Idoso
Transtornos cognitivos
Depressão
Fragilidade
Prevalência.
topic Ancianos
Trastornos cognitivos
Depresión
Fragilidad
Prevalencia.
Elderly
Cognitive disorders
Depression
Frailty
Prevalence.
Idoso
Transtornos cognitivos
Depressão
Fragilidade
Prevalência.
description The objective of the research was to verify the incidence of cognitive decline, depression and frailty in a sample composed of institutionalized elderly people and elderly residents in the community and, from this, to identify correlations between these variables. The study subjects were 33 elderly people living in two Long-term Institutions for Elderly People (LIEP) and the elderly of the community that were attended at the Center for Education and Health Studies, city of Marília, SP. In order to collect data on cognitive decline, the Mini Mental Status Exam (MMSE) and CDR were used; GDS-30 to identify incidence of depression and EFS for frailty. For the correlation analysis between the variables, the Pearson correlation coefficient and Spearmann correlation coefficient were used due to theoretical restriction. Institutionalized elderly individuals were more vulnerable in relation to all analyzed variables. Depression is positively correlated to frailty and cognitive ability. Fragility positively influences cognitive ability. The results of the analysis indicated a negative regular correlation between MMSE and CDR. The identification of risk factors related to cognitive decline and dementias; to depression and frailty, as well as the relations between these factors are fundamental for the establishment of preventive and therapeutic strategies.Keywords: Elderly; Cognitive disorders; Depression; Frailty; Prevalence.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://revistas.pucsp.br/index.php/kairos/article/view/44638
10.23925/2176-901X.2018v21i4p109-128
url https://revistas.pucsp.br/index.php/kairos/article/view/44638
identifier_str_mv 10.23925/2176-901X.2018v21i4p109-128
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistas.pucsp.br/index.php/kairos/article/view/44638/29644
dc.rights.driver.fl_str_mv Copyright (c) 2019 Revista Kairós : Gerontologia
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Revista Kairós : Gerontologia
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Pontifícia Universidade Católica de São Paulo
publisher.none.fl_str_mv Pontifícia Universidade Católica de São Paulo
dc.source.none.fl_str_mv Revista Kairós-Gerontologia; v. 21 n. 4 (2018); 109-128
2176-901X
1516-2567
reponame:Revista Kairós (Online)
instname:Pontifícia Universidade Católica de São Paulo (PUC-SP)
instacron:PUC_SP
instname_str Pontifícia Universidade Católica de São Paulo (PUC-SP)
instacron_str PUC_SP
institution PUC_SP
reponame_str Revista Kairós (Online)
collection Revista Kairós (Online)
repository.name.fl_str_mv Revista Kairós (Online) - Pontifícia Universidade Católica de São Paulo (PUC-SP)
repository.mail.fl_str_mv kairos@pucsp.br||flalodo@terra.com.br|| contato@openjournalsolutions.com.br
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