Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance?
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/30788 |
Resumo: | Background: The decline in motor and cognitive function can occur in parallel, with different speed and impact on the functional dependence of the older adult. Objectives: Evaluate and compare motor performance and motor-cognitive performance in older Brazilians with and without cognitive impairment and Alzheimer's disease (AD) through clinical tests and the addition of the dual task cost (CDT). Methods: Cross-sectional study conducted with a sample of 101 older adults, dividing into non-cognitive impaired (NC), cognitive impaired (CI) and Alzheimer's disease (AD) groups. We evaluated the Gait Speed (GS) and Timed Up and Go (TUG) during single-task and cognitive dual-tasks, and the five-times sit and stand test (5TSST). The dual-task cost (DTC) was calculated for GS and TUG. Results: ANCOVA showed difference in the GS during single and dual-tasks between NC and CI (p=0.000; p=0.003; respectively) and NC and AD (p=0.002; p=0.000, respectively), and single and dual-task TUG between NC (p=0.028; p=0.002, respectively) and AD (p=0.044; p=0.002). In the TSL-5x test we did not observe any difference (p=0.107). The cost of dual task in VM and TUG were higher in group GDA and GDC (p<0,001), being greater than 20%. Conclusion: GS with dual-task can be a simple and effective tool to differentiate the older adult with different levels of cognitive impairment. CDT can provide aggregated values to early identify community-dwelling older adults in the preclinical stage of dementia. |
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Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance?Declive cognitivo y demencia de Alzheimer: ¿existe una relación con el rendimiento funcional?Declínio cognitivo e Demência de Alzheimer: existe relação com o desempenho funcional?MobilityOlder adultCognitive impairmentAlzheimer’s disease.MovilidadAncianoDeterioro cognitivoEnfermedad de Alzheimer.MobilidadeIdosoComprometimento cognitivoDoença de Alzheimer.Background: The decline in motor and cognitive function can occur in parallel, with different speed and impact on the functional dependence of the older adult. Objectives: Evaluate and compare motor performance and motor-cognitive performance in older Brazilians with and without cognitive impairment and Alzheimer's disease (AD) through clinical tests and the addition of the dual task cost (CDT). Methods: Cross-sectional study conducted with a sample of 101 older adults, dividing into non-cognitive impaired (NC), cognitive impaired (CI) and Alzheimer's disease (AD) groups. We evaluated the Gait Speed (GS) and Timed Up and Go (TUG) during single-task and cognitive dual-tasks, and the five-times sit and stand test (5TSST). The dual-task cost (DTC) was calculated for GS and TUG. Results: ANCOVA showed difference in the GS during single and dual-tasks between NC and CI (p=0.000; p=0.003; respectively) and NC and AD (p=0.002; p=0.000, respectively), and single and dual-task TUG between NC (p=0.028; p=0.002, respectively) and AD (p=0.044; p=0.002). In the TSL-5x test we did not observe any difference (p=0.107). The cost of dual task in VM and TUG were higher in group GDA and GDC (p<0,001), being greater than 20%. Conclusion: GS with dual-task can be a simple and effective tool to differentiate the older adult with different levels of cognitive impairment. CDT can provide aggregated values to early identify community-dwelling older adults in the preclinical stage of dementia.Introducción: El deterioro de la función motora y cognitiva puede evolucionar en paralelo, con diferente velocidad e impacto en la dependencia funcional de los ancianos. Objetivos: Evaluar y comparar el desempeño motor y el desempeño cognitivo-motor en ancianos brasileños con y sin deterioro cognitivo subjetivo y enfermedad de Alzheimer (EA) a través de pruebas clínicas y la suma del costo de la tarea dual (CDT). Métodos: Estudio transversal realizado con una muestra de 101 ancianos, incluidos ancianos sanos (GC), deterioro cognitivo (GDC) y EA (GEA). Evaluamos la tarea y CDT utilizando las pruebas de velocidad de marcha (VM), Timed Up and Go (TUG) y la prueba de cinco veces sentado y de pie (TSL-5x). Resultados: ANCOVA mostró una diferencia en la variable VM y VM cognitiva entre CG y GDC (p=0,000; p=0,003; respectivamente) y CG y GEA (p=0,002; p=0,000; respectivamente). En TUG y TUG cognitivo, el GC tuvo un tiempo más corto que el GEA (p=0.044; p=0.002). En la prueba TSL-5x no observamos diferencia alguna (p = 0,107). El costo de la tarea dual en VM y TUG fue mayor en el grupo GEA y GDC (p<0,001), siendo superior al 20%. Conclusión: La MV de doble tarea puede ser una herramienta sencilla y eficaz para diferenciar x mayores con diferentes grados de deterioro cognitivo. El TUG con doble tarea fue capaz de diferenciar personas mayores sin deterioro cognitivo y EA. El CDT puede identificar tempranamente a los ancianos de la comunidad en la fase preclínica de la demencia.Introdução: O declínio da função motora e cognitiva pode evoluir em paralelo, com diferentes velocidade e impacto na dependência funcional de idosos. Objetivos: Avaliar e comparar o desempenho motor e o desempenho motor-cognitivo em idosos com e sem comprometimento cognitivo e doença de Alzheimer (DA) por meio de testes clínicos e adição do custo da dupla tarefa (CDT). Métodos: Estudo transversal realizado com amostra de 101 idosos, dentre eles, idosos sem comprometimento cognitivo (GC), suspeita de comprometimento cognitivo (GDC) e com DA (GDA). O desempenho motor foi avaliado pela velocidade da marcha (VM) e associada à tarefa cognitiva, Timed Up and Go (TUG) associado e não associado à tarefa cognitiva e o teste de sentar e levantar cinco vezes (TSL-5x). Para os testes de VM e TUG, o cálculo do CDT foi realizado. Resultados: ANCOVA mostrou diferença na variável VM e na dupla-tarefa entre GC e GDC (p=<0,001; p=0,003; respectivamente) e GC e GDA (p=0,002; p=<0,001; respectivamente). No TUG simples e TUG cognitivo, o GC apresentou menor tempo que GDA (p=0,044; p=0,002). No TSL-5x não foram observadas diferenças entre os grupos (p=0,107). O CDT na VM e TUG foram mais elevados no grupo GDA e GDC (p<0,001), sendo superior a 20%. Conclusão: VM com dupla tarefa pode ser uma ferramenta simples e eficaz para diferenciar idosos com diferentes graus de comprometimento cognitivo. Já o TUG com dupla tarefa conseguiu diferenciar idosos sem comprometimento cognitivo e DA. O CDT pode identificar precocemente idosos da comunidade na fase pré-clínica de demência.Research, Society and Development2022-06-15info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3078810.33448/rsd-v11i8.30788Research, Society and Development; Vol. 11 No. 8; e19811830788Research, Society and Development; Vol. 11 Núm. 8; e19811830788Research, Society and Development; v. 11 n. 8; e198118307882525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/30788/26410Copyright (c) 2022 Emanuelly Moura Santos; Isadora Lima Melo; Daniela Cristina Carvalho de Abreu; Jaqueline Mello Porto; Iandra Maria Pinheiro de França Costa; Érika Ramos Silva; Patrícia Silva Tofanihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Emanuelly Moura Melo, Isadora Lima Abreu, Daniela Cristina Carvalho de Porto, Jaqueline Mello Costa, Iandra Maria Pinheiro de França Silva, Érika Ramos Tofani, Patrícia Silva2022-07-01T13:34:06Zoai:ojs.pkp.sfu.ca:article/30788Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:47:25.247787Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? Declive cognitivo y demencia de Alzheimer: ¿existe una relación con el rendimiento funcional? Declínio cognitivo e Demência de Alzheimer: existe relação com o desempenho funcional? |
title |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
spellingShingle |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? Santos, Emanuelly Moura Mobility Older adult Cognitive impairment Alzheimer’s disease. Movilidad Anciano Deterioro cognitivo Enfermedad de Alzheimer. Mobilidade Idoso Comprometimento cognitivo Doença de Alzheimer. |
title_short |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
title_full |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
title_fullStr |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
title_full_unstemmed |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
title_sort |
Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance? |
author |
Santos, Emanuelly Moura |
author_facet |
Santos, Emanuelly Moura Melo, Isadora Lima Abreu, Daniela Cristina Carvalho de Porto, Jaqueline Mello Costa, Iandra Maria Pinheiro de França Silva, Érika Ramos Tofani, Patrícia Silva |
author_role |
author |
author2 |
Melo, Isadora Lima Abreu, Daniela Cristina Carvalho de Porto, Jaqueline Mello Costa, Iandra Maria Pinheiro de França Silva, Érika Ramos Tofani, Patrícia Silva |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Santos, Emanuelly Moura Melo, Isadora Lima Abreu, Daniela Cristina Carvalho de Porto, Jaqueline Mello Costa, Iandra Maria Pinheiro de França Silva, Érika Ramos Tofani, Patrícia Silva |
dc.subject.por.fl_str_mv |
Mobility Older adult Cognitive impairment Alzheimer’s disease. Movilidad Anciano Deterioro cognitivo Enfermedad de Alzheimer. Mobilidade Idoso Comprometimento cognitivo Doença de Alzheimer. |
topic |
Mobility Older adult Cognitive impairment Alzheimer’s disease. Movilidad Anciano Deterioro cognitivo Enfermedad de Alzheimer. Mobilidade Idoso Comprometimento cognitivo Doença de Alzheimer. |
description |
Background: The decline in motor and cognitive function can occur in parallel, with different speed and impact on the functional dependence of the older adult. Objectives: Evaluate and compare motor performance and motor-cognitive performance in older Brazilians with and without cognitive impairment and Alzheimer's disease (AD) through clinical tests and the addition of the dual task cost (CDT). Methods: Cross-sectional study conducted with a sample of 101 older adults, dividing into non-cognitive impaired (NC), cognitive impaired (CI) and Alzheimer's disease (AD) groups. We evaluated the Gait Speed (GS) and Timed Up and Go (TUG) during single-task and cognitive dual-tasks, and the five-times sit and stand test (5TSST). The dual-task cost (DTC) was calculated for GS and TUG. Results: ANCOVA showed difference in the GS during single and dual-tasks between NC and CI (p=0.000; p=0.003; respectively) and NC and AD (p=0.002; p=0.000, respectively), and single and dual-task TUG between NC (p=0.028; p=0.002, respectively) and AD (p=0.044; p=0.002). In the TSL-5x test we did not observe any difference (p=0.107). The cost of dual task in VM and TUG were higher in group GDA and GDC (p<0,001), being greater than 20%. Conclusion: GS with dual-task can be a simple and effective tool to differentiate the older adult with different levels of cognitive impairment. CDT can provide aggregated values to early identify community-dwelling older adults in the preclinical stage of dementia. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-06-15 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/30788 10.33448/rsd-v11i8.30788 |
url |
https://rsdjournal.org/index.php/rsd/article/view/30788 |
identifier_str_mv |
10.33448/rsd-v11i8.30788 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/30788/26410 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 8; e19811830788 Research, Society and Development; Vol. 11 Núm. 8; e19811830788 Research, Society and Development; v. 11 n. 8; e19811830788 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052796054274048 |