Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance?

Detalhes bibliográficos
Autor(a) principal: Santos, Emanuelly Moura
Data de Publicação: 2022
Outros Autores: Melo, Isadora Lima, Abreu, Daniela Cristina Carvalho de, Porto, Jaqueline Mello, Costa, Iandra Maria Pinheiro de França, Silva, Érika Ramos, Tofani, Patrícia Silva
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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spelling 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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