Factors associated with cognitive performance in elderly caregivers

Pavarini, Sofía Cristina Iost; Brígola, Allan Gustavo; Ottaviani, Ana Carolina; Luchesi, Bruna Moretti; Souza, Érica Nestor; Rossetti, Estefani Serafim; Moralles, Hérick Fernando; Terassi, Marélli; Oliveira, Nathalia Alves de; Manzine, Patrícia Regina; Neto, Roberto Fernandes Tavares

doi:10.1590/0004-282x20180101

Cited by 16 publications

(19 citation statements)

References 31 publications

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“…17 The baseline study was conducted in 2014. The participant selection process is described elsewhere, 9,18,19 but a brief description is given here. Community-dwelling older adults (age ≥60 years, as defined by the World Health Organization for developing countries) registered with 18 primary care centers (n = 1188) in rural and urban areas of São Carlos were contacted in person and invited to participate in the survey.…”

Section: Participantsmentioning

confidence: 99%

Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults

Brígola

Ottaviani

Alexandre

et al. 2020

Archives of Gerontology and Geriatrics

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Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: a four-year follow-up study with older adults OBJECTIVE: Evaluate the cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization in older adults over a four-year period. METHOD: Four hundred five older adults (60-95 years; mean age: 70.62 ± 7.12 years), 57% female. The frailty evaluation was performed using the clinical criteria of the Cardiovascular Health Study (CHS): weight loss, fatigue, weakness, slowness and low physical activity. Cognitive impairment was defined by cutoff scores of the Mini Mental State Examination (MMSE) based on schooling. Follow-upfunctional decline was assessed using the Lawton&Brody scale of instrumental activities of daily living (IADL). An investigation was also performed of the occurrence of falls and admissions to the hospital in the previous twelve months. RESULTS: Cognitive impairment was associated with admissions to the hospital and declines in the IADL category of using a telephone. Frailty was associated with admissions to hospital. Cumulative effects were observed for hospitalization and the decline in using the telephone and shopping. Frailty and cognitive impairment increased the risk of being admitted to hospital by 557% and increased the risk of a decline in using the phone by 262% and shopping by 208%. No conditions were associated to risk of falls. CONCLUSION: The combination of the MMSE and the CHS criteria was adequate for measuring the cumulative effects of cognitive impairment and frailty. Shared physiological mechanisms may explain the relation between cognitive impairment and frailty, but further investigations are needed in Brazil and other low/middle-income countries.

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Section: Participantsmentioning

confidence: 99%

Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults

Brígola

Ottaviani

Alexandre

et al. 2020

Archives of Gerontology and Geriatrics

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“…The study was conducted between April and December of 2014. The participant selection process is described elsewhere 3,17,18 , but a brief description follows. All communitydwelling older adults (age≥60 in Brazil, as defined by the World Health Organization) registered at 18 primary healthcare centers (n=1,188) in São Carlos City, Brazil, were contacted in person and invited to participate in the survey.…”

Section: Participantsmentioning

confidence: 99%

Association between cognitive impairment and criteria for frailty syndrome among older adults

Brígola

Ottaviani

Carvalho

et al. 2020

Arq. Neuro-Psiquiatr.

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The association between cognitive impairment and physical frailty has been studied in older adults. The criteria degree of frailty may be keys to associated cognitive impairment. Objective: To analyze the association between cognitive impairment and the criteria for frailty. Methods: We cross-sectionally examined data from 667 older adults (≥60 years of age) from a study entitled ‘Variables associated to cognition in elderly caregivers’ involving patients in an urban and rural primary healthcare center. We defined cognitive impairment based on different groups of scores on the Mini Mental State Examination, and defined frailty and prefrailty using the criteria by the Cardiovascular Health Study. We performed multinomial regression models to analyze the association between levels of frailty and cognitive impairment. Results: Similar proportions of women (54.8%) and men (45.2%) participated in the study (mean age: 71 years old). We found cognitive impairment, prefrailty and frailty in 34, 54, and 24% of the participants, respectively. Concomitant cognitive impairment and frailty was found in 13% of them. The chances of cognitive impairment increased up to 330% (Odds Ratio [OR]: 4.3; 95% confidence interval [95%CI] 2.4‒7.7; p<0.001) among frail individuals, and 70% (OR: 1.7; 95%CI 1.0‒2.8; p=0.033) among prefrail individuals compared to robust/non-frail individuals. After controlling for age, education, place of residence and functional dependence, slowness and fatigue criteria were significantly associated with cognitive impairment. Conclusion: Older adults with frailty have a greater likelihood of concomitant cognitive impairment than prefrail and robust older adults. The prevalence of cognitive impairment and frailty is consistent with data reported in literature. The present findings contribute to the investigation of cognitive frailty.

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“…Even extreme situations, such as an excessive care burden, can be minimized by social support and coping mechanisms (8,43) . Support networks, material/emotional support and social activities are associated with better cognitive function and a lower risk of cognitive decline (2,(44)(45)(46) . The psychological response of the caregiver is not linear, and low levels of care-related stress may be associated with benefits in providing care (47) .…”

Section: Ofmentioning

confidence: 99%

“…The activity of care provision requires adequate cognitive processing and a strong performance regarding cognitive skills, such as attention, memory, planning, and logical reasoning (2) . The literature reports that the burden generated by an excess of care activities can exert negative impacts on one's physical, cognitive, and psychological health with the prevalence of emotional stress, depressive symptoms, anxiety, physical exhaustion and difficulty sleeping as well as limitations of work, social and leisure activities, thereby contributing to the reduction of wellbeing and quality of life (3)(4)(5)(6) .…”

Section: Introductionmentioning

confidence: 99%

Association between perceived social support and better cognitive performance among caregivers and non-caregivers

et al. 2021

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Objective: to identify the association between the characteristics of the support network and cognitive performance of older caregivers and compare characteristics between caregivers and non-caregivers. Methods: we evaluated 85 older caregivers and 84 older non-caregivers registered with primary care units regarding sociodemographic characteristics, cognition, and social support. Multiple linear regression analysis was performed. Results: among non-caregivers, significant associations were found between a better cognitive performance and receiving emotional/affectionate support; each one-point increase in the emotional support score and affectionate support score was related to a 0.43-point and 0.39-point increase in cognitive assessment, respectively. Among older caregivers, each one-point increase in the emotional support score was related to a 0.55-point increase in cognitive assessment. Conclusion: strengthening the support networks of older caregivers and encouraging satisfactory exchanges of social support can assist in improving cognitive performance, which can have a positive impact on caregivers’ health.

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Factors associated with cognitive performance in elderly caregivers

Cited by 16 publications

References 31 publications

Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults

Cumulative effects of cognitive impairment and frailty on functional decline, falls and hospitalization: A four-year follow-up study with older adults

Association between cognitive impairment and criteria for frailty syndrome among older adults

Association between perceived social support and better cognitive performance among caregivers and non-caregivers

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