Correlates of above-average cognitive performance among older adults: the SABE study

Silva, Henrique Salmazo da; Duarte, Yeda Aparecida de Oliveira; Andrade, Fabíola Bof de; Ramos-Cerqueira, Ana Teresa de Abreu; Santos, Jair Lício Ferreira; Lebrão, Maria Lúcia

doi:10.1590/0102-311x00131913

Cited by 12 publications

(8 citation statements)

References 36 publications

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“…Cognitive decline is characterized by the impairment of important skills, such as memory, attention, orientation, verbal fluency and executive functions, and often precedes a more serious diagnosis, in particular Alzheimer's disease or other dementias 1 .The preservation of cognitive ability is related to longevity and successful aging 2 , elderly people with cognitive decline are more dependent, have a higher number of comorbidities 3 and a generally poor quality of life 4 .…”

Section: Introductionmentioning

confidence: 99%

Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil

et al. 2016

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The aim of this study was to estimate the association between contextual income and cognitive decline in the elderly in Florianópolis, a medium-sized city in southern Brazil. A nested cross-sectional study was performed in a cohort of elderly ≥ 60 years (n = 1,197), interviewed in the second wave (2013/2014) of the EpiFloripa cohort. Cognitive decline was assessed with the Mini Mental State Examination (MMSE) and contextual income was measured as the mean monthly income of the heads of households. Individual adjustment variables were sex, age, skin color, per capita household income, years of schooling, and time living in the neighborhood. The data were analyzed using multilevel logistic regression. The odds of cognitive decline were twice as high (OR = 1.99; 95%CI: 1.03; 3.87) in elderly living in census tracts with the lowest income quintile compared to those in the highest quintile, independently of individual characteristics. In conclusion, the socioeconomic environment is related to cognitive decline and should be considered in public policies with a focus on health of the elderly.

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Section: Introductionmentioning

confidence: 99%

Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil

et al. 2016

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“…Cognitive losses are a factor predisposing to fragility because they are responsible for the greater dependence of the elderly person and reduce their quality of life associated with a greater number of comorbidities (14) . The results of this study show a predominance of elderly people with no cognitive deficit, data opposite to the data reported by a study that evaluated the fragility condition for the cognitive deficit, identifying high concentrations of elderly people with a cognitive deficit in regions with low-income levels and lower socioeconomic conditions (5) .…”

Section: Discussionmentioning

confidence: 99%

Clinical-functional vulnerability index and the dimensions of functionality in the elderly person

Freitas

Soares

2019

Rev Rene

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Objective: to analyze the association between the Clinical-Functional Vulnerability Index-20 and the dimensions of the functionality of the elderly person. Methods: cross-sectional study with 307 participants. The Clinical-Functional Vulnerability Index-20, Mental State Mini-Exam, Abbreviated Geriatric Depression, Timed Up and Go, Hearing Test and Whisper were used. Data were analyzed using descriptive statistics and 5% significance. Results: prevalence of fragility was 16.6% and fragility at risk was 43.0%, with higher proportions for the cognitive deficit, the risk for depression, high risk of falls, visual and auditory dysfunction. There was a significant association between fragility and mental status, depression, functional mobility (p<0.001), Snellen Signal Test (right eye p=0.015, left eye p=0.025) and Whisper Test (right and left ear p˂0.001). Conclusion: the early detection of fragility and its association with the dimensions of functionality are essential to care interventions, guaranteeing the autonomy and independence of the elderly person.

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“…A mesma condição foi apontada no estudo realizado no município de Londrina/PR, Brasil (7) , supracitado, sendo que os autores associaram tal evento à impossibilidade de alguns idosos mais velhos de responder ao MEEM, situação também ocorrida nas ILPI de Maringá/PR, Brasil. Uma coorte desenvolvida no município de São Paulo/SP, Brasil, destacou que o avanço da idade acarreta a redução do percentual de desempenho cognitivo acima da média, em razão da diminuição da plasticidade cerebral (4) . Destaca-se que quase metade dos idosos solteiros (45,3%) possuía déficit cognitivo segundo o MEEM.…”

Section: Discussionunclassified

“…A percepção de envelhecimento bem sucedido possui, entre suas características, a manutenção das habilidades cognitivas, a qual está associada à longevidade, à qualidade de vida, ao bem-estar físico e social e, consequentemente, a níveis satisfatórios de autonomia e independência (3,4) . Com o envelhecimento biológico, no entanto, o Sistema Nervoso Central é um dos mais comprometidos, sobretudo nas regiões responsáveis pelas funções cognitivas, uma vez que ocorre hipotrofia cerebral e alterações no sistema de neurotransmissores (5) .…”

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Avaliação cognitiva de idosos em instituições de longa permanência: estudo transversal

et al. 2016

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Aim: To evaluate the cognition of elderly residents in long-term institutions and the association of cognitive status to sociodemographic variables and the domain of the Mini Mental State Examination (MMSE). Method: This is a descriptive, cross-sectional and quantitative study. Data were collected from 161 elderly, using the MMSE, between January and March 2013 and were analyzed using chi-square and Mann-Whitney tests. Results: 39.8% of the elderly had cognitive impairment, and worse cognitive performance occurred in females. The domains of the MMSE had a statistically significant association with cognitive decline, and orientation, attention, and calculation and evoked memory had greater influence on the presence of cognitive impairment. Conclusion: MMSE is a practical tool for cognitive evaluation of the elderly, and it can guide nursing interventions in order to foster standardization of the goals to be achieved in the attention to the institutionalized elderly.

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Correlates of above-average cognitive performance among older adults: the SABE study

Abstract: This study aimed to identify factors associated with optimal global cognitive performance among older adults in the city of Sao Paulo, Brazil. A cross-sectional

Cited by 12 publications

References 36 publications

Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil

Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil

Clinical-functional vulnerability index and the dimensions of functionality in the elderly person

Avaliação cognitiva de idosos em instituições de longa permanência: estudo transversal

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