Tempo de trânsito oral na demência de Alzheimer

Dias, Mirlaine da Conceição; Vicente, Laélia Cristina Caseiro; Friche, Amélia Augusta de Lima; Motta, Andréa Rodrigues

doi:10.1590/2317-6431-2017-1900

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…Two variables, staging and cognitive performance, influenced the progress of the condition in this sample. [30][31][32][33][34][35][36] As AD is a neurodegenerative condition, the significant relationship between MMSE and FAQ in this study (p<0.001) also agrees with studies reported in the literature, considering that the evolution of this condition is marked by the progression of cognitive deficit in these aged individuals. Sobral et al 36 reported a significant relationship between the MMSE score and CDR, which corroborates our results, confirming cognitive worsening with disease progression.…”

Section: Discussionsupporting

confidence: 89%

Loss of functional capacity in elderly individuals with Alzheimer disease

Andrade

Melo

Filho

et al. 2020

Dement. neuropsychol.

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ABSTRACT. Background: The functional capacity of elderly individuals with Alzheimer disease (AD) progressively declines. Objective: To verify the influence of sociodemographic, clinical, staging, mobility, and postural and cognitive balance data on the impairment of the functional capacity of elderly individuals with AD. Methods: This observational, analytical, cross-sectional study was performed at the Physiotherapy Department of the Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil. The study consisted of forty elderly individuals aged ≥60 years old with mild or moderate AD, who could ambulate independently. The instruments used included a questionnaire to assess sociodemographic and anthropometric data; the Mini-Mental Health State Examination (MMSE); the Clinical Dementia Rating (CDR); a clock drawing test (CDT); a verbal fluency test (VFT); the Timed Up and Go Test (TUG); and the Clinical Test of Sensory Organization and Balance (CTSIB). Simple descriptive analyses, Mann-Whitney test, Spearman's correlation test, linear regression modeling, and prediction equation (p<0.05, 95% confidence interval [95%CI]) were performed. Results: Fifteen linear regression models were generated, with the final model chosen for analysis. The variables assumed in that model were CDR, MMSE score, and condition 3 of the CTSIB, which explained 60.1% of the outcome. Conclusions: Impairment of functional capacity in elderly individuals with AD was influenced by disease progression, which was due to cognitive deficits and deficits in postural balance, which are related to the inaccuracy of the somatosensory system in performing sensory integration.

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Section: Discussionsupporting

confidence: 89%

Loss of functional capacity in elderly individuals with Alzheimer disease

Andrade

Melo

Filho

et al. 2020

Dement. neuropsychol.

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“…The decrease in speed and volume of intake relates to sensory-motor issues associated with cognitive changes resulting from AD 9 . In 2018, a study 27 corroborated these results, focusing on the importance of manipulating the consistency of the foods offered to minimize the risk of aspiration and malnutrition 27 .…”

Section: Dysphagia Characteristics and Symptom Progressionmentioning

confidence: 93%

Dysphagia in Alzheimer’s disease: a systematic review

Mira

Gonçalves

Rodrigues

2022

Dement. neuropsychol.

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Dysphagia is described as a highly relevant comorbidity of Alzheimer’s disease (AD). However, there is a scarcity of studies aiming at the characteristics and progression of dysphagia. Objective: The objective of this study was to identify the specific characteristics, progression, and prevalence of dysphagia in AD. Methods: Publications were searched in the PubMed (MEDLINE), EBSCO, ScienceDirect, and BASE databases. Critical appraisal and evidence-level analysis were conducted using the Joanna Briggs Institute and Effective Public Health Practice Project’s (EPHPP) tools. Results: A total of 26 studies were reviewed. Symptoms begin in the early stage of AD, as oral phase impairments, and progress to pharyngeal symptoms and swallowing apraxia in the later stages of AD. Dysphagia progresses, as AD, along a continuum, with severity depending on individual variability. There were no studies found on prevalence. Conclusions: Dysphagia is a complex and important comorbidity in AD that impacts the quality of life. No recent publications on prevalence may imply that is not being coded as a potential cause for pneumonia deaths in AD.

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Desenvolvimento de cartilha de cuidados fonoaudiológicos para pacientes com Alzheimer

Meirelles¹,

Marques²

2022

Revista Científica Multidisciplinar Núcleo do Conhecimento

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O Alzheimer vem aumentando significativamente na população. Inicialmente, os sintomas se apresentam de maneira leve, progredindo severamente e afetando a cognição, comunicação e deglutição. Conforme o Alzheimer progride, os pacientes necessitam do apoio de cuidadores no manejo da doença. Com base nesse cenário, como uma cartilha de orientação e cuidados fonoaudiológicos pode ajudar familiares e cuidadores a gerir um paciente que demanda tantas especificidades? O presente estudo tem como objetivo identificar apontamentos por parte dos cuidadores e/ou familiares sobre distúrbios da comunicação, cognição e deglutição no curso dos pacientes com a doença de Alzheimer que ajudem a conduzir a estrutura da cartilha fonoaudiológica. O método utilizado para o desenvolvimento da pesquisa foi o estudo descritivo, transversal, com abordagem qualiquantitativa, por meio de um questionário respondido por 53 participantes, através da plataforma Google Forms. Como resultado do estudo, foi elaborada uma cartilha para nortear todos os familiares e cuidadores, tornando a terapia fonoaudiológica um trabalho continuado, com qualidade de vida e benefícios aos doentes. Verificou-se que existem lacunas importantes no cuidado com esses pacientes e que é extremamente necessária a informação assertiva como caráter preventivo para minimizar o impacto do avanço dos sintomas da doença de Alzheimer.

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Tempo de trânsito oral na demência de Alzheimer

Cited by 3 publications

References 20 publications

Loss of functional capacity in elderly individuals with Alzheimer disease

Loss of functional capacity in elderly individuals with Alzheimer disease

Dysphagia in Alzheimer’s disease: a systematic review

Desenvolvimento de cartilha de cuidados fonoaudiológicos para pacientes com Alzheimer

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