Inquérito sobre hipertensão arterial e décifit cognitivo em idosos de um serviço de geriatria

Cavalini, Luciana Tricai; Chor, Dóra

doi:10.1590/s1415-790x2003000100003

Cited by 15 publications

(13 citation statements)

References 25 publications

(24 reference statements)

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“…Studies that investigated the impact of antihypertensive treatment on the correlation between hypertension and cognition have produced controversial results. 10,16,17 It is assumed that untreated hypertension is a predictor for cognitive decline and the use of antihypertensive drugs is a protector of cognitive function. Di Nucci et al 10 reported no significant abnormalities in the cognition of hypertensive elderly individuals who used antihypertensive medication on a regular basis.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 Although correlations between arterial hypertension and cognitive decline are not yet fully understood, with many controversial results, 16,17 studies have indicated that individuals with arterial hypertension are more likely to be affected by a decline in cognitive capacity. 18,19 Most studies 14,15,18,19 indicate that Systemic Arterial Hypertension (SAH) is associated with the decline of cognitive function, given that high arterial pressure is one of the risk factors for strokes, leading to the development of vascular dementia.…”

Section: Introductionmentioning

confidence: 99%

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Associação entre declínio cognitivo e qualidade de vida de idosos hipertensos

Chaves

Santos

Alves

et al. 2015

Rev. bras. geriatr. gerontol.

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Objective: To evaluate the association between cognitive decline and quality of life in hypertensive elderly persons. Methods: A quantitative, cross-sectional, analytical study involving 125 hypertensive elderly individuals of both genders attending the HIPERDIA Program in São Luís, in the state of Maranhao, was performed. The Mini Mental State Exam (MMSE) was used to evaluate cognitive decline and quality of life was assessed using the Medical Outcomes Study 36 Short-Form Health Survey (SF-36). The normality of the data was verified by the Shapiro-Wilk test. The Mann-Whitney test was also applied (quality of life). The association between cognitive decline and quality of life was evaluated using Spearman's coefficient. Results: The prevalence of cognitive decline was 20.8% and there was a predominance of elderly persons with a low educational level (45.83%). Hypertensive elderly individuals with cognitive decline had a poorer quality of life than those without cognitive decline. A positive association between cognitive function and quality of life was observed for the following domains: functional capacity (r=0.222; p=0.01), pain (r=0.1871; p=0.04), and emotional aspects (r=0.3136; p=0.0005). Conclusion: The results of this study suggest that cognitive decline directly affects the quality of life of the elderly by limiting the capacity to perform activities of daily living, especially if associated with painful medical conditions and emotional disturbances.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associação entre declínio cognitivo e qualidade de vida de idosos hipertensos

Chaves

Santos

Alves

et al. 2015

Rev. bras. geriatr. gerontol.

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“…Ainda é pouco compreendida a relação entre a hipertensão arterial e o desempenho cognitivo em idosos, pois os estudos internacionais apresentam resultados controversos 4 . Alguns estudos longitudinais [5][6][7][8] encontraram relação significativa entre a hipertensão arterial sistêmica e o declínio cognitivo em idosos, por outro lado, outros estudos, também longitudinais, não encontraram essa relação 9,10 .…”

Section: Introductionunclassified

Ausência de relação entre hipertensão arterial sistêmica e desempenho cognitivo em idosos de uma comunidade

Nucci¹,

Coimbra²,

Néri³

et al. 2010

Rev. psiquiatr. clín.

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ResumoContexto: Pesquisas documentam que a hipertensão arterial pode estar envolvida no declínio cognitivo em pacientes idosos. Estima-se que até 60% dos idosos apresentem hipertensão arterial, tornando-os mais suscetíveis ao declínio cognitivo. Objetivo: Investigar a relação entre hipertensão arterial e desempenho cognitivo em idosos não portadores de demências ou depressão. Método: A amostra foi constituída por idosos participantes de pesquisa populacional em andamento sobre envelhecimento no município de Amparo (SP). Seguindo critérios de inclusão e exclusão, foram selecionados 80 homens e mulheres (40 hipertensos e 40 normotensos) com idade igual ou superior a 60 anos, equivalentes quanto às variáveis sociodemográficas e de saúde. Para avaliar sintomas depressivos, foi utilizada a Geriatric Depression Scale (GDS). Os testes cognitivos utilizados foram a bateria neuropsicológica Consortium to Establish a Registry for Alzheimer's Disease (CERAD) e o Teste do Desenho do Relógio e Dígitos ordem direta e inversa. A análise estatística foi realizada por meio de análise de regressão logística com modelo univariado e multivariado e análise de conglomerados (cluster analysis). Resultados: Não foram encontradas diferenças estatisticamente significativas para as variáveis cognitivas entre os dois grupos. A diferença para fluência verbal aproximou-se da significância estatística (p = 0,075). Conclusões: Os resultados encontrados podem ser explicados pela adesão desta população pertencente à estratégia de saúde da família ao tratamento medicamentoso. Estudos longitudinais serão necessários para investigar a relação entre a hipertensão arterial e o declínio cognitivo na pessoa idosa. Di Nucci FRCF, et al. / Rev Psiq Clín. 2010;37(2):52-6Palavras-chave: Idosos, declínio cognitivo, hipertensão arterial. AbstractBackground: Studies suggest that hypertension might be involved in cognitive decline among older adults. It is estimated that up to 60% of older adults have hypertension, what makes them more vulnerable to cognitive decline. Objective: The objective of this study was to investigate the relationship between hypertension and cognitive performance in non-demented non-depressed older adults. Method: The sample was constituted by community dwelling older adults from an on-going epidemiological study which includes all senior citizens residing in Amparo (SP). Following inclusion and exclusion criteria, 80 seniors (40 diagnosed as having hypertension), including men and women over 60, were recruited. Both groups were equivalent as to socio-demographic and other health variables. In order to evaluate depressive symptoms the Geriatric Depression Scale (GDS) was used. The cognitive tests included the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological battery, the Clock Drawing Test, and Digit Span Forward and Backward. Logistic regression analyses with univariate and multivariate models and cluster analyses were carried out. Results: No significant differences were found between the two group...

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“…However, studies have reached contrasting conclusions regarding the effects of antihypertensive treatment on hypertension and cognitive decline [20][21][22] . The results of Holanda et al 23 found that hypertensive elderly individuals are at greater risk of cognitive function decline than normotensive elderly persons.…”

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confidence: 99%

Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil

Andrade

Lima

Fidelis

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: To identify the prevalence of cognitive impairment and associated factors among institutionalized elderly persons. Methods: A cross-sectional study was conducted from October to December 2013 in Long-Term Care Facilities for the elderly in Natal, Rio Grande do Norte, Brazil, featuring 326 elderly persons of both genders. The assessment of cognitive decline was classified using the Pfeiffer test. Information on sociodemographic conditions and health status was also recorded. Nutritional status was assessed by applying the Mini Nutritional Assessment tool and functional capacity with the Katz Index. To identify the factors associated with the presence of moderate or severe cognitive impairment multiple logistic regression analysis of variables with a p value >0.20 was performed, using the Stepwise Forward method. Results: It was observed that 83.6% (95% CI: 78.9 to 87.3%) of the elderly persons had cognitive impairment. The final model, adjusted for type of LTCF, showed that being 83 years old or older was considered a risk factor for moderate or severe cognitive impairment. However, having systemic arterial hypertension (SAH) and having been institutionalized through their own choice were considered protective factors for moderate or severe cognitive impairment. Conclusion: the variables age, having SAH and having been institutionalized through their own choice are directly associated, as risk or protection factors, with the presence of severe or moderate cognitive impairment of the elderly population. The early diagnosis of these factors can lead to greater focus in setting goals for prevention and health care, thus improving the quality of life of these individuals.

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Inquérito sobre hipertensão arterial e décifit cognitivo em idosos de um serviço de geriatria

Cited by 15 publications

References 25 publications

Associação entre declínio cognitivo e qualidade de vida de idosos hipertensos

Associação entre declínio cognitivo e qualidade de vida de idosos hipertensos

Ausência de relação entre hipertensão arterial sistêmica e desempenho cognitivo em idosos de uma comunidade

Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil

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