Cognitive impairment and physical frailty in older adults in secondary health care

Mello, Bruno Henrique de; Lenardt, Maria Helena; Moraes, Dayana Cristina; Setoguchi, Larissa Sayuri; Seima, Márcia Daniele; Betiolli, Susanne Elero

doi:10.1590/s1980-220x2019029803687

Cited by 8 publications

(10 citation statements)

References 24 publications

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“…Data from memory subtests were extracted from MMSE in Macuco et al 30 . and De Mello et al 35 . Robertson Test Battery in Robertson et al 32 .…”

Section: Resultsmentioning

confidence: 99%

“…Data from memory subtests were extracted from MMSE in Macuco et al 30 and De Mello et al 35 Robertson Test Battery in Robertson et al 32 MoCA in Chen et al 27 WAIS in Gale et al 28 and Rey 15-item Memory test in Yoon et al 34 with a total of 5537 included persons. There was a significantly lower score in memory subtests in frail compared to robust people, with a standardized mean difference of −1.01 (95% CI −1.42, −0.59), see Figure 3.…”

Section: Meta-analysesmentioning

confidence: 99%

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Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Vahedi

Eriksdotter

Ihle‐Hansen

et al. 2022

Int J Geriat Psychiatry

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Objective We performed a systematic review and meta‐analysis to study the relationship between cognitive functioning and phenotypic frailty status. Methods We searched Pubmed, Cochrane Library and Epistemonikos from 2000 until March 2022, and used the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Samples included both sexes, age ≥55 years, assessed with standardized measures of the different cognitive domains and the frailty phenotype model and analyzing the relationship between the frailty subtypes pre‐frail, frail and robust and specific cognitive function. Results Eleven studies published from 2008 until March 2022 fulfilled the inclusion criteria, and 10 were included in our meta‐analyses. Sample sizes varied from 104 to 4649 individuals. Mean Mini‐Mental State Examination (MMSE) scores ranged from 17.0 to 27.6, with mean difference (MD) of −2.55 (95% confidence interval [CI] −3.32, −1.78) in frail compared to robust, MD −1.64 (95% CI −2.21, −1.06) in frail compared to prefrail and MD −0.68 (95% CI −0.94, −0.43) in prefrail compared to robust. In subgroup analyses, frail persons had lower scores in the memory domain with standardized mean difference (SMD) −1.01 (95% CI −1.42, −0.59). Conclusion MMSE scores were significantly lower in frail compared to robust and prefrail persons and in prefrail compared to robust persons. Subgroup analysis of memory revealed significantly poorer scores in frail compared to robust. The results indicate a strong relationship between physical frailty and cognitive impairment suggesting incorporation of cognitive function in frailty assessments.

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“…Data from memory subtests were extracted from MMSE in Macuco et al 30 . and De Mello et al 35 . Robertson Test Battery in Robertson et al 32 .…”

Section: Resultsmentioning

confidence: 99%

Section: Meta-analysesmentioning

confidence: 99%

Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Vahedi

Eriksdotter

Ihle‐Hansen

et al. 2022

Int J Geriat Psychiatry

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“…5 For this, it is necessary to develop the practice of frailty assessment during the nursing consultation with the elderly population and, when identifying it, it is essential to implement integrated care in a multiprofessional team. 25 The recommended interventions are aerobic and resistance exercise, reduction of polypharmacy, vitamin D supplementation, caloric and protein support. 5 In this study, 16.1% (n=62) of the elderly had high FD; 9.4%, (n=36) moderate FD and 74.5% (n=286), good family functioning.…”

Section: Discussionmentioning

confidence: 99%

Family insuficiency and the condition and the physical frailty’s components of elderly in ambulatorial care

et al. 2022

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Objective to analyze the relationship between family insufficiency and the condition and the markers of physical frailty of elderly people followed up in a Geriatrics and Gerontology outpatient clinic. Method a quantitative and cross-sectional study conducted with 384 elderly (≥ 60 years) selected by pre-established inclusion and exclusion criteria. Physical frailty was assessed according to the frailty phenotype and family insufficiency by the Family APGAR. Data was analyzed using descriptive statistics and univariate analysis using the chi-square test with a statistical significance level of p≤0.05. Results there was no association between family insufficiency and physical frailty (p=0.344), however, it was observed a percentage of frail elderlies with high Family Dysfunction (22.2%) and moderate Family Dysfunction (19.4%), higher than that observed among the elderly with good family functioning (12.2%). Among the frail elderly for the marker “fatigue/exhaustion”, there was a direct proportionality to the degree of Family Dysfunction and a statistically significant relation to the total score of the Family APGAR (p=0.001). Conclusion and implications for the practice family frailty in the elderly is related to other intra-family factors and not exclusively to physical frailty, however, it can be stated that the degree of physical frailty among the elderly is directly proportional to the level of Family Dysfunction.

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“…5 Para tanto, é necessário desenvolver a prática da avaliação da fragilidade durante a consulta de Enfermagem com a população idosa e, ao identificá-la, é essencial concretizar os cuidados integrados em equipe multiprofissional. 25 As intervenções recomendadas são a prática de exercícios físicos aeróbicos e resistidos, a redução da polifarmácia, a suplementação de vitamina D, o suporte calórico e proteico. 5 Neste estudo, 16,1% (n=62) dos idosos apresentaram elevada DF; 9,4%, (n=36) moderada DF e 74,5% (n=286), boa funcionalidade familiar.…”

Section: Discussionunclassified

Insuficiência familiar e a condição e os marcadores de fragilidade física de idosos em assistência ambulatorial

et al. 2022

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RESUMO Objetivo analisar a relação entre insuficiência familiar e a condição e os marcadores de fragilidade física de idosos acompanhados em ambulatório de Geriatria e Gerontologia. Método estudo quantitativo e transversal realizado com 384 idosos (≥ 60 anos) selecionados por critérios pré-estabelecidos de inclusão e exclusão. Avaliaram-se a fragilidade física segundo o fenótipo da fragilidade e a insuficiência familiar pelo APGAR de Família. Analisaram-se os dados mediante a estatística descritiva e a análise univariada mediante o teste de qui-quadrado com nível de significância estatístico de p≤0,05. Resultados não houve associação entre insuficiência familiar e fragilidade física (p=0,344), entretanto, observou-se percentual de idosos frágeis com elevada Disfunção Familiar (22,2%) e moderada Disfunção Familiar (19,4%), maior que o observado entre os idosos com boa funcionalidade familiar (12,2%). Entre os idosos frágeis para o marcador “fadiga/exaustão”, houve proporcionalidade direta ao grau de Disfunção Familiar e relação estatisticamente significativa ao escore total do APGAR de Família (p=0,001). Conclusão e implicações para a prática a insuficiência familiar no idoso está relacionada a outros fatores intrafamiliares e não exclusivamente à fragilidade física, no entanto, pode-se afirmar que o grau de fragilidade física entre os idosos é diretamente proporcional ao nível de Disfunção Familiar.

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Cognitive impairment and physical frailty in older adults in secondary health care

Cited by 8 publications

References 24 publications

Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Cognitive impairment in people with physical frailty using the phenotype model: A systematic review and meta analysis

Family insuficiency and the condition and the physical frailty’s components of elderly in ambulatorial care

Insuficiência familiar e a condição e os marcadores de fragilidade física de idosos em assistência ambulatorial

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