Abstract:Objective: To compare the performance of elderly people with different levels of severity of dementia using questionnaires on basic activities of daily living (BADLs) and instrumental activities of daily living (IADLs). Also, to verify whether there were any association between the IADL questionnaires applied. Method: Ninety elderly people, aged 75.46 ± 7.66 years with a clinical diagnosis of dementia (DSM-IV/APA) who were seen at the Minas Gerais Reference Center for the Elderly, were randomized selected and … Show more
“…1,2 Currently, close to 44 million people live with this disease. 3 Alzheimer´s disease (AD) is the most common cause of this illness, causing between 60 and 70% of cases.…”
Section: Introductionmentioning
confidence: 99%
“…3 Alzheimer´s disease (AD) is the most common cause of this illness, causing between 60 and 70% of cases. 1,2 Between normal aging and dementia, there is a period known as mild cognitive impairment (MCI). This period is characterized by the maintenance of independence, from a functional perspective, and cognitive loss, when compared to normal people, without attaining the criteria of dementia.…”
Objective: To assess the relationship between cognitive function, balance, risk of falls and functionality in elderly persons with impaired cognitive function and verify if those with mild cognitive impairment had better balance, functionality and a lower risk of falls than those with dementia. Methods: An analytical cross-sectional study of 33 elderly persons of both genders, aged over 60 years, were evaluated using the Mini Mental State Examination (MMSE), Timed Up and Go (TUG) test, Berg Balance Scale (BBS), Clinical Dementia Rating Scale (CDR) and Barthel Index. Four groups were considered: mild cognitive impairment (MCI; n=9), mild dementia (MID; n=12), moderate dementia (MOD; n=7) and severe dementia (SD; n=5). Data comparison was performed by the Mann Whitney U-test and correlation by Spearman's rank Correlation Coefficient, whit a significance level of ( p<0.05). Results: There was a statistically significant difference in the risk of falls and functionality between the MID and MOD groups, functionality between the MOD and SD groups, and balance, functionality and risk of falls between the MID and SD groups. A moderate correlation between MMSE and BBS (r=0.543; p=0.006) was observed in the MCI group, and a moderate negative correlation between p<0.001) and a strong correlation between MMSE and Barthel (r=0.708; p<0.001) were observed in the dementia group. Conclusion: The deterioration in cognitive function was associated with greater impairment of functionality, balance and an increased risk of falls in elderly persons with dementia, compared to elderly subjects with mild cognitive impairment.
“…1,2 Currently, close to 44 million people live with this disease. 3 Alzheimer´s disease (AD) is the most common cause of this illness, causing between 60 and 70% of cases.…”
Section: Introductionmentioning
confidence: 99%
“…3 Alzheimer´s disease (AD) is the most common cause of this illness, causing between 60 and 70% of cases. 1,2 Between normal aging and dementia, there is a period known as mild cognitive impairment (MCI). This period is characterized by the maintenance of independence, from a functional perspective, and cognitive loss, when compared to normal people, without attaining the criteria of dementia.…”
Objective: To assess the relationship between cognitive function, balance, risk of falls and functionality in elderly persons with impaired cognitive function and verify if those with mild cognitive impairment had better balance, functionality and a lower risk of falls than those with dementia. Methods: An analytical cross-sectional study of 33 elderly persons of both genders, aged over 60 years, were evaluated using the Mini Mental State Examination (MMSE), Timed Up and Go (TUG) test, Berg Balance Scale (BBS), Clinical Dementia Rating Scale (CDR) and Barthel Index. Four groups were considered: mild cognitive impairment (MCI; n=9), mild dementia (MID; n=12), moderate dementia (MOD; n=7) and severe dementia (SD; n=5). Data comparison was performed by the Mann Whitney U-test and correlation by Spearman's rank Correlation Coefficient, whit a significance level of ( p<0.05). Results: There was a statistically significant difference in the risk of falls and functionality between the MID and MOD groups, functionality between the MOD and SD groups, and balance, functionality and risk of falls between the MID and SD groups. A moderate correlation between MMSE and BBS (r=0.543; p=0.006) was observed in the MCI group, and a moderate negative correlation between p<0.001) and a strong correlation between MMSE and Barthel (r=0.708; p<0.001) were observed in the dementia group. Conclusion: The deterioration in cognitive function was associated with greater impairment of functionality, balance and an increased risk of falls in elderly persons with dementia, compared to elderly subjects with mild cognitive impairment.
“…Some studies have shown that changes in ADL performance can occur at the initial stages of the disease. It has been suggested that there is a relationship between the severity of cognitive impairments and the functional performance; initially the losses are observed in IADLs and basic ADLs are only damaged in more advanced stages of dementia 10 . Based on the statistical analysis observed in the results, the items of the new instrument (ADLQ-Brazilian version) were distributed into six domains, encompassing relevant basic and instrumental ADLs usually affected during the process of the disease, which are important to the functional assessment 7 .…”
Section: Construct Validitymentioning
confidence: 99%
“…Although the concept of functional capacity is quite complex and encompasses deficiency, incapacity, disadvantage, as well as autonomy and independence, in practice, we work with the concept of capacity/incapacity 10 . Functional incapacity is defined by difficulty while performing certain gestures and ADLs or even the impossibility of performing these activities 7 .…”
Section: Introductionmentioning
confidence: 99%
“…Two main types of abilities are measured by functional assessment scales: ADLs, which consist in activities carried out regularly such as getting dressed, bathing and eating. In contrast, the instrumental activities of daily living (IADLs) require organization and planning and include tasks such as shopping, using public transportation, preparing meals, managing finances, housekeeping and using the telephone 10,11 .…”
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