Prevalence of Cognitive Impairment Without Dementia and Dementia in Tremembé, Brazil

César, Karolina G.; Brucki, Sonia; Takada, Leonel Tadao; Nascimento, Luiz Fernando Costa; Gomes, C. B.; Almeida, Milena Cristina Silva; Oliveira, Maira Okada de; Porto, Fábio Henrique de Gobbi; Senaha, Mirna Lie Hosogi; Bahia, Valéria Santoro; Silva, Thaís B.L.; Ianof, Jéssica Natuline; Spíndola, Lívia; Schmidt, Magali Taino; Jorge, Mário Silva; Vale, Patrícia H.F.; Cecchini, Mário Amore; Cassimiro, Luciana; Soares, Roger T.; Gonçalves, Mauro; Martins, Ana Caroline S.; Dare, Patricia A Stoddard; Smid, Jerusa; Porto, Catarina S.; Carthery‐Goulart, Maria Teresa; Yassuda, Mônica Sanches; Mansur, Letı́cia Lessa; Nitrini, Ricardo

doi:10.1097/wad.0000000000000122

Cited by 59 publications

(94 citation statements)

References 42 publications

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“…The MoCA test was applied as part of the cognitive evaluation of a single-phase cross-sectional epidemiological study, in which home visits were carried out in the municipality of Tremembé, located in the state of São Paulo, Brazil. The participants were randomly selected and more details regarding this primary study, that initially had the objective of estimating the prevalence of cognitive impairment (CIND and dementia), can be found in César et al 13 . The MoCA results were not used to establish the diagnosis of cognitive impairment and its scores were unknown by those involved in the consensus meetings for diagnosis.…”

Section: Participantsmentioning

confidence: 99%

MoCA Test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil

César

Yassuda

Porto

et al. 2019

Arq. Neuro-Psiquiatr.

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The Montreal Cognitive Assessment (MoCA) has been described as a good tool to detect cognitive impairment. The ideal MoCA cutoff score is still under debate. The aim was to provide MoCA norms and accuracy data for seniors with a lower education level, including illiterates. Methods: Data originated from an epidemiological study conducted in the municipality of Tremembe, Brazil. The Brazilian MoCA test was applied as part of the cognitive assessment in all participants. Of the 630 participants, 385 were classified as cognitively normal (CN) and were included in the normative data set, 110 individuals were diagnosed with dementia and 135 were classified as having cognitive impairment no dementia (CIND). Results: The total scores varied significantly according to age and education among the three diagnostic groups: CN, CIND and dementia (p < 0.001). To distinguish participants with CN from dementia, the best MoCA cutoff was 15 points (sensitivity 90%, specificity 77%) and to differentiate those with CN from CIND, the MoCA cutoff was 19 points (sensitivity 84%, specificity 49%). Those scores varied according to education level. Conclusions: The MoCA test did not have a high accuracy for detecting CIND in the population with a low educational level. Nevertheless, this tool may be used to detect dementia, especially in individuals with more than five years of education, if a lower cutoff score is adopted.

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Section: Participantsmentioning

confidence: 99%

MoCA Test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil

César

Yassuda

Porto

et al. 2019

Arq. Neuro-Psiquiatr.

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“…Moreover, the risk of dementia development in this group is significantly higher than in the general population [5]. Also, it is assessed that various types of dementia syndromes may affect 17.5% of the elderly population aged 60 years and above [6].…”

Section: Introductionmentioning

confidence: 99%

The relation between cognitive impairment severity and postural stability in the elderly

Cieślik¹,

Chamela-Bilińska²,

Ostrowska³

et al. 2019

Physiother Quart.

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Introduction. The purpose of this study was to evaluate the relationship between the severity of cognitive impairment and the results of stabilographic tests in elderly patients with cognitive impairment. Methods. The study involved 42 participants aged 62-84 (mean 73.4 ± 6.7) years. The assessment of cognitive status was carried out with the Mini-Mental State Examination (MMSE). included were subjects who obtained a score below 27, which is the cutoff score between the absence and presence of cognitive impairment. Postural stability was evaluated by using a force platform which registered the shifts of the centre of pressure (CoP) in the sagittal and frontal plane during two 32-second trials of quiet stance on a hard surface, with eyes open and with eyes closed. The CoP sway parameters were analysed. Results. in the eyes-open test, we obtained a weak negative correlation of the MMSE and the mean radius of the CoP sway (r =-0.37; p < 0.05). Considering the values achieved in each plane, a statistically significant correlation was observed in all the parameters analysed in the sagittal plane. The eyes-closed test revealed a clear negative correlation between the MMSE results and all the studied parameters. Conclusions. A significant relationship between the severity of cognitive impairment and the results of stabilographic parameters were noted. A negative correlation between the stabilographic parameters and the MMSE scores showed a linear deterioration of postural stability which progresses along with the decrease in cognitive functions.

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“…Este ajuste levou em conta o efeito do desenho do estudo, a taxa de ausência de resposta durante a fase de rastreio e a fórmula para valores preditivos positivos e negativos dos instrumentos de rastreio. O estudo de prevalência realizado em Tremembé (Cesar et al, 2016) encontrou taxa de prevalência de 17,5% para demência, com influência estatisticamente significativa da idade e do nível de escolaridade.…”

Section: Apresentaçãounclassified

“…Conforme comentado anteriormente, as taxas de incidência e prevalência de demência em nossa população são equivalentes às encontradas em outros países (Bottino et al, 2008;Cesar et al, 2016;Nitrini et al, 2004;Prince et al, 2013), ou talvez até um pouco maiores (Buriá et al, 2013). Nas próximas décadas, a concentração de casos de demência em países em desenvolvimento sofrerá um enorme salto (Prince et al, 2013), concentrando aproximadamente 70% dos casos em escala global nos países…”

Section: Justificativaunclassified

Rastreio cognitivo para idosos em atenção primára

Yokomizo¹

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AGRADECIMENTOSDedico este trabalho ao querido Professor Cássio Machado de Campos Bottino, de quem recebi generosidade, paciência, ensinamentos, sabedoria. Engrandeceu o lado mais humano de minha carreira, pois ser uma boa profissional envolve ter o conhecimento atualizado para trabalhar com responsabilidade e a máxima qualidade, sem jamais esquecer da complexidade da pessoa à nossa frente, disponível e confiante de nossa ajuda. Saudades e muita, muita gratidão. Agradeço imensamente aos mestres Professor Ivan Aprahamian e Professora MônicaSanches Yassuda, igualmente generosos, pacientes, humanos, com quem certamente adquiri conhecimento técnico e algumas lições sobre como ser, um dia, uma boa professora.Agradeço aos pacientes e informantes que aceitaram participar desta pesquisa, bem como às equipes das Unidades Básicas de Saúde Cidade Nova São Miguel e Vila Jacuí, especialmente as agentes comunitárias de saúde pela abertura em nos receber.Sou incansavelmente grata à minha família: meus pais, João Takayoshi e Filomena Satiko, que sempre confiaram mais em mim do que eu mesma e que me fizeram, por tanto amor, acreditar que podia muitas coisas. Aos Yokomizo maternos, de cuja união nos fins de semana eu senti muita falta nas vésperas de terminar esta tese. Aos Yokomizo paternos, por toda a inspiração e serenidade que me inspiram em todos os nossos encontros.Agradeço particularmente aos meus avós, Kazuyoshi Yokomizo e Yoneko Yokomizo, inspiradores de trabalho duro e resiliência sem perder a ternura. Aos tios-avós e aos antepassados, que certamente influenciaram em minha escolha de trabalhar com idosos.

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Prevalence of Cognitive Impairment Without Dementia and Dementia in Tremembé, Brazil

Abstract: The prevalence of dementia in this study was higher than in other studies, particularly among younger elderly.

Cited by 59 publications

References 42 publications

MoCA Test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil

MoCA Test: normative and diagnostic accuracy data for seniors with heterogeneous educational levels in Brazil

The relation between cognitive impairment severity and postural stability in the elderly

Rastreio cognitivo para idosos em atenção primára

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