Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal

Christofoletti, Gustavo; Oliani, MM; Gobbi, Lilian Teresa Bucken; Gobbi, Sebastião; Stella, Florindo

doi:10.1590/s1413-35552006000400011

Cited by 58 publications

(60 citation statements)

References 28 publications

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“…These data suggest the need for preventative measures that include physical activity for this population. 7 All of the participants who had experienced falls in the previous 12 months were female, corroborating the results of previous studies 10,23,24 which correlated the female gender with a greater risk of falls in old age. This finding has been correlated with the greater fragility of females, in relation to males, as well as the greater prevalence of chronic diseases such as osteoporosis and a greater link to domestic tasks.…”

Section: Discussionsupporting

confidence: 87%

“…They also concluded that protective and preventative measures should include motor and cognitive stimulation. 10 One factor that was associated with an increase in the risk of falls was a sedentary lifestyle, which could explain the data found in the present study (the risk of falls was considered moderate for the MCI and MID groups and severe for the MOD and SD groups), in which all of the individuals were sedentary. These results are similar to those reported by Hernandez et al, 7 who found that elderly individuals with AD who did not engage in systemized physical activity performed worse in terms of cognitive function, balance and the risk of falls, when compared with elderly individuals with AD who systematically exercised.…”

Section: Discussionsupporting

confidence: 50%

“…Christofoletti et al 10 reported that a group with AD exhibited worse balance than groups with PD and control groups. The same authors stated that cognitive decline could increase the risk of falls in individuals with AD, and concluded that those with AD are effected by an eminently cognitive disorder and exhibit a greater risk of falling than patients with PD, which is a disease that is primordially characterized by motor symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…9 Several studies have addressed the correlation between dementia and falls, balance and functionality. However, they usually compare healthy elderly individuals with those who suffer from mild and moderate dementia, 7,10,11 without considering the period prior to dementia known as MCI, or making comparisons with individuals who suffer from severe dementia.…”

Section: Introductionmentioning

confidence: 99%

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Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Bortoli

Piovezan

Piovesan

et al. 2015

Rev. bras. geriatr. gerontol.

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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.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Equilíbrio, quedas e funcionalidade em idosos com alteração da função cognitiva

Bortoli

Piovezan

Piovesan

et al. 2015

Rev. bras. geriatr. gerontol.

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“…The total score ranges from 0-56 points. The lower the score, the higher the risk for falls (22) . Score between 56 and 54, each point less would be associated with a 3% to 4% increase in the risk of falls; score between 53 and 46, each point is associated with an increase of 6% to 8% chance, being below 36, the risk is almost 100% (23) .…”

Section: Methodsmentioning

confidence: 99%

Effects of power training on quality of life and postural stability in elderly

Tolentino¹,

Soares²,

Venâncio³

et al. 2020

mtprehabjournal

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Introduction:The muscular strength exercises can be an effective intervention to prevent falls and to favor the functional capacity (FC) in the elderly. However, few studies have reported the benefits of power training (PT) and the subjective perception of the elderly on these activities. Objective: to evaluate the repercussions of a power training protocol on functional capacity and subjective health parameters in the elderly. Method: It was a prospective study involving 48 elderly people. Two groups were composed: a power training group (PG) with 22 participants with a mean age of 68.14 (5.46) years and the control group (CG) was composed of 32 elderly individuals aged 68.03 (4.83) years. Health-related quality of life was measured from the Medical Outcomes Study 36 -Item Short-Form Health Survey (SF-36). The FC was measured by the Berg Balance and Time Up and Go tests. The PT was performed 2x/week, with duration of 50 min/session, for 14 weeks (first two weeks of adaptation; first six weeks 3X/10-15 repetitions of 40-50% of the Subjective Perceived Exertion (SPE) / 6 following weeks 3X/6-10 repetitions of 60-70% of the SPE). The CG performed rhythm activities with the same frequency and weekly duration. Result: It was observed favorable results in FC after 14 weeks of power training. There was also a positive evaluation of most sf-36 domains, with emphasis on physical and emotional aspects. However, the perception of the elderly in relation to the pain domain presented negative results. Conclusion: The PT positively influenced the FC, the physical and the emotional aspects of the elderly; negatively affected the pain and maintained the low risk of fall after 12 weeks of intervention, without presenting intercurrences during the intervention.

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