Short-Term Impact of Social Distancing Measures During the COVID-19 Pandemic on Cognitive Function and Health Perception of Brazilian Older Adults: A Pre-Post Study

Almeida, Pedro Henrique Tavares Queiroz de; Bernardo, Lilian Dias; Pontes, Tatiana Barcelos; Davis, Jane A.; Deodoro, Tainá Maria Silva; Ferreira, Rafaela Guilherme; Souza, Klysna Imbroinisio de; MacDermid, Joy C.

doi:10.1177/07334648211015458

Cited by 10 publications

(5 citation statements)

References 43 publications

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“…Furthermore, if the restrictive conditions of COVID-19 did indeed bring about a temporarily safer environment for the PACE population, quality of life represents an unmeasured tradeoff. Social distancing measures related to COVID-19 have already been associated with significant decreases in self-perceived mental health and vitality among older adults ( Almeida et al, 2021 ). The DHC and other community settings provide many participants with important social interaction.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Stay-At-Home Restrictions on Falls in One Community of High-Risk Older Adults

2022

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Aim: To examine the relationship between falls among high-risk older adults at one Program of All-Inclusive Care for the Elderly (PACE) and the COVID-19 closure of its Day Health Center (DHC), which provides participants with social and rehabilitative services and contributes to their weekly physical activity. Methods: Self-reported falls during the 3 months before the DHC’s closure (“pre–COVID-19”) were compared in number and in character to falls during its closure (“COVID-19”). Results: One thirty five participants were enrolled during the entire 6-month period; 37% ( n = 50) fell during this time. These participants experienced fewer falls during COVID-19 (mean = 0.64) than they did pre–COVID-19 (mean=1.24, p = .0003). Conclusions: In this population of high-risk, community-dwelling older adults, an abrupt reduction in activity levels may have reduced falls. Physical activity has been shown to both increase and protect against falls in older adults. The long-term consequences of a comparably prolonged period of inactivity merit further study.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Stay-At-Home Restrictions on Falls in One Community of High-Risk Older Adults

2022

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“…(2020) found that cognitive impairment did not affect reports of anxiety and depression among cognitively frail participants (OR: 5.63, 95% CI: 3.83, 8.28) 42 . In addition, an increase in cognitive function was observed among Brazilian community‐dwelling older adults 1 month post‐COVID‐19 imposed social distancing measures 52 . The actual need to maintain livelihood during lockdown measures may have a cognitive stimulation effect which then had a positive effect on cognitive function.…”

Section: Discussionmentioning

confidence: 99%

“…42 In addition, an increase in cognitive function was observed among Brazilian community-dwelling older adults 1 month post-COVID-19 imposed social distancing measures. 52 The actual need to maintain livelihood during lockdown measures may have a cognitive stimulation effect which then had a positive effect on cognitive function. Whether this was sustained in the longer term remains to be evaluated.…”

Section: Discussionmentioning

confidence: 99%

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Aravindhan,

Morgan,

Mat

et al. 2023

Psychogeriatrics

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BackgroundCognitive frailty describes the co‐occurrence of cognitive impairment and physical frailty and is classified into reversible and irreversible phenotypes. Data on the impact of COVID‐19 pandemic imposed lockdowns, locally known as the Movement Control Order (MCO), on the psychological status of cognitively frail older adults remain scarce. Therefore, this study aimed to determine the relationship between depression, anxiety, stress and cognitive frailty among older adults during the MCO.MethodParticipants aged above 60 years from three ageing cohorts in Malaysia were interviewed virtually. The Fatigue, Resistance, Ambulation, Illness and Loss of Weight scale, blind Montreal Cognitive Assessment, 15‐item Geriatric Depression Scale, anxiety subscale of Depression, Anxiety and Stress Scale and four‐item Perceived Stress Scale measured frailty, mild cognitive impairment (MCI), depression, anxiety and stress, respectively.ResultsCognitive frailty data were available for 870 participants, age (mean ± SD) = 73.44 ± 6.32 years and 55.6% were women. Fifty‐seven (6.6%) were robust, 24 (2.8%) had MCI, 451 (51.8%) were pre‐frail, 164 (18.9%) were pre‐frail+MCI, 119 (13.7%) were frail and 55 (6.3%) were frail+MCI. There were significant differences in depression and anxiety scores between the controlled MCO and recovery MCO. Using multinomial logistic regression, pre‐frail (mean difference (95% confidence interval, CI) = 1.16 (0.932, 1.337), frail (1.49 (1.235, 1.803) and frail+MCI (1.49 (1.225, 1.822)) groups had significantly higher depression scores, frail (1.19 (1.030, 1.373)) and frail+MCI (1.24 (1.065, 1.439)) had significantly higher anxiety scores and pre‐frail (1.50 (1.285, 1.761)), frail (1.74 (1.469, 2.062)) and frail+MCI (1.81 (1.508, 2.165)) had significantly higher stress scores upon adjustments for the potential confounders. The MCO was a potential confounder in the relationship between depression and prefrail+MCI (1.08 (0.898, 1.340)).ConclusionFrail individuals with or without MCI had significantly higher depression, anxiety and stress than those who were robust. Increased depression and stress were also observed in the pre‐frail group. Interventions to address psychological issues in older adults during the COVID‐19 pandemic could target prefrail and frail individuals and need further evaluation.

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“…Antes da COVID-19, estudos no campo da gerontologia já constataram que vivenciar emoções negativas, sensação de solidão e de isolamento social, eram fatores de risco para inúmeras condições que ameaçam o bem-estar e a saúde física e mental das pessoas idosas, com possibilidades para desenvolver sintomas depressivos, sofrimento psíquico e apresentar déficits cognitivos Griffin et al, 2020;Lara et al, 2019). O comprometimento na saúde mental e declínio na vitalidade, foram descritos em amostra de pessoas idosas brasileiras, assim que iniciaram as medidas restritivas do controle à propagação do coronavírus (Almeida et al, 2021) Rev. Interinst.…”

Section: Discussionunclassified

Repertório ocupacional de pessoas idosas em cenário pandêmico: olhares sobre trajetórias em (re)construção

Bernardo,

Ferreira,

Alvaro

et al. 2023

Rev. Interinst. Bras. Ter. Ocup.

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Introdução: A pandemia do coronavírus impôs interrupções e/ou mudanças no modo de executar diversas ocupações. Muitas delas, fazem parte do cotidiano das pessoas idosas, e que podem repercutir na saúde e no bem-estar. Objetivo: Compreender as vivências das pessoas idosas na pandemia do coronavírus e suas repercussões no repertório ocupacional. Métodos: Trata-se de um estudo transversal descritivo, de abordagem qualitativa. Participaram da pesquisa 148 pessoas idosas, entrevistadas por chamada de vídeo. Desta forma, discorreram livremente sobre as vivências cotidianas na pandemia, seus significados e suas repercussões no repertório ocupacional. Os dados foram tratados pela técnica de análise de conteúdo. Resultados: Duas categorias temáticas representam as vivências das pessoas idosas: negativas e positivas. Nas vivências negativas, as alterações emocionais promoveram restrição à participação social ou até mesmo o desengajamento ocupacional. Por outro lado, a categoria das vivências positivas, mostrou pessoas idosas que utilizaram o cenário pandêmico para melhorar o autocuidado, se engajar em novos projetos de vida ou resgatar aqueles que estavam esquecidos, e reconhecer a importância da solidariedade e empatia diante das adversidades do adoecimento. Conclusão: As vivências foram ambivalentes. Os participantes declararam como a pandemia despertou afetos negativos que culminaram em interrupções de atividades rotineiras e significativas. No entanto, muitos demonstraram a capacidade de superar as adversidades, refletir sobre os aspectos positivos e se adaptar para se manter engajados em ocupações. Palavras-Chave: Idoso. Coronavírus. Participação Social. Terapia Ocupacional. Abstract Introduction: The coronavirus pandemic has imposed interruptions and/or changes in the way of performing various occupations that are part of the everyday life of older people and that can have repercussions on their health and well-being. Objective: To understand the experiences of the elderly in the coronavirus pandemic and its repercussions on the occupational repertoire. Methods: This is a cross-sectional descriptive study with a qualitative approach. A total of 148 older people participated in the research and were interviewed by video call. They were asked to talk freely about their daily experiences in the pandemic period, their meanings, and their repercussions on their occupational repertoire. The data were analyzed by the content analysis technique. Results: Two thematic categories represent the experiences of older people: negative and positive. In the negative experiences, the emotional changes promoted restricted social participation or even occupational disengagement. On the other hand, the category of positive experiences showed older people who used the pandemic scenario to improve self-care, engage in new life projects or rescue those that were forgotten, and recognize the importance of solidarity and empathy in the face of the adversities of illness. Conclusion: The experiences were ambivalent. The participants stated how the pandemic awakened negative affections that culminated in interruptions of routine and meaningful activities, however, many demonstrated the ability to overcome adversity, reflect on the positive aspects and adapt to stay engaged in occupations. Keywords: Aged. Coronavirus. Social Participation. Occupational therapy. Resumen Introducción: La pandemia de coronavirus ha impuesto interrupciones y/o cambios en la forma de realizar diversas ocupaciones que forman parte de la vida cotidiana de las personas mayores y que pueden repercutir en la salud y el bienestar. Objetivo: Conocer las experiencias de las personas mayores en la pandemia de coronavirus y sus repercusiones en el repertorio ocupacional. Métodos: Se trata de un estudio descriptivo transversal con un enfoque cualitativo. Un total de 148 personas mayores participaron en la encuesta y fueron entrevistadas por videollamada. Se les invitó a hablar libremente sobre sus experiencias cotidianas en la pandemia, sus significados y sus repercusiones en su repertorio ocupacional. Los datos se trataron mediante la técnica de análisis de contenido. Resultados: Dos categorías temáticas representan las experiencias de las personas mayores: negativas y positivas. En las experiencias negativas, las alteraciones emocionales promovían la restricción a la participación social o incluso la desvinculación ocupacional. Por otro lado, la categoría de experiencias positivas mostró a personas mayores que utilizaron el escenario pandémico para mejorar el autocuidado, emprender nuevos proyectos de vida o rescatar a los que estaban olvidados y reconocer la importancia de la solidaridad y la empatía ante las adversidades de la enfermedad. Conclusión: Las experiencias fueron ambivalentes. Los participantes declararon que la pandemia provocó un afecto negativo que culminó en la interrupción de las actividades rutinarias y significativas; sin embargo, muchos demostraron la capacidad de superar la adversidad, reflexionar sobre los aspectos positivos y adaptarse para seguir participando en sus ocupaciones. Palabras clave: Anciano. Coronavirus. Participación Social. Terapia ocupacional.

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Short-Term Impact of Social Distancing Measures During the COVID-19 Pandemic on Cognitive Function and Health Perception of Brazilian Older Adults: A Pre-Post Study

Cited by 10 publications

References 43 publications

Impact of COVID-19 Stay-At-Home Restrictions on Falls in One Community of High-Risk Older Adults

Impact of COVID-19 Stay-At-Home Restrictions on Falls in One Community of High-Risk Older Adults

Cognitive frailty and its association with depression, anxiety and stress during the COVID‐19 pandemic among older adults in the transforming cognitive frailty into later‐life self‐sufficiency (AGELESS) study

Repertório ocupacional de pessoas idosas em cenário pandêmico: olhares sobre trajetórias em (re)construção

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