Sugestões para o uso do mini-exame do estado mental no Brasil

Brucki, Sonia; Nitrini, Ricardo; Caramelli, Paulo; Bertolucci, Paulo Henrique Ferreira; Okamoto, Ivan Hideyo

doi:10.1590/s0004-282x2003000500014

Cited by 2,009 publications

(1,806 citation statements)

References 19 publications

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“…16 Functionality was determined using the Barthel index 17 and the severity of dementia was confirmed by the Clinical Dementia Rating (CDR). 18,19 The values proposed by Brucki et al 20 were considered in the analysis of the data obtained by the MMSE. 14 When analyzing the results of the TUG test, 16 greater time values represented worse mobility and a greater risk of falls.…”

Section: Methodsmentioning

confidence: 99%

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: Methodsmentioning

confidence: 99%

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 following classifications were made: independent (no disability/difficulty with any of the activities); mild dependence (disability/ difficulty with 1-3 activities); and moderate/severe dependence (disability/difficulty with four or more activities). 14 The cognitive state of the participant was determined using the Mini-Mental State Examination (MMSE) 15 and dichotomized into "absence of cognitive deficits" and "probable cognitive deficits" using cutoff points that considered the level of education of the individual and self-perceptions of their health (very good/ good, regular or poor/very poor).…”

Section: Data Collectionmentioning

confidence: 99%

Prevalence of violence against the elderly and associated factors - a population based study in Florianópolis, Santa Catarina

Bolsoni

Coelho

Giehl

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To estimate the prevalence of violence among the elderly and to analyze its association with demographic, socioeconomic and health conditions. Method: A cross sectional population-based study was conducted of 1,705 individuals aged 60 years or older living in the city of Florianópolis in the state of Santa Catarina, between 2009 to 2010. Verbal, psychological, physical and financial violence was evaluated with a questionnaire used in the Pesquisa Saúde Bem-estar e Envelhecimento (Health and Wellbeing in Aging Survey) (SABE). Prevalence was calculated for each type of violence and the overall prevalence of violence was identified using the categories of the explanatory variables. Logistic regression was used to identify the factors associated with violence. Results: The general prevalence of violence was approximately 13.0%, while verbal violence occurred among 11.0% of respondents. The adjusted analysis showed that being female (OR=2.08) and elderly persons who were single or divorced were 66% more likely to suffer violence. Those who lived with their children or grandchildren were twice as likely to suffer violence (95% CI: 1:40 to 3:40). Conclusions: Although the results showed that the prevalence of violence against the elderly was greater than predicted by the WHO, we suspect that this number may be even higher. Due to the complexity of the theme, it is possible that elderly persons are afraid to reveal that they are victims of violence, as in most cases, the aggressors are family members.Keywords: elderly; violence; domestic violence; abuse of the elderly; violence against the elderly; cross-sectional studies.http://dx

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“…O protocolo 1 desta pesquisa continha um questionário para a atualização dos dados sociodemográficos e de saúde do participante (comorbidades e uso de medicação); a escala de depressão geriátrica (Geriatric Depression Scale, GDS) 14 composta por 15 itens − foram considerados deprimidos os participantes que pontuaram acima de 5; e o MEEM 15,16 . Foram utilizadas as seguintes notas de cortes: 13 pontos para analfabetos, 18 pontos para média/baixa escolaridade e 26 pontos para acima de 8 anos de escolaridade 17,18 .…”

Section: Instrumentosunclassified

Ausência de relação entre hipertensão arterial sistêmica e desempenho cognitivo em idosos de uma comunidade

Nucci¹,

Coimbra²,

Néri³

et al. 2010

Rev. psiquiatr. clín.

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ResumoContexto: Pesquisas documentam que a hipertensão arterial pode estar envolvida no declínio cognitivo em pacientes idosos. Estima-se que até 60% dos idosos apresentem hipertensão arterial, tornando-os mais suscetíveis ao declínio cognitivo. Objetivo: Investigar a relação entre hipertensão arterial e desempenho cognitivo em idosos não portadores de demências ou depressão. Método: A amostra foi constituída por idosos participantes de pesquisa populacional em andamento sobre envelhecimento no município de Amparo (SP). Seguindo critérios de inclusão e exclusão, foram selecionados 80 homens e mulheres (40 hipertensos e 40 normotensos) com idade igual ou superior a 60 anos, equivalentes quanto às variáveis sociodemográficas e de saúde. Para avaliar sintomas depressivos, foi utilizada a Geriatric Depression Scale (GDS). Os testes cognitivos utilizados foram a bateria neuropsicológica Consortium to Establish a Registry for Alzheimer's Disease (CERAD) e o Teste do Desenho do Relógio e Dígitos ordem direta e inversa. A análise estatística foi realizada por meio de análise de regressão logística com modelo univariado e multivariado e análise de conglomerados (cluster analysis). Resultados: Não foram encontradas diferenças estatisticamente significativas para as variáveis cognitivas entre os dois grupos. A diferença para fluência verbal aproximou-se da significância estatística (p = 0,075). Conclusões: Os resultados encontrados podem ser explicados pela adesão desta população pertencente à estratégia de saúde da família ao tratamento medicamentoso. Estudos longitudinais serão necessários para investigar a relação entre a hipertensão arterial e o declínio cognitivo na pessoa idosa. Di Nucci FRCF, et al. / Rev Psiq Clín. 2010;37(2):52-6Palavras-chave: Idosos, declínio cognitivo, hipertensão arterial. AbstractBackground: Studies suggest that hypertension might be involved in cognitive decline among older adults. It is estimated that up to 60% of older adults have hypertension, what makes them more vulnerable to cognitive decline. Objective: The objective of this study was to investigate the relationship between hypertension and cognitive performance in non-demented non-depressed older adults. Method: The sample was constituted by community dwelling older adults from an on-going epidemiological study which includes all senior citizens residing in Amparo (SP). Following inclusion and exclusion criteria, 80 seniors (40 diagnosed as having hypertension), including men and women over 60, were recruited. Both groups were equivalent as to socio-demographic and other health variables. In order to evaluate depressive symptoms the Geriatric Depression Scale (GDS) was used. The cognitive tests included the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) neuropsychological battery, the Clock Drawing Test, and Digit Span Forward and Backward. Logistic regression analyses with univariate and multivariate models and cluster analyses were carried out. Results: No significant differences were found between the two group...

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Sugestões para o uso do mini-exame do estado mental no Brasil

Cited by 2,009 publications

References 19 publications

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

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

Prevalence of violence against the elderly and associated factors - a population based study in Florianópolis, Santa Catarina

Ausência de relação entre hipertensão arterial sistêmica e desempenho cognitivo em idosos de uma comunidade

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