Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance?

Authors

DOI:

https://doi.org/10.33448/rsd-v11i8.30788

Keywords:

Mobility; Older adult; Cognitive impairment; Alzheimer’s disease.

Abstract

Background: The decline in motor and cognitive function can occur in parallel, with different speed and impact on the functional dependence of the older adult. Objectives: Evaluate and compare motor performance and motor-cognitive performance in older Brazilians with and without cognitive impairment and Alzheimer's disease (AD) through clinical tests and the addition of the dual task cost (CDT). Methods: Cross-sectional study conducted with a sample of 101 older adults, dividing into non-cognitive impaired (NC), cognitive impaired (CI) and Alzheimer's disease (AD) groups. We evaluated the Gait Speed (GS) and Timed Up and Go (TUG) during single-task and cognitive dual-tasks, and the five-times sit and stand test (5TSST). The dual-task cost (DTC) was calculated for GS and TUG. Results: ANCOVA showed difference in the GS during single and dual-tasks between NC and CI (p=0.000; p=0.003; respectively) and NC and AD (p=0.002; p=0.000, respectively), and single and dual-task TUG between NC (p=0.028; p=0.002, respectively) and AD (p=0.044; p=0.002). In the TSL-5x test we did not observe any difference (p=0.107). The cost of dual task in VM and TUG were higher in group GDA and GDC (p<0,001), being greater than 20%. Conclusion: GS with dual-task can be a simple and effective tool to differentiate the older adult with different levels of cognitive impairment. CDT can provide aggregated values to early identify community-dwelling older adults in the preclinical stage of dementia.

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15/06/2022

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SANTOS, E. M. .; MELO, I. L. .; ABREU, D. C. C. de .; PORTO, J. M. .; COSTA, I. M. P. de F. .; SILVA, Érika R. .; TOFANI, P. S. Cognitive decline and Alzheimer’s Dementia: is there a relationship with functional performance?. Research, Society and Development, [S. l.], v. 11, n. 8, p. e19811830788, 2022. DOI: 10.33448/rsd-v11i8.30788. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/30788. Acesso em: 23 nov. 2024.

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Vol. 11 No. 8

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Health Sciences

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Copyright (c) 2022 Emanuelly Moura Santos; Isadora Lima Melo; Daniela Cristina Carvalho de Abreu; Jaqueline Mello Porto; Iandra Maria Pinheiro de França Costa; Érika Ramos Silva; Patrícia Silva Tofani

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