Declínio cognitivo e Demência de Alzheimer: existe relação com o desempenho funcional?
DOI:
https://doi.org/10.33448/rsd-v11i8.30788Palavras-chave:
Mobilidade; Idoso; Comprometimento cognitivo; Doença de Alzheimer.Resumo
Introdução: O declínio da função motora e cognitiva pode evoluir em paralelo, com diferentes velocidade e impacto na dependência funcional de idosos. Objetivos: Avaliar e comparar o desempenho motor e o desempenho motor-cognitivo em idosos com e sem comprometimento cognitivo e doença de Alzheimer (DA) por meio de testes clínicos e adição do custo da dupla tarefa (CDT). Métodos: Estudo transversal realizado com amostra de 101 idosos, dentre eles, idosos sem comprometimento cognitivo (GC), suspeita de comprometimento cognitivo (GDC) e com DA (GDA). O desempenho motor foi avaliado pela velocidade da marcha (VM) e associada à tarefa cognitiva, Timed Up and Go (TUG) associado e não associado à tarefa cognitiva e o teste de sentar e levantar cinco vezes (TSL-5x). Para os testes de VM e TUG, o cálculo do CDT foi realizado. Resultados: ANCOVA mostrou diferença na variável VM e na dupla-tarefa entre GC e GDC (p=<0,001; p=0,003; respectivamente) e GC e GDA (p=0,002; p=<0,001; respectivamente). No TUG simples e TUG cognitivo, o GC apresentou menor tempo que GDA (p=0,044; p=0,002). No TSL-5x não foram observadas diferenças entre os grupos (p=0,107). O CDT na VM e TUG foram mais elevados no grupo GDA e GDC (p<0,001), sendo superior a 20%. Conclusão: VM com dupla tarefa pode ser uma ferramenta simples e eficaz para diferenciar idosos com diferentes graus de comprometimento cognitivo. Já o TUG com dupla tarefa conseguiu diferenciar idosos sem comprometimento cognitivo e DA. O CDT pode identificar precocemente idosos da comunidade na fase pré-clínica de demência.
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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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