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Authors
Abstract(s)
Introdução: O envelhecimento acarreta um declínio das funções cognitiva e motora dos indivíduos, que pode ocorrer de forma fisiológica ou patológica. Através do rastreio destas funções em indivíduos com mais de 65 anos pretende-se averiguar se existe uma relação entre a existência de défices cognitivos e lentificação motora.
Materiais e Métodos: Utilizamos uma amostra de 109 indivíduos com 65 anos ou mais, que participaram voluntariamente no Rastreio Geriátrico à Covilhã. O teste utilizado para avaliar a função cognitiva foi o Montreal Cognitive Assessment (MoCA) e o teste escolhido para a avaliação da função motora foi o Timed Up and Go (TUG). A análise estatística dos dados foi feita com recurso ao programa IBM SPSS Statistics versão 23, com técnicas de análise estatística descritiva e inferencial.
Resultados: Na examinação dos resultados verificamos que nesta população apenas 23,9% dos sujeitos obtiveram resultados de função cognitiva normal, sendo a prevalência indicativa de défice cognitivo ligeiro de 37,6%, e a prevalência indicativa de demência de 38,5%. O TUG teve uma média de 12,49 (± 4,89) segundos, sendo que 33% dos indivíduos foram classificados como tendo maior risco de queda e os restantes completaram o TUG dentro de um tempo normal.
Foi observada uma associação entre o tempo alcançado no TUG e a pontuação obtida quer no total do MoCA como nos domínios “Visuo-espacial/Executiva”, “Nomeação”, “Atenção”, “Linguagem”, “Evocação Diferida”, e “Orientação”.
Conclusão: Concluiu-se que nesta amostra existe uma forte associação entre o declínio cognitivo e físico, e sugere-se que o TUG é um instrumento cuja utilidade justifica uma maior utilização na prática clínica.
Introduction: Aging leads to a decline in cognitive and physical functions of individuals, which can occur either physiologically or pathologically. Through the screening of these functions in individuals aged 65 or older we propose to investigate whether there is a relationship between cognitive and motor deficits. Methods: We used a sample of 109 individuals aged 65 years or older, who participated voluntarily in the “Rastreio Geriátrico à Covilhã”. The test chosen to assess cognitive function was the Montreal Cognitive Assessment (MoCA) and the test selected for the evaluation of physical function was the Timed Up and Go (TUG) test. Statistical analysis of the data was done using IBM SPSS Statistics version 23, using descriptive and inferential statistical analysis techniques. Results: While examining the results we found that in this population only 23.9% of the subjects had normal cognitive function results, being the prevalence of mild cognitive deficit 37.6% and the prevalence of dementia 38.5%. TUG test had a mean of 12.49 (± 4.89) seconds, with 33% of individuals being classified as having a higher risk of falling and the remainder completing the TUG within a normal time. An association between the time reached in the TUG and the score obtained either in the MoCA total as in the “Visuospatial/Executive”, “Naming”, “Attention”, “Language”, “Delayed Recall”, and “Orientation” was observed. Conclusion: We were able to conclude that in this sample there is a strong association between cognitive and physical decline, and that the TUG test is an instrument whose utility justifies a larger use in clinical practice.
Introduction: Aging leads to a decline in cognitive and physical functions of individuals, which can occur either physiologically or pathologically. Through the screening of these functions in individuals aged 65 or older we propose to investigate whether there is a relationship between cognitive and motor deficits. Methods: We used a sample of 109 individuals aged 65 years or older, who participated voluntarily in the “Rastreio Geriátrico à Covilhã”. The test chosen to assess cognitive function was the Montreal Cognitive Assessment (MoCA) and the test selected for the evaluation of physical function was the Timed Up and Go (TUG) test. Statistical analysis of the data was done using IBM SPSS Statistics version 23, using descriptive and inferential statistical analysis techniques. Results: While examining the results we found that in this population only 23.9% of the subjects had normal cognitive function results, being the prevalence of mild cognitive deficit 37.6% and the prevalence of dementia 38.5%. TUG test had a mean of 12.49 (± 4.89) seconds, with 33% of individuals being classified as having a higher risk of falling and the remainder completing the TUG within a normal time. An association between the time reached in the TUG and the score obtained either in the MoCA total as in the “Visuospatial/Executive”, “Naming”, “Attention”, “Language”, “Delayed Recall”, and “Orientation” was observed. Conclusion: We were able to conclude that in this sample there is a strong association between cognitive and physical decline, and that the TUG test is an instrument whose utility justifies a larger use in clinical practice.
Description
Keywords
Envelhecimento Funções Cognitivas Mobilidade Moca Tug