Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil
Abstract Objective: To identify the prevalence of cognitive impairment and associated factors among institutionalized elderly persons. Methods: A cross-sectional study was conducted from October to December 2013 in Long-Term Care Facilities for the elderly in Natal, Rio Grande do Norte, Brazil, fe...
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| Format: | Article |
| Language: | English |
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Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)
2017-04-01
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| Series: | Revista Brasileira de Geriatria e Gerontologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232017000200186&tlng=pt |
| _version_ | 1798016272664887296 |
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| author | Fabienne Louise Juvêncio Paes de Andrade Joelmma Maria Rebouça de Lima Kalyne do Nascimento Moreira Fidelis Javier Jerez-Roig Kenio Costa de Lima |
| author_facet | Fabienne Louise Juvêncio Paes de Andrade Joelmma Maria Rebouça de Lima Kalyne do Nascimento Moreira Fidelis Javier Jerez-Roig Kenio Costa de Lima |
| author_sort | Fabienne Louise Juvêncio Paes de Andrade |
| collection | DOAJ |
| description | Abstract Objective: To identify the prevalence of cognitive impairment and associated factors among institutionalized elderly persons. Methods: A cross-sectional study was conducted from October to December 2013 in Long-Term Care Facilities for the elderly in Natal, Rio Grande do Norte, Brazil, featuring 326 elderly persons of both genders. The assessment of cognitive decline was classified using the Pfeiffer test. Information on sociodemographic conditions and health status was also recorded. Nutritional status was assessed by applying the Mini Nutritional Assessment tool and functional capacity with the Katz Index. To identify the factors associated with the presence of moderate or severe cognitive impairment multiple logistic regression analysis of variables with a p value >0.20 was performed, using the Stepwise Forward method. Results: It was observed that 83.6% (95% CI: 78.9 to 87.3%) of the elderly persons had cognitive impairment. The final model, adjusted for type of LTCF, showed that being 83 years old or older was considered a risk factor for moderate or severe cognitive impairment. However, having systemic arterial hypertension (SAH) and having been institutionalized through their own choice were considered protective factors for moderate or severe cognitive impairment. Conclusion: the variables age, having SAH and having been institutionalized through their own choice are directly associated, as risk or protection factors, with the presence of severe or moderate cognitive impairment of the elderly population. The early diagnosis of these factors can lead to greater focus in setting goals for prevention and health care, thus improving the quality of life of these individuals. |
| first_indexed | 2024-04-11T15:48:15Z |
| format | Article |
| id | doaj.art-91e462a25441471a961ed107f89d4e07 |
| institution | Directory Open Access Journal |
| issn | 1981-2256 |
| language | English |
| last_indexed | 2024-04-11T15:48:15Z |
| publishDate | 2017-04-01 |
| publisher | Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) |
| record_format | Article |
| series | Revista Brasileira de Geriatria e Gerontologia |
| spelling | doaj.art-91e462a25441471a961ed107f89d4e072022-12-22T04:15:28ZengUniversidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)Revista Brasileira de Geriatria e Gerontologia1981-22562017-04-0120218619610.1590/1981-22562017020.160151Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, BrazilFabienne Louise Juvêncio Paes de AndradeJoelmma Maria Rebouça de LimaKalyne do Nascimento Moreira FidelisJavier Jerez-RoigKenio Costa de LimaAbstract Objective: To identify the prevalence of cognitive impairment and associated factors among institutionalized elderly persons. Methods: A cross-sectional study was conducted from October to December 2013 in Long-Term Care Facilities for the elderly in Natal, Rio Grande do Norte, Brazil, featuring 326 elderly persons of both genders. The assessment of cognitive decline was classified using the Pfeiffer test. Information on sociodemographic conditions and health status was also recorded. Nutritional status was assessed by applying the Mini Nutritional Assessment tool and functional capacity with the Katz Index. To identify the factors associated with the presence of moderate or severe cognitive impairment multiple logistic regression analysis of variables with a p value >0.20 was performed, using the Stepwise Forward method. Results: It was observed that 83.6% (95% CI: 78.9 to 87.3%) of the elderly persons had cognitive impairment. The final model, adjusted for type of LTCF, showed that being 83 years old or older was considered a risk factor for moderate or severe cognitive impairment. However, having systemic arterial hypertension (SAH) and having been institutionalized through their own choice were considered protective factors for moderate or severe cognitive impairment. Conclusion: the variables age, having SAH and having been institutionalized through their own choice are directly associated, as risk or protection factors, with the presence of severe or moderate cognitive impairment of the elderly population. The early diagnosis of these factors can lead to greater focus in setting goals for prevention and health care, thus improving the quality of life of these individuals.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232017000200186&tlng=ptHealth of Institutionalized ElderlyHomes for the AgedFrail ElderlyCognitive AgingCross-Sectional Studies. |
| spellingShingle | Fabienne Louise Juvêncio Paes de Andrade Joelmma Maria Rebouça de Lima Kalyne do Nascimento Moreira Fidelis Javier Jerez-Roig Kenio Costa de Lima Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil Revista Brasileira de Geriatria e Gerontologia Health of Institutionalized Elderly Homes for the Aged Frail Elderly Cognitive Aging Cross-Sectional Studies. |
| title | Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil |
| title_full | Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil |
| title_fullStr | Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil |
| title_full_unstemmed | Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil |
| title_short | Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil |
| title_sort | cognitive impairment and associated factors among institutionalized elderly persons in natal rio grande do norte brazil |
| topic | Health of Institutionalized Elderly Homes for the Aged Frail Elderly Cognitive Aging Cross-Sectional Studies. |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232017000200186&tlng=pt |
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