香港六合彩开奖结果

Vol. 18 No. 2 (2019)
Original Articles

Reaching velocity during attention and memory tasks - An indicator of frailty in elderly

Daniana Michelle
Escola Superior de Sa煤de, Instituto Polit茅cnico de Leiria.
Miguel Pires
Escola Superior de Sa煤de, Instituto Polit茅cnico de Leiria.
Marlene Rosa
Escola Superior de Sa煤de, Instituto Polit茅cnico de Leiria.
Bio
DOI:

Published 2020-01-03

Keywords

  • Processing speed,
  • Frailty,
  • Elderly

How to Cite

1.
Daniana Michelle, Miguel Pires, Marlene Rosa. Reaching velocity during attention and memory tasks - An indicator of frailty in elderly. BJHBS [Internet]. 2020 Jan. 3 [cited 2024 Oct. 12];18(2):125-3. Available from: /bjhbs/article/view/121
Crossref
Scopus

Abstract

Introduction: Several multidimensional assessment tools have been developed to measure frailty, but their implementation is complex and the vast majority are focused on gait. This has hindered the assessment and prediction of frailty in the elderly without gait preservation. Objective: To characterize processing speed during attention and memory tasks in the geriatric population in different states of frailty; to characterize the factors that most contribute to the frailty phenotype. Methodology: An exploratory descriptive study was conducted in 4 residential facilities in the central region of Portugal including institutionalized elderly aged 鈮60 years, using 2 verbal and non-verbal commands. Participants were stratified according to categorical profiles of frailty based on a set of 9 variables: age, social relations, sleep, comorbidities, upper limb motor function, cognitive function, depression, instrumental and basic daily activities. The processing speed tests compared the individuals in the different frailty categories, using the Kruskal-Wallis test p <0.05). Result: One hundred and four elderly people were evaluated: 51 individuals were classified as Robust (G1); 36 as Pre-frail (G2); and 17 as Frail (G3). The processing speed in Attention Tasks was a good predictor for the categorization of frailty profiles G1-G3 (p = 0.000) and G2-G3 (p = 0.004); the range of processing speed in Memory Tasks made a distinction between G1-G3 (p = 0.028). 聽Conclusion: Processing speed in attention and memory tasks has been shown to be a promising indicator for the characterization of frailty profiles in elderly people who are institutionalized.

Metrics

Metrics Loading ...

References

  1. Nations U. World Population Prospects - The 2015 Revision Key Findings and Advance Tables. 2015.
  2. INE. Proje莽玫es da Popula莽茫o Residente. 2017.
  3. Fried LP, Tangen CM, Walston J, et al. Frailty in Older Adults: Evidence for a Phenotype. Journals Gerontol Ser A [Internet]. 2001 Mar 1;56(3):M146鈥57.
  4. Rodr铆guez-Ma帽as L, F茅art C, Mann G, et al. Searching for an operational definition of frailty: a Delphi method based consensus statement: the frailty operative definition-consensus conference project. J Gerontol A Biol Sci Med Sci [Internet]. 2012/04/16. 2013 Jan;68(1):62鈥7.
  5. Walston J, Hadley EC, Ferrucci L, et al. Research Agenda for Frailty in Older Adults: Toward a Better Understanding of Physiology and Etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc [Internet]. 2006 Jun 1;54(6):991鈥1001.
  6. Gielen E, Verschueren S, O鈥橬eill TW, et al. Musculoskeletal Frailty: A Geriatric Syndrome at the Core of Fracture Occurrence in Older Age. Calcif Tissue Int [Internet]. 2012;91(3):161鈥 77.
  7. Gavazzi GL. Frailty and ageing, concept and definitions. Rev Infirm. 2017;66(236):18鈥20.
  8. Dent E, Kowal P, Hoogendijk EO. Frailty measurement in research and clinical practice: A review. Eur J Intern Med [Internet]. 2016 Jun 1;31:3鈥10.
  9. Rockwood K, Howlett SE, MacKnight C, et al. Prevalence, Attributes, and Outcomes of Fitness and Frailty in Community-Dwelling Older Adults: Report From the Canadian Study of Health and Aging. Journals Gerontol Ser A [Internet]. 2004 Dec 1;59(12):1310鈥7.
  10. Binotto MA, Lenardt MH, Rodr铆guez-Mart铆nez M del C. Fragilidade f铆sica e velocidade da marcha em idosos da comunidade: uma revis茫o sistem谩tica. Vol. 52, Revista da Escola de Enfermagem da USP. scielo; 2018.
  11. Danilovich MK, Diaz L, Corcos DM, et al. Relationship between SHARE-FI Frailty Scores and Physical Performance Measures in Older Adult Medicaid Recipients. Geriatr (Basel, Switzerland) [Internet]. 2018 Aug 11;3(3):51.
  12. Ronthal M. Gait Disorders and Falls in the Elderly. Med Clin North Am [Internet]. 2019;103(2):203鈥13.
  13. Toosizadeh N, Wendel C, Hsu C-H, et al. Frailty assessment in older adults using upper-extremity function: index development. BMC Geriatr [Internet]. 2017;17(1):117.
  14. Jones D, Song X, Mitnitski A, Rockwood K. Evaluation of a frailty index based on a comprehensive geriatric assessment in a population based study of elderly Canadians. Vol. 17, Aging clinical and experimental research. 2006. 465鈥471 p.
  15. Yoo M, Kim S, Kim BS, et al. Moderate hearing loss is related with social frailty in a community-dwelling older adults: The Korean Frailty and Aging Cohort Study (KFACS). Arch Gerontol Geriatr [Internet]. 2019;83:126鈥30.
  16. Devore EE, Grodstein FSE. Sleep Duration in Relation to Cognitive Function among Older Adults: A Systematic Review of Observational Studies. Neuroepidemiology. 2016;46(1):57鈥78.
  17. Lee L, Patel T, Hillier LM, et al. Identifying frailty in primary care: A systematic review. Geriatr Gerontol Int [Internet]. 2017 Oct 1;17(10):1358鈥77.
  18. Malhotra R, Ang S, Allen JC, et al. Normative Values of Hand Grip Strength for Elderly Singaporeans Aged 60 to 89 Years: A Cross-Sectional Study. J Am Med Dir Assoc [Internet]. 2016 Sep 1;17(9):864.e1-864.e7.
  19. Gor-Garc铆a-Fogeda MD, Molina-Rueda F, Cuesta-G贸mez A, et al. Scales to Assess Gross Motor Function in Stroke Patients: A Systematic Review. Arch Phys Med Rehabil [Internet]. 2014 Jun 1;95(6):1174鈥83.
  20. Folstein MF, Folstein SE, McHugh PR. 鈥淢ini-mental state鈥: A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res [Internet]. 1975;12(3):189鈥98.
  21. (GERMI) N de E de G da SP de MI. Avalia莽茫o Geri谩trica. 2015.
  22. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clin Gerontol J Aging Ment Heal. 1986;5(1鈥2):165鈥73.
  23. Wade DT, Collin C. The Barthel ADL Index: A standard measure of physical disability? Int Disabil Stud [Internet]. 1988 Jan 1;10(2):64鈥7.
  24. Ara煤jo F, Ribeiro JLP, Pinto C. Valida莽茫o do 脥ndice de Barthel numa amostra de idosos n茫o institucionalizados. Rev Sa煤de P煤blica Port. 2007;25(2).
  25. Lawton MP BE. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179鈥86.
  26. F.Ara煤jo, Pais-Ribeiro J, Oliveira A, et al. Valida莽茫o da Escala de Lawton e Brody numa amostra de idosos n茫o institucionalizados. 2008.
  27. Rosa MDD, Pires M, Ferreira L, et al. Ssensory-motor upper extremity extremity function in institutionalised eldelry people - role of emotional and cognitive status. In: Thomson Reuteurs, Ageing Congress. 2019.
  28. Carlson MC, Xue Q-L, Zhou J, et al. Executive decline and dysfunction precedes declines in memory: the Women鈥檚 Health and Aging Study II. J Gerontol A Biol Sci Med Sci [Internet]. 2009/01/31. 2009 Jan;64(1):110鈥7.
  29. McGuinness B, Barrett SL, Craig D, et al. Passmore AP. Executive functioning in Alzheimer鈥檚 disease and vascular dementia. Int J Geriatr Psychiatry. 2010;25(6):562鈥8.
  30. Kristensen CH. Fun莽玫es executivas e envelhecimento - cogni莽茫o e envelhecimento. Porto Alegre: Artmed; 2006. 91鈥111 p.
  31. Mancilla S E, Valenzuela H J, Escobar C M. Rendimiento en las pruebas _Timed Up and Go_ y _Estaci贸n Unipodal_ en adultos mayores chilenos entre 60 y 89 a帽os. Vol. 143, Revista m茅dica de Chile. scielocl; 2015. p. 39鈥46.
  32. Tang P-F, Yang H-J, Peng Y-C, et al. Motor dual-task Timed Up & Go test better identifies prefrailty individuals than single-task Timed Up & Go test. Geriatr Gerontol Int [Internet]. 2015 Feb 1;15(2):204鈥10.
  33. Lima LCA, Ansai JH, Andrade LP, et al. The relationship between dual-task and cognitive performance among elderly participants who exercise regularly. Brazilian J Phys Ther [Internet]. 2015/04/27. 2015;19(2):159鈥66.
  34. Lezak MD, Howieson DB, Loring DW, et al. No Neuropsychological assessment Title. 4th ed. Oxford University Press., editor. New York: American Psychological Association; 2004.
  35. Lindeboom J, Weinstein H. Neuropsychology of cognitive ageing, minimal cognitive impairment, Alzheimer鈥檚 disease, and vascular cognitive impairment. Eur J Pharmacol [Internet]. 2004;490(1):83鈥6.
  36. Aprahamian I, Cezar NO de C, Izbicki R, et al. Screening for Frailty With the FRAIL Scale: A Comparison With the Phenotype Criteria. J Am Med Dir Assoc [Internet]. 2017 Jul 1;18(7):592鈥6.