Health multidimensional evaluation of institutionalized older adults according to cognitive performance
ABSTRACT. The assessment of living and health conditions of the institutionalized older adults contributes to the development of health promotion measures. The high prevalence of cognitive decline in this population leads to unfavorable health outcomes, which can be prevented and managed. Objective...
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| Format: | Article |
| Language: | English |
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Associação Neurologia Cognitiva e do Comportamento
2025-04-01
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| Series: | Dementia & Neuropsychologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642025000100405&lng=en&tlng=en |
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| author | Beatriz Cintra Martins Lilian Barbosa Ramos Anna Karla Carneiro Roriz Henrique Salmazo da Silva |
| author_facet | Beatriz Cintra Martins Lilian Barbosa Ramos Anna Karla Carneiro Roriz Henrique Salmazo da Silva |
| author_sort | Beatriz Cintra Martins |
| collection | DOAJ |
| description | ABSTRACT. The assessment of living and health conditions of the institutionalized older adults contributes to the development of health promotion measures. The high prevalence of cognitive decline in this population leads to unfavorable health outcomes, which can be prevented and managed. Objective: To investigate the health conditions of institutionalized older adults according to global cognitive performance. Methods: Cross-sectional study of institutionalized older adults in Brasília, Distrito Federal (DF) and Salvador, Bahia (BA) using questionnaires on multidimensional health assessment and the Mini-Mental State Examination (MMSE). Results: Of the 185 residents, 86 were evaluated, with the majority of the sample composed of women and people aged 80 years old or older. Cognitive decline in the MMSE was associated with greater difficulties in Activities of Daily Living (ADL) (62.5%). Lower performance on the MMSE was correlated with longer length of institutionalization (p=0.043), older age (p=0.004), poorer Geriatric Oral Health Assessment Index (GOHAI) (p=0.087), greater difficulty in ADL (p<0.001), and higher scores on the Bristol scale (p<0.001). Conversely, higher education (p<0.001), better scores on the Mini Nutritional Assessment (p=0.003), larger Calf Circumference (CC) (p=0.036), and Hand Grip Strength (HGS) (p=0.0467) were associated with better performance in the MMSE. Conclusion: The cognitive performance of institutionalized older people is correlated with sociodemographic and health variables. These results are oriented toward the formulation of public health policies and care management. |
| format | Article |
| id | doaj-art-264fca97b3f047228dfd47ca8ac3b84e |
| institution | OA Journals |
| issn | 1980-5764 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Associação Neurologia Cognitiva e do Comportamento |
| record_format | Article |
| series | Dementia & Neuropsychologia |
| spelling | doaj-art-264fca97b3f047228dfd47ca8ac3b84e2025-08-20T02:08:40ZengAssociação Neurologia Cognitiva e do ComportamentoDementia & Neuropsychologia1980-57642025-04-011910.1590/1980-5764-dn-2024-0133Health multidimensional evaluation of institutionalized older adults according to cognitive performanceBeatriz Cintra Martinshttps://orcid.org/0009-0004-9208-0008Lilian Barbosa Ramoshttps://orcid.org/0000-0002-2357-7377Anna Karla Carneiro Rorizhttps://orcid.org/0000-0002-1768-5646Henrique Salmazo da Silvahttps://orcid.org/0000-0002-3888-4214ABSTRACT. The assessment of living and health conditions of the institutionalized older adults contributes to the development of health promotion measures. The high prevalence of cognitive decline in this population leads to unfavorable health outcomes, which can be prevented and managed. Objective: To investigate the health conditions of institutionalized older adults according to global cognitive performance. Methods: Cross-sectional study of institutionalized older adults in Brasília, Distrito Federal (DF) and Salvador, Bahia (BA) using questionnaires on multidimensional health assessment and the Mini-Mental State Examination (MMSE). Results: Of the 185 residents, 86 were evaluated, with the majority of the sample composed of women and people aged 80 years old or older. Cognitive decline in the MMSE was associated with greater difficulties in Activities of Daily Living (ADL) (62.5%). Lower performance on the MMSE was correlated with longer length of institutionalization (p=0.043), older age (p=0.004), poorer Geriatric Oral Health Assessment Index (GOHAI) (p=0.087), greater difficulty in ADL (p<0.001), and higher scores on the Bristol scale (p<0.001). Conversely, higher education (p<0.001), better scores on the Mini Nutritional Assessment (p=0.003), larger Calf Circumference (CC) (p=0.036), and Hand Grip Strength (HGS) (p=0.0467) were associated with better performance in the MMSE. Conclusion: The cognitive performance of institutionalized older people is correlated with sociodemographic and health variables. These results are oriented toward the formulation of public health policies and care management.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642025000100405&lng=en&tlng=enAgedHomes for the AgedHealth StatusNeuropsychological TestsGeriatrics |
| spellingShingle | Beatriz Cintra Martins Lilian Barbosa Ramos Anna Karla Carneiro Roriz Henrique Salmazo da Silva Health multidimensional evaluation of institutionalized older adults according to cognitive performance Dementia & Neuropsychologia Aged Homes for the Aged Health Status Neuropsychological Tests Geriatrics |
| title | Health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| title_full | Health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| title_fullStr | Health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| title_full_unstemmed | Health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| title_short | Health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| title_sort | health multidimensional evaluation of institutionalized older adults according to cognitive performance |
| topic | Aged Homes for the Aged Health Status Neuropsychological Tests Geriatrics |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642025000100405&lng=en&tlng=en |
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