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衰弱标准与认知表现相关:巴西圣保罗埃梅里诺·马塔·拉佐 FIBRA 研究的数据。

Frailty criteria and cognitive performance are related: data from the FIBRA study in Ermelino Matarazzo, São Paulo, Brazil.

机构信息

Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, Brazil.

出版信息

J Nutr Health Aging. 2012 Jan;16(1):55-61. doi: 10.1007/s12603-012-0003-6.

Abstract

OBJECTIVES

To assess the relationship between the CHS frailty criteria (Fried et al., 2001) and cognitive performance.

DESIGN

Cross sectional and population-based.

SETTING

Ermelino Matarazzo, a poor sub district of the city of São Paulo, Brazil.

PARTICIPANTS

384 community dwelling older adults, 65 and older.

MEASUREMENTS

Assessment of the CHS frailty criteria, the Brief Cognitive Screening Battery (memorization of 10 black and white pictures, verbal fluency animal category, and the Clock Drawing Test) and the Mini-Mental State Examination (MMSE).

RESULTS

Frail older adults performed significantly lower than non-frail and pre frail elderly in most cognitive variables. Grip strength and age were associated to MMSE performance, age was associated to delayed memory recall, gait speed was associated to verbal fluency and CDT performance, and education was associated to CDT performance.

CONCLUSION

Being frail may be associated with cognitive decline, thus, gerontological assessments and interventions should consider that these forms of vulnerability may occur simultaneously.

摘要

目的

评估 CHS 衰弱标准(Fried 等人,2001 年)与认知表现之间的关系。

设计

横断面和基于人群的研究。

地点

巴西圣保罗市贫困的 Ermelino Matarazzo 区。

参与者

384 名居住在社区的 65 岁及以上老年人。

测量方法

评估 CHS 衰弱标准、简短认知筛查量表(记忆 10 张黑白图片、词汇流畅性动物类别和画钟测验)和简易精神状态检查(MMSE)。

结果

与非衰弱和衰弱前期老年人相比,衰弱老年人在大多数认知变量上的表现明显更低。握力和年龄与 MMSE 表现相关,年龄与延迟记忆回忆相关,步态速度与词汇流畅性和 CDT 表现相关,教育与 CDT 表现相关。

结论

衰弱可能与认知能力下降有关,因此,老年学评估和干预应考虑到这些脆弱形式可能同时发生。

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