Department of Physical Education, Federal University of Vale do São Francisco, Petrolina 56304-917, Brazil.
Department of Medicine, Federal University of Vale do São Francisco, Petrolina 56304-917, Brazil.
Int J Environ Res Public Health. 2023 Sep 14;20(18):6760. doi: 10.3390/ijerph20186760.
The study aimed to compare cognitive performance, depressive symptoms, and the incidence of falls in Brazilian older women with and without a confirmed history of COVID-19. This cross-sectional study included 188 women (60-89 years), divided into two groups: one with a history of COVID-19 (n = 139), and one without any history of COVID-19 (n = 49). The instruments used were the Cognitive Telephone Screening Instrument (COGTEL) test battery, the Trail Making Test (TMT), the Geriatric Depression Scale (GDS-15), and the self-reported history of falls since the beginning of mandatory confinement. The higher the age, the higher the incidence of falls. The highest prevalence of falls (57.1%) occurred in the COVID-19 group ( = 0.001), the members of which also indicated a better cognitive performance in the COGTEL test ( = 0.017), TMT-B ( = 0.004), and ∆TMT (B-A) ( = 0.004). In turn, the depressive symptoms were more severe in the COVID-19 group ( < 0.001). We observed that COVID-19 infection without hospitalization did not affect the cognitive performance of older adult women. Future studies should be carried out to monitor the mental health of older adult Brazilian women. Moreover, regardless of their history of COVID-19, older adults should participate in a physical training program focused on preventing falls.
本研究旨在比较有和无 COVID-19 确诊史的巴西老年女性的认知表现、抑郁症状和跌倒发生率。这项横断面研究纳入了 188 名(60-89 岁)女性,分为两组:一组有 COVID-19 史(n=139),另一组无 COVID-19 史(n=49)。使用的工具包括认知电话筛查工具(COGTEL)测试套件、连线测试(TMT)、老年抑郁量表(GDS-15)和自我报告的强制隔离开始以来的跌倒史。年龄越高,跌倒发生率越高。COVID-19 组的跌倒发生率最高(57.1%)( = 0.001),该组还表明在 COGTEL 测试( = 0.017)、TMT-B( = 0.004)和 ∆TMT(B-A)( = 0.004)中的认知表现更好。相反,COVID-19 组的抑郁症状更严重( < 0.001)。我们观察到,无住院的 COVID-19 感染并未影响老年女性的认知表现。未来应开展研究以监测巴西老年女性的心理健康。此外,无论是否有 COVID-19 史,老年人都应参加以预防跌倒为重点的身体训练计划。