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Abstract(s)
Com o aumento da esperança média de vida e o envelhecimento da população verifica-se uma tendência para o aumento da prevalência das demências a nível mundial. As demências, que poderão ser de diferentes etiologias, são das maiores causas de incapacidade e de dependência nos indivíduos idosos. O objetivo deste estudo foi comparar a aptidão física e a capacidade funcional na população idosa com demência vs. população idosa sem demência. Neste estudo observacional e transversal, participaram 36 idosos (idade ³ 65 anos) residentes em estruturas assistenciais, saudáveis (n=25) e com demência (n=11). A MiniMental State Examination (MMSE), o Índice de Barthel, o Índice de Massa Corporal (IMC), a força de preensão, o teste de 2 minutos de Step (T2MS)), o Timed Up and Go test (TUG) e a Short Physical Performance Battery (SPPB)
foram utilizados para avaliar as diferentes componentes da aptidão física e da capacidade funcional. Verificaram-se valores significativamente mais elevados nos idosos sem diagnóstico de demência no Índice de Barthel (U=69.5, p=0.019) e na MMSE (U=31.5, p=0.000). Verifica-se uma tendência nos idosos sem diagnóstico de demência para serem mais independentes na realização da higiene pessoal (𝜒" #=4.134, p=0.042), na deambulação (p=0.040) e nas idas ao WC (p=0.003, I.C.95%= (0.002, 0.005). Nos idosos com demência verificaram-se maior dependência ou necessidade de ajuda nas idas ao WC. Não se verificaram diferenças entre os dois grupos no T2MS (U=122,0, p=0,594) SPPB (U=117,0, p=0,477), na TUG (U=90,5, p=0,106), nem na força de preensão da mão dominante (t34=1.008, p=0.320). Os idosos com diagnóstico de demência apresentaram valores mais baixos nos testes de Equilíbrio da SPPB (U=74.0, p=0.024). Ambos os grupos são semelhantes no IMC. Concluímos que nesta amostra de indivíduos com e sem o diagnóstico de demência apenas se verificaram diferenças na autonomia nas atividades da vida diária (AVD) e no equilíbrio.
ABSTRACT - With the increase in life expectancy and the aging of the population, there is a trend toward an increase in the prevalence of dementia worldwide. Dementias, which may have different etiologies, are one of the major causes of disability and dependence in the elderly. The aim of this study was to compare physical fitness and functional capacity in the elderly population with dementia vs. the elderly population without dementia. In this observational and cross-sectional study, participated 36 elderly residents (³65 years) were healthy (n=25) and with dementia (n=11). Were used to assess the different components of functional capacity and physical fitness: Barthel Index, Body Mass Index (BMI), grip strength, Two-minutes step test (2MST), Timed Up and Go test (TUG), and Short Physical Performance Battery (SPPB). Significantly higher values were found in the elderly without a diagnosis of dementia in the Barthel Index (U=69.5, p=0.019) and in the MMSE (U=31.5, p=0.000). There is a trend in the elderly without a diagnosis of dementia to be more independent in performing personal care (χ_1^2=4.134, p=0.042), walking (p=0.040), and using the toilet (p=0.003, CI 95%=(0.002, 0.005). In the elderly with dementia, there was greater dependence or need for help in going to the toilet. There were no differences between the two groups in the 2MST (U=122.0, p=0.594), SPPB (U=117.0, p=0.477), in the TUG (U=90.5, p=0.106), nor in the grip strength of the dominant hand (t34=1.008, p=0.320). lower in the SPPB Balance tests (U=74.0, p=0.024). Both groups were similar in BMI. In conclusion, in this sample of individuals with and without a diagnosis of dementia, there were only differences between the two groups: in the autonomy in ADLs and balance.
ABSTRACT - With the increase in life expectancy and the aging of the population, there is a trend toward an increase in the prevalence of dementia worldwide. Dementias, which may have different etiologies, are one of the major causes of disability and dependence in the elderly. The aim of this study was to compare physical fitness and functional capacity in the elderly population with dementia vs. the elderly population without dementia. In this observational and cross-sectional study, participated 36 elderly residents (³65 years) were healthy (n=25) and with dementia (n=11). Were used to assess the different components of functional capacity and physical fitness: Barthel Index, Body Mass Index (BMI), grip strength, Two-minutes step test (2MST), Timed Up and Go test (TUG), and Short Physical Performance Battery (SPPB). Significantly higher values were found in the elderly without a diagnosis of dementia in the Barthel Index (U=69.5, p=0.019) and in the MMSE (U=31.5, p=0.000). There is a trend in the elderly without a diagnosis of dementia to be more independent in performing personal care (χ_1^2=4.134, p=0.042), walking (p=0.040), and using the toilet (p=0.003, CI 95%=(0.002, 0.005). In the elderly with dementia, there was greater dependence or need for help in going to the toilet. There were no differences between the two groups in the 2MST (U=122.0, p=0.594), SPPB (U=117.0, p=0.477), in the TUG (U=90.5, p=0.106), nor in the grip strength of the dominant hand (t34=1.008, p=0.320). lower in the SPPB Balance tests (U=74.0, p=0.024). Both groups were similar in BMI. In conclusion, in this sample of individuals with and without a diagnosis of dementia, there were only differences between the two groups: in the autonomy in ADLs and balance.
Description
Mestrado em Fisioterapia. - Área de especialização: Fisioterapia Neurológica.
Keywords
Fisioterapia Medicina de reabilitação Demência Capacidade funcional Aptidão física Idosos Physiotherapy Rehabilitation Dementia Physical capacity Physical fitness Elderly
Citation
Freire CM. Análise da capacidade funcional em indivíduos idosos saudáveis ou com demência [dissertation]. Lisboa: Escola Superior de Tecnologia da Saúde de Lisboa/Instituto Politécnico de Lisboa; 2022.
Publisher
Instituto Politécnico de Lisboa, Escola Superior de Tecnologia da Saúde de Lisboa