Association between depression, functional capacity, cognitive status and the consumption of fruits and vegetables in elderly in Joinville/SC-Brazil

Luana Alberti Noronha, E. A. Koehnlein, Camila Tureck, Sabrina Gauto Silveira Fagundes, Ana Paula De Mello
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Abstract

The consumption of fruits and vegetables seems to contribute to the prevention and/or delay of depression, cognitive decline and, indirectly, to functional dependence, at the same time that it can be influenced by these clinical conditions. The objective of this study was to verify the association between depression, functional capacity, cognitive status and consumption of fruits and vegetables in elderly people in Joinville-SC. A study with secondary data collection carried out in 2021 that assessed depressive symptoms using the Geriatric Depression Scale, functional capacity using the PFEFFER Functional Activities Questionnaire, and cognitive status using the Mini-Mental State Examination. Consumption of fruits and vegetables (FV) was quantified using a food frequency questionnaire and was classified according to regularity. A total of 61 elderly were evaluated, of which 23% had depressive symptoms, 18% functional dependence in instrumental activities of daily living, 14.8% cognitive decline. A low frequency of elderly people with regular consumption of vegetables (36.1%), as well as associated fruits and vegetables (29.5%) was identified. On the other hand, the frequency of regular fruit consumption was high (73.8%) and was associated with a lower frequency of depressive symptoms and functional dependence. It was observed that elderly people with depressive symptoms, functional dependence and cognitive decline consumed FV irregularly.
巴西若因维尔/南卡罗来纳州老年人抑郁、机能、认知状况与水果和蔬菜消费量之间的关系
食用水果和蔬菜似乎有助于预防和/或延缓抑郁症、认知能力衰退,并间接地影响功能依赖,同时也会受到这些临床症状的影响。本研究旨在验证南卡罗来纳州儒安维尔市老年人的抑郁、功能能力、认知状况与水果和蔬菜消费之间的关联。这项研究于 2021 年进行了二次数据收集,使用老年抑郁量表评估抑郁症状,使用 PFEFFER 功能活动问卷评估功能能力,使用迷你精神状态检查评估认知状态。水果和蔬菜的摄入量通过食物频率问卷进行量化,并根据规律性进行分类。共对 61 名老人进行了评估,其中 23% 的老人有抑郁症状,18% 的老人在日常生活工具性活动方面存在功能依赖,14.8% 的老人认知能力下降。结果发现,经常食用蔬菜(36.1%)以及相关水果和蔬菜(29.5%)的老年人比例较低。另一方面,经常食用水果的频率较高(73.8%),并且与抑郁症状和功能依赖的频率较低有关。据观察,出现抑郁症状、功能依赖和认知能力下降的老年人不定期食用水果和蔬菜。
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