虚弱和认知能力下降对老年人双重任务表现的影响:一项分析性横断面研究。

IF 1.5 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-02-17 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7159.4485
Francine Golghetto Casemiro, Lucas Pelegrini Nogueira de Carvalho, Fernanda de Brito Matiello, Marcela Cristina Resende, Rosalina Aparecida Partezani Rodrigues
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引用次数: 0

摘要

目的:分析老年人身体虚弱和认知能力下降对双任务表现的影响。方法:横断面研究进行了老年人在老年病学门诊诊所,在圣保罗。采用社会人口统计数据、认知表现、虚弱表型、步态速度和双任务评估。分析是描述性的,结合了多元线性回归模型。结果:老年人219人,平均年龄72.55岁,年龄60 ~ 79岁占82.65%,以女性为主(70.32%)。其中体弱多病86例(39.27%),认知能力下降123例(57.48%)。简单步行的平均时间为15.95(7.02)秒;运动双任务,17.64(8.44)秒;对于认知双任务,23.88(11.87)秒。没有伴侣、与家人住在一起、受教育程度较低(0-4岁)的女性在完成认知和运动双重任务时需要的时间比简单行走的时间更多。虚弱的老年人在简单和双重运动/认知任务中表现出步态性能受损。结论:体弱的老年人在简单步态和双重运动/认知任务中的表现明显下降,在有和没有认知衰退的老年人之间的表现没有差异。多学科干预措施应侧重于促进老年人的健康。背景:(1)老年人虚弱和肌肉减少症是需要评估的重要综合征。(2)老年T2DM患者易发生虚弱。(3)护士应对虚弱和肌肉减少症实施预防措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of frailty and cognitive decline on dual task performance in older adults: an analytical cross-sectional study.

Objective: to analyze the influence of frailty and cognitive decline on dual-task performance in older adults.

Methods: cross-sectional study carried out with older adults at a geriatrics outpatient clinic, in São Paulo. Sociodemographic data, cognitive performance, frailty phenotype, gait speed and dual-task assessments were used. The analysis was descriptive, combined with a multiple linear regression model.

Results: 219 older adults participated, with a mean age of 72.55 years, aged between 60 and 79 years (82.65%) and predominantly female (70.32%). Among them, 86 (39.27%) were frail and 123 (57.48%) presented cognitive decline. The mean time for simple walking was 15.95 (7.02) seconds; for the motor dual-task, 17.64 (8.44) seconds; and for the cognitive dual-task, 23.88 (11.87) seconds. Women without a partner, living with family, and with low education (0-4 years) required more time to perform both the cognitive and motor dual-tasks compared to the time for simple walking. Frail older adults exhibited impared gait performance, both in simple and dual motor/cognitive tasks.

Conclusion: frail older adults experienced a significant decline in performance in simple gait and in dual motor/cognitive tasks, with no difference in performance between those with and without cognitive decline. Multidisciplinary interventions should focus on promoting the health of older adults.

Background: (1) Frailty and sarcopenia are important syndromes that need to be assessed in older adults. (2) Older adults with T2DM have a higher vulnerability to developing frailty. (3) Nurses should implement preventive measures to address frailty and sarcopenia.

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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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