Resumen
Obetivo: identificar los factores asociados al desempeño en el Mini Examen del estado Mental (MEEM) de ancianos atendidos en un Policlínico de especialidades. Método: estudio transversal, con muestra por conveniencia, constituida por 216 ancianos que aguardaban consulta en el policlínico de especialidades, en el periodo de marzo a junio de 2015,con aplicación de instrumento estructurado y del MEEM. Para analisis, se se utilizó el software Stata versión 12® Y los resultados fueron considerados estadísticamente significativos cuanto p<0,05.Resultados:hubo predominio del sexo femenino (54%), casados (44%), que vivían con el conyuge (41%), y con baja transversalescolaridad (70%). Se identifico una asociación significativa entre el desempeño en el MEEM y sexo (p=0,001), escolaridad (p=0,001), renta (p=0,001), arreglo domiciliar (p=0,002), renta mensual individual p=0,00|).Conclusión: identificar precozmente el declinio cognitivo y factores asociados posibilita que estrategia de prevención y/o tratamiento sean implentadas por las profesionales de salud, en especial el enfermero.Citas
Cruz DT, Cruz FM, Ribeiro AL, Veiga CL, Leite ICG. Association between cognitive ability and the occurrence of falls in elderly. Cad Saúde Colet [internet]. 2015 [Cited 2016 Jan 16]; 23(4): 386-93. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2015000400386
Andrade NB, Novelli MMPC. Perfil cognitivo e funcional de idosos frequentadores dos Centros de Convivência para idosos da cidade de Santos, SP. Cad Ter Ocup UFSCar [internet]. 2015 [Cited 2016 Fev 6]; 23(1):143-152. Available from: http://www.cadernosdeterapiaocupacional.ufscar.br/index.php/cadernos/article/view/662
Holz AW, Nunes BP, Thumé E, Lange C, Facchini LA. Prevalence of cognitive impairment and associated factors among the elderly in Bagé, Rio Grande do Sul, Brazil. Rev Bras Epidemiol [internet]. 2013 [Cited 2015 Nov 10]; 16(4):880-8. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2013000400880
Vogel A, Salem LC, Andersen BB, Waldemar G. Differences in quantitative methods for measuring subjective cognitive decline - results from a prospective memory clinic study. Int Psychogeriatr [internet]. 2016 [Cited 2016 Jun 10]; 7:1-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27053171
Miu J, Negin J, Salinas-Rodriguez A, Manrique-Espinoza B, Sosa-Ortiz AL, Cumming R, Kowal P, et al. Factors associated with cognitive function in older adults in Mexico. Glob Health Action [internet]. 2016 [Cited 2016 Jun 10]; 9: 30747. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4816813/
Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement. [internet]. 2013 [Cited 2015 Nov 20]; 9:63–75.e2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23305823
Ferreira LS, Pinho MSP, Pereira MWM, Ferreira AP. Cognitive profile of elderly residents in Long-stay Institutions of Brasilia-DF. Rev Bras Enferm [internet]. 2014 [Cited 2016 Fev 20]; 67(2):247-51. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672014000200247
Melo DM, Barbosa AJG. Use of the Mini-Mental State Examination in research on the elderly in Brazil: a systematic review. Ciência & Saúde Coletiva [internet]. 2015 [Cited 2016 Fev 10];20(12):3865-76. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-81232015001203865
Bertoldi JT, Batista AC, Ruzanowsky S. Cognitive impairment on institucionalized elderly: a literature review. Cinergis [internet]. 2015 [Cited 2016 Mar 10];16(2):152-156. Available from: https://online.unisc.br/seer/index.php/cinergis/article/download/5411/4351
Langa KM, Levine DA. The Diagnosis and Management of Mild Cognitive Impairment: A Clinical Review. JAMA [internet]. 2014 [Cited 2015 Jan 13]; 312(23): 2551–2561. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25514304
Nascimento RAS, Batista RTS, Rocha SV, Vasconcelos LRC. Prevalência e fatores associados ao declínio cognitivo em idosos com baixa condição econômica: estudo MONIDI. J Bras Psiquiatr [internet]. 2015 [Cited 2016 Jan 13];64(3):187-92. Available from: http://www.scielo.br/pdf/jbpsiq/v64n3/0047-2085-jbpsiq-64-3-0187.pdf
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr [internet]. 1994 [Cited 2015 Nov 13]; 52(1):1-7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8002795
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for granding the cognitive state of patients for the clinican. J Psychiatr Res [internet]. 1975 [Cited 2015 Nov 13]; 12(3):189-98. Available from: http://www.ncbi.nlm.nih.gov/pubmed/1202204
Cunha FCM, Cintra MTG, Dornelas JM, Assis MG, Cassiano JG, Nicolato R, et al. Declínio funcional em idosos com comprometimento cognitivo leve. Rev Med Minas Gerais [internet]. 2015 [Cited 2016 Fev 13]; 25(3): 423-431. Available from: http://pesquisa.bvs.br/brasil/resource/pt/lil-763951
Danielewicz AL,Wagner KJP, d’Orsi E, Boing AF. Is cognitive decline in the elderly associated with contextual income? Results of a population-based study in southern Brazil. Cad Saúde Pública [internet]. 2016 [Cited 2016 Jun 13];32(5):e00112715. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2016000500702
Domiciano BR, Braga DKAP, Silva PN, Vasconcelos TB, Macena RHM. Escolaridade, idade e perdas cognitivas de idosas residentes em instituições de longa permanência. Rev Neurocienc Pública [internet]. 2014 [Cited 2015 Nov 13]; 22(3):330-6. Available from: http://www.revistaneurociencias.com.br/edicoes/2014/2203/Original/971original.pdf
Araújo CCR, Silveira C, Simas JPN, Zappelini A, Parcias SR, Guimarães ACA. Aspectos cognitivos e nível de atividade física de idosos. Saúde (Santa Maria), Santa Maria [internet]. 2015 [Cited 2016 Mar 13]; 41(2):193-202. Available from: http://periodicos.ufsm.br/revistasaude/article/view/15705
Ho V, Zainal H, Lim L, Ng A, Silva NG, Kandi N. Voluntary cognitive screening: characteristics of participants in an Asian setting. Clinical Interventions in Aging [internet]. 2015 [Cited 2016 Jan 3]; 10:771–780. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25945043
Neri AL, Yassuda MA, Araújo LF, Eulálio MC, Cabral BE, Siqueira MEC, et. al. Methodology and social, demographic, cognitive, and frailty profiles of community-dwelling elderly from seven Brazilian cities: the FIBRA Study. Cad Saúde Pública [internet]. 2013 [Cited 2015 Nov 15]; 29(4):778–92. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400015
Wee LE, Yeo WX, Yang GR, Hannan N, Lim K, Chua C, et al. Individual and area level socioeconomic status and its association with cognitive function and cognitive impairment (low MMSE) among community-dwelling elderly in Singapore. Dement Geriatr Cogn Disord Extra [internet]. 2012 [Cited 2015 Nov 15]; 2:529-42. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3522450/