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Simon SS, Brucki SMD, Fonseca LM, Becker J, Cappi C, Marques AH, Heyn PC, Gonçalves PD, Martins SS, Busatto G, Bertola L, Suemoto CK, Nitrini R, Caramelli P, Yassuda MS, Miotto EC, Grinberg LT, Arce Renteria M, Alegria M, Stern Y, Rivera‐Mindt M. The (in)visible Brazilians: A perspective review on the need for brain health and dementia research with Brazilian immigrants in the United States. Alzheimers Dement (N Y) 2023; 9:e12425. [PMID: 37744309 PMCID: PMC10517444 DOI: 10.1002/trc2.12425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 08/23/2023] [Accepted: 08/26/2023] [Indexed: 09/26/2023]
Abstract
Introduction The Brazilian population in the United States (U.S.), a Latinx subgroup, is rapidly growing and aging but remains underrepresented in U.S. health research. In addition to group-specific genetic and environmental risks, Brazilian immigrants and their offspring in the U.S. likely have cumulative risks for health inequities.It is estimated that 71% of Brazilian immigrants in the U.S. are undocumented, which may limit healthcare access/utilization. Furthermore, mental health is reported as a health priority by Brazilian immigrants in the U.S., and there is a lack of research on Alzheimer's disease and related dementia (AD/ADRD) in this population. Methods We reviewed the scientific literature using traditional (e.g., PubMed) sources and databases generated by U.S. and Brazilian governments, as well as international organizations, and press articles. Results This perspective review lists recommendations for researchers, health providers, and policymakers to promote greater inclusion of U.S. Brazilian populations in health research and care. The review identifies research areas in need of attention to address health inequities and promote mental/brain health in Brazilian immigrants and their offspring living in the U.S. These research areas are: 1) epidemiological studies to map the prevalence and incidence of mental/brain health conditions; 2) research on aging and AD/ADRD risk factors among Brazilian populations in the U.S.; and 3) the need for greater representation of U.S-residing Brazilian population in other relevant research areas involving genetics, neuropathology, and clinical trials. Conclusions The recommendation and research efforts proposed should help to pave the way for the development of community-engagement research and to promote mental/brain health education, improvement of mental/brain health and AD/ADRD services, and the development of culturally-informed intervention to the U.S.-residing Brazilian communities. HIGHLIGHTS The Brazilian population in the United States is growing but is underrepresented in U.S. health research.Approximately 71% of Brazilian immigrants in the United States are undocumented, with an increased risk for health inequities.Mental health is reported as a central health priority by Brazilian immigrants in the United States.There is a lack of research on Alzheimer's disease and other dementias (ADRD) in Brazilian immigrants in the United States.Epidemiological research is needed to map the prevalence/incidence of mental health conditions and ADRD risk factors among Brazilian immigrants in the United States.
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Affiliation(s)
- Sharon Sanz Simon
- Cognitive Neuroscience DivisionDepartment of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
- Old Age Research Group, Department of PsychiatryUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
| | | | - Luciana Mascarenhas Fonseca
- Old Age Research Group, Department of PsychiatryUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
- Department of Community and Behavioral HealthElson S. Floyd College of MedicineWashington State UniversitySpokaneWashingtonUSA
| | - Jacqueline Becker
- Division of General Internal MedicineIcahn School of Medicine at Mount SinaiNew YorkNew YorkUSA
| | - Carolina Cappi
- Department of PsychiatryIcahn School of Medicine at Mount SinaiNew YorkNew YorkUSA
- Seaver Autism Center for Research and TreatmentIcahn School of Medicine at Mount SinaiNew YorkNew YorkUSA
- Department of PsychiatryClinics HospitalUniversity of São PauloSchool of MedicineSão PauloSão PauloBrazil
| | - Andrea Horvath Marques
- Elliott School International AffairsThe George Washington UniversityWashingtonDistrict of ColumbiaUSA
| | - Patricia C. Heyn
- Center for Optimal AgingDepartment of Physical TherapyMarymount UniversityArlingtonVirginiaUSA
| | - Priscila Dib Gonçalves
- Department of EpidemiologyColumbia University Mailman School of Public HealthNew YorkNew YorkUSA
| | - Silvia S. Martins
- Department of EpidemiologyColumbia University Mailman School of Public HealthNew YorkNew YorkUSA
| | - Geraldo Busatto
- Laboratory of Psychiatric Neuroimaging (LIM‐21)Department of PsychiatryUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
| | - Laiss Bertola
- Department of PsychiatryEscola Paulista de Medicina, Universidade Federal de São PauloSão PauloBrazil
| | - Claudia Kimie Suemoto
- Division of GeriatricsDepartment of Clinical MedicineUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
| | - Ricardo Nitrini
- Old Age Research Group, Department of PsychiatryUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
| | - Paulo Caramelli
- Behavioral and Cognitive Neurology Research GroupFaculdade de MedicinaUniversidade Federal de Minas GeraisBelo HorizonteMinas GeraisBrazil
| | - Monica Sanches Yassuda
- Department of NeurologyUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
- Gerontology, School of Arts, Sciences, and HumanitiesUniversity of São PauloSão PauloSão PauloBrazil
| | - Eliane Correa Miotto
- Old Age Research Group, Department of PsychiatryUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
| | - Lea Tenenholz Grinberg
- Memory and Aging CenterDepartment of NeurologyUniversity of California San FranciscoSan FranciscoCaliforniaUSA
- Department of PathologyUniversity of California San FranciscoSan FranciscoCaliforniaUSA
- LIM‐22Department of PathologyUniversity of São Paulo Medical SchoolSão PauloSão PauloBrazil
- Global Brain Health InstituteUniversity of California San FranciscoSan FranciscoCaliforniaUSA
| | - Miguel Arce Renteria
- Cognitive Neuroscience DivisionDepartment of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
| | - Margarita Alegria
- Disparities Research UnitDepartment of MedicineMassachusetts General HospitalBostonMassachusettsUSA
- Department of MedicineHarvard Medical SchoolBostonMassachusettsUSA
- Department of PsychiatryHarvard Medical SchoolBostonMassachusettsUSA
| | - Yaakov Stern
- Cognitive Neuroscience DivisionDepartment of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Department of NeurologyColumbia UniversityVagelos College of Physicians and SurgeonsNew YorkNew YorkUSA
| | - Monica Rivera‐Mindt
- Department of PsychologyFordham UniversityNew YorkNew YorkUSA
- Department of NeurologyIcahn School of MedicineNew YorkNew YorkUSA
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de Godoy LL, Studart-Neto A, de Paula DR, Green N, Halder A, Arantes P, Chaim KT, Moraes NC, Yassuda MS, Nitrini R, Dresler M, da Costa Leite C, Panovska-Griffiths J, Soddu A, Bisdas S. Phenotyping Superagers Using Resting-State fMRI. AJNR Am J Neuroradiol 2023; 44:424-433. [PMID: 36927760 PMCID: PMC10084893 DOI: 10.3174/ajnr.a7820] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 02/19/2023] [Indexed: 03/18/2023]
Abstract
BACKGROUND AND PURPOSE Superagers are defined as older adults with episodic memory performance similar or superior to that in middle-aged adults. This study aimed to investigate the key differences in discriminative networks and their main nodes between superagers and cognitively average elderly controls. In addition, we sought to explore differences in sensitivity in detecting these functional activities across the networks at 3T and 7T MR imaging fields. MATERIALS AND METHODS Fifty-five subjects 80 years of age or older were screened using a detailed neuropsychological protocol, and 31 participants, comprising 14 superagers and 17 cognitively average elderly controls, were included for analysis. Participants underwent resting-state-fMRI at 3T and 7T MR imaging. A prediction classification algorithm using a penalized regression model on the measurements of the network was used to calculate the probabilities of a healthy older adult being a superager. Additionally, ORs quantified the influence of each node across preselected networks. RESULTS The key networks that differentiated superagers and elderly controls were the default mode, salience, and language networks. The most discriminative nodes (ORs > 1) in superagers encompassed areas in the precuneus posterior cingulate cortex, prefrontal cortex, temporoparietal junction, temporal pole, extrastriate superior cortex, and insula. The prediction classification model for being a superager showed better performance using the 7T compared with 3T resting-state-fMRI data set. CONCLUSIONS Our findings suggest that the functional connectivity in the default mode, salience, and language networks can provide potential imaging biomarkers for predicting superagers. The 7T field holds promise for the most appropriate study setting to accurately detect the functional connectivity patterns in superagers.
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Affiliation(s)
- L L de Godoy
- From the Departments of Radiology and Oncology (L.L.d.G., P.A., K.T.C., C.d.C.L.)
- Lysholm Department of Neuroradiology (L.L.d.G., S.B.), The National Hospital of Neurology and Neurosurgery
| | - A Studart-Neto
- Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - D R de Paula
- Donders Institute for Brain Cognition and Behavior (D.R.d.P., M.D.), Radboud University Medical Centre, Nijmegen, the Netherlands
| | - N Green
- Department of Statistics (N.G.), University College London, London, UK
| | - A Halder
- Departments of Medical Biophysics (A.H.)
| | - P Arantes
- From the Departments of Radiology and Oncology (L.L.d.G., P.A., K.T.C., C.d.C.L.)
| | - K T Chaim
- From the Departments of Radiology and Oncology (L.L.d.G., P.A., K.T.C., C.d.C.L.)
| | - N C Moraes
- Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - M S Yassuda
- Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - R Nitrini
- Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clinicas, Faculdade de Medicina da Universidade de Sao Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil
| | - M Dresler
- Donders Institute for Brain Cognition and Behavior (D.R.d.P., M.D.), Radboud University Medical Centre, Nijmegen, the Netherlands
| | - C da Costa Leite
- From the Departments of Radiology and Oncology (L.L.d.G., P.A., K.T.C., C.d.C.L.)
| | - J Panovska-Griffiths
- The Big Data Institute and the Pandemic Sciences Institute (J.P.-G.)
- The Queen's College (J.P.-G.), University of Oxford, Oxford, UK
| | - A Soddu
- Physics and Astronomy (A.S.), University of Western Ontario, London, Ontario, Canada
| | - S Bisdas
- Lysholm Department of Neuroradiology (L.L.d.G., S.B.), The National Hospital of Neurology and Neurosurgery
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Yassuda MS, Gil G, Apolinario D, Brucki SMD, Caramelli P, Nitrini R. Development of the Figure Memory Test and the Word Accentuation Test for the assessment of cognition in Brazil. Alzheimers Dement 2022. [DOI: 10.1002/alz.066970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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4
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Calandri IL, Crivelli L, Caramelli P, Lopera F, Nitrini R, Ortiz ALS, Suemoto CK, Salinas‐Contreras RM, Velilla LM, Yassuda MS, Sevlever G, Allegri RF, Initiative LFINGERS. LatAm Fingers Initiative: Challenges and opportunities of launching a multicultural trial in pandemic times. Alzheimers Dement 2022. [DOI: 10.1002/alz.061545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | | | | | - Francisco Lopera
- Grupo de Neurociencias de Antioquia, Universidad de Antioquia Medellin Colombia
| | - Ricardo Nitrini
- Faculdade de Medicina da Universidade de São Paulo São Paulo Brazil
| | | | | | | | - Lina M Velilla
- Grupo de Neurociencias, Universidad de Antioquia Medellín Colombia
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Calandri IL, Crivelli L, Caramelli P, Lopera F, Nitrini R, Ortiz ALS, Salinas‐Contreras RM, Suemoto CK, Velilla LM, Yassuda MS, Sevlever G, Allegri RF. LatAm FINGERS: Overcoming Barriers for a Dementia Prevention Trial Startup. Alzheimers Dement 2022. [DOI: 10.1002/alz.065869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
| | | | | | - Francisco Lopera
- Grupo de Neurociencias de Antioquia, Universidad de Antioquia Medellin Colombia
| | | | | | | | | | - Lina M Velilla
- Grupo de Neurociencias, Universidad de Antioquia Medellín Colombia
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Francisco PMSB, Assumpção DD, Borim FSA, Yassuda MS, Neri AL. Risk of all-cause mortality and its association with health status in a cohort of community-dwelling older people: FIBRA study. Cien Saude Colet 2021; 26:6153-6164. [PMID: 34910006 DOI: 10.1590/1413-812320212612.32922020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 10/05/2020] [Indexed: 11/22/2022] Open
Abstract
This article aims to estimate the risk of death according to sociodemographic characteristics, chronic diseases, frailty, functional capacity, and social participation in older people as well as determine the median time of death in relation to health status and social participation. A retrospective longitudinal study was conducted with older people (≥65 years) in 2008-09 and 2016-17 in the city of Campinas and the subdistrict of Ermelino Matarazzo in the city of São Paulo. Face-to-face interviews were conducted at community centers and the participants' homes. The cumulative incidence of death was estimated and associations with the predictor variables were analyzed using Poisson multiple regression. The Kaplan-Meier method and the log-rank test were also used. Among the 741 individuals located at follow-up, 192 had deceased. The incidence of death was higher among those who reported having heart disease and those who were dependent on others regarding the performance of instrumental activities of daily living. The incidence of death was lower among women, individuals in the highest income stratum, and those who performed three or more activities related to social inclusion. No differences in median survival times were found. Predictors of mortality can contribute to broadening knowledge on the singularities of the aging process.
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Affiliation(s)
| | - Daniela de Assumpção
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | - Flávia Silva Arbex Borim
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | - Monica Sanches Yassuda
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
| | - Anita Liberalesso Neri
- Faculdade de Ciências Médicas, Universidade Estadual de Campinas. R. Tessália Vieira de Camargo 126, Cidade Universitária. 13083-887 Campinas SP Brasil.
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Carvalho VA, Lima‐Silva TB, Mariano LI, de Souza LC, Guimarães HC, Bahia VS, Nitrini R, Barbosa MT, Yassuda MS, Caramelli P. The Addenbrooke’s Cognitive Examination–Revised in the differential diagnosis between Alzheimer's disease and behavioral variant frontotemporal dementia: A new model. Alzheimers Dement 2021. [DOI: 10.1002/alz.054616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Viviane Amaral Carvalho
- Universidade de São Paulo São Paulo Brazil
- Universidade Federal de Minas Gerais Belo Horizonte Brazil
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8
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Borim FSA, de Assumpção D, Neri AL, Batistoni SST, Francisco PMSB, Yassuda MS. Impact of functional capacity on change in self-rated health among older adults in a nine-year longitudinal study. BMC Geriatr 2021; 21:627. [PMID: 34736401 PMCID: PMC8567595 DOI: 10.1186/s12877-021-02571-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Accepted: 10/12/2021] [Indexed: 11/10/2022] Open
Abstract
The aims of the present study were to estimate the frequency of change in self-rated health (SRH) among community-dwelling older adults, between two measures taken at a 9-year interval; and determine factors associated with a decline and an improvement in SRH, in relation to aspects of physical/emotional health and subjective wellbeing. Data were derived from a community-based study on frailty among Brazilian elderly. Associations were investigated using Pearson’s chi-square test and relative risk ratios were estimated using multinomial logistic regression analysis. 39.3% of participants did not change their SRH at both assessment times, 21.7% rated it as worse and 39.0% rated it as better. The relative risk ratio of an improvement in SRH for individuals with disability in basic activities of daily living (ADLs) was lower than for individuals with independence in basic ADLs (IRR=0.22; IC95%: 0.08-0.63). Understanding the complex interactions between self-rated health and the dimensions that influence the improvement of health perception may shed light on key determinants of the wellbeing among older adults.
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Affiliation(s)
- Flávia Silva Arbex Borim
- Postgraduate Program in Gerontology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil.,Department of Collective Health, School of Health Sciences, University of Brasilia, Brasília, DF, Brazil
| | - Daniela de Assumpção
- Postgraduate Program in Gerontology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Anita Liberalesso Neri
- Postgraduate Program in Gerontology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
| | - Samila Sathler Tavares Batistoni
- Postgraduate Program in Gerontology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil.,School of Arts, Sciences and Humanities, Universidade de São Paulo, Arlindo Bettio, 1000, Ermelino Matarazzo, São Paulo, SP, CEP 03828-000, Brazil
| | | | - Monica Sanches Yassuda
- Postgraduate Program in Gerontology, School of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil. .,School of Arts, Sciences and Humanities, Universidade de São Paulo, Arlindo Bettio, 1000, Ermelino Matarazzo, São Paulo, SP, CEP 03828-000, Brazil.
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9
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Da Silva TBL, Ordonez TN, Bregola AG, Bahia VS, Cecchini MA, Guimarães HC, Gambogi LB, Caramelli P, Balthazar MLF, Damasceno BP, Brucki SMD, de Souza LC, Nitrini R, Yassuda MS. Neuropsychiatric Symptoms in Behavioral Variant Frontotemporal Dementia and Alzheimer's Disease: A 12-Month Follow-Up Study. Front Neurol 2021; 12:728108. [PMID: 34659093 PMCID: PMC8515178 DOI: 10.3389/fneur.2021.728108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2021] [Accepted: 09/03/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Neuropsychiatric symptoms in patients with frontotemporal dementia (FTD) are highly prevalent and may complicate clinical managements. Objective: To test whether the Neuropsychiatry Inventory (NPI) could detect change in neuropsychiatric symptoms and caregiver's distress in patients diagnosed with behavioral variant frontotemporal dementia (bvFTD) and Alzheimer's disease (AD) from baseline to a 12-month follow-up and to investigate possible predictors of change in NPI scores. Methods: The sample consisted of 31 patients diagnosed with bvFTD and 28 patients with AD and their caregivers. The Mini-Mental State Examination (MMSE), Addenbrooke's Cognitive Examination Revised (ACE-R), the INECO Frontal Screening (IFS), the Frontal Assessment Battery (FAB), the Executive Interview (EXIT-25) and the NPI were applied. Descriptive statistics, Mann-Whitney U test, Wilcoxon test, Chi square (χ2) test and Linear Regression Analysis were used. Results: NPI total and caregiver distress scores were statistically higher among bvFTD patients at both assessment points. MMSE, ACE-R scores significantly declined and NPI Total and Distress scores significantly increased in both groups. In the bvFTD group, age was the only independent predictor variable for the NPI total score at follow up. In the AD group, ACE-R and EXIT-25, conjunctively, were associated with the NPI total score at follow up. Conclusions: In 12 months, cognition declined and neuropsychiatric symptoms increased in bvFTD and AD groups. In the AD group only, cognitive impairment was a significant predictor of change in neuropsychiatric symptoms.
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Affiliation(s)
- Thais Bento Lima Da Silva
- Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.,Gerontology, School of Arts, Sciences, and Humanities, University of São Paulo, São Paulo, Brazil
| | - Tiago Nascimento Ordonez
- Gerontology, School of Arts, Sciences, and Humanities, University of São Paulo, São Paulo, Brazil.,Graduate Program in Applied Statistics, University Center of United Metropolitan Colleges, São Paulo, Brazil
| | - Allan Gustavo Bregola
- School of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, United Kingdom
| | - Valéria Santoro Bahia
- Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
| | - Mário Amore Cecchini
- Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.,Human Cognitive Neuroscience, Psychology, University of Edinburgh, Edinburgh, United Kingdom
| | | | - Leandro Boson Gambogi
- Neurology Division, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Paulo Caramelli
- Neurology Division, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | | | | | | | - Leonardo Cruz de Souza
- Neurology Division, University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Ricardo Nitrini
- Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil
| | - Monica Sanches Yassuda
- Department of Neurology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.,Gerontology, School of Arts, Sciences, and Humanities, University of São Paulo, São Paulo, Brazil
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de Godoy LL, Studart-Neto A, Wylezinska-Arridge M, Tsunemi MH, Moraes NC, Yassuda MS, Coutinho AM, Buchpiguel CA, Nitrini R, Bisdas S, da Costa Leite C. The Brain Metabolic Signature in Superagers Using In Vivo 1H-MRS: A Pilot Study. AJNR Am J Neuroradiol 2021; 42:1790-1797. [PMID: 34446458 DOI: 10.3174/ajnr.a7262] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 05/28/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Youthful memory performance in older adults may reflect an underlying resilience to the conventional pathways of aging. Subjects having this unusual characteristic have been recently termed "superagers." This study aimed to explore the significance of imaging biomarkers acquired by 1H-MRS to characterize superagers and to differentiate them from their normal-aging peers. MATERIALS AND METHODS Fifty-five patients older than 80 years of age were screened using a detailed neuropsychological protocol, and 25 participants, comprising 12 superagers and 13 age-matched controls, were statistically analyzed. We used state-of-the-art 3T 1H-MR spectroscopy to quantify 18 neurochemicals in the posterior cingulate cortex of our subjects. All 1H-MR spectroscopy data were analyzed using LCModel. Results were further processed using 2 approaches to investigate the technique accuracy: 1) comparison of the average concentration of metabolites estimated with Cramer-Rao lower bounds <20%; and 2) calculation and comparison of the weighted means of metabolites' concentrations. RESULTS The main finding observed was a higher total N-acetyl aspartate concentration in superagers than in age-matched controls using both approaches (P = .02 and P = .03 for the weighted means), reflecting a positive association of total N-acetyl aspartate with higher cognitive performance. CONCLUSIONS 1H-MR spectroscopy emerges as a promising technique to unravel neurochemical mechanisms related to cognitive aging in vivo and providing a brain metabolic signature in superagers. This may contribute to monitoring future interventional therapies to avoid or postpone the pathologic processes of aging.
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Affiliation(s)
- L L de Godoy
- From the Department of Radiology and Oncology (L.L.d.G., C.d.C.L.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
- The National Hospital of Neurology and Neurosurgery (M.W.-A., S.B.), University College London, London, UK
| | - A Studart-Neto
- Department of Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - M Wylezinska-Arridge
- The National Hospital of Neurology and Neurosurgery (M.W.-A., S.B.), University College London, London, UK
| | - M H Tsunemi
- Department of Biostatistics, Institute of Biosciences (M.H.T.), Universidade Estadual Paulista, Botucatu, Sao Paulo, SP, Brazil
| | - N C Moraes
- Department of Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - M S Yassuda
- Department of Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - A M Coutinho
- Division and Laboratory of Nuclear Medicine (A.M.C., C.A.B.), Department of Radiology and Oncology, Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - C A Buchpiguel
- Division and Laboratory of Nuclear Medicine (A.M.C., C.A.B.), Department of Radiology and Oncology, Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - R Nitrini
- Department of Neurology (A.S.-N., N.C.M., M.S.Y., R.N.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
| | - S Bisdas
- The National Hospital of Neurology and Neurosurgery (M.W.-A., S.B.), University College London, London, UK
| | - C da Costa Leite
- From the Department of Radiology and Oncology (L.L.d.G., C.d.C.L.), Hospital das Clínicas, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil
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11
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Assumpção DD, Francisco PMSB, Borim FSA, Yassuda MS, Neri AL. Which anthropometric measures best identify excess weight in older adults? Geriatr Gerontol Aging 2021. [DOI: 10.53886/gga.e0210051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES: To estimate the prevalence of and factors associated with excess weight in older adults according to body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WtHR), as well as to measure the differences between the prevalences estimated by WC and WtHR in relation to BMI. METHODS: This cross-sectional study was conducted in 2016 – 2017 with 549 older adults (72–102 years) from Campinas and Ermelino Matarazzo, two cities in the state of São Paulo, Brazil. Excess weight was defined according to cut-off points established for older adults. Multiple Poisson regression analysis was performed. RESULTS: The overweight/obesity prevalences were 47.36% (BMI), 61.38% (WC) and 65.57% (WtHR), being higher in women and in those with hypertension, diabetes, polypharmacy, and normal calf circumference. They were also higher in the youngest age strata (BMI and WC), in those with arthritis/rheumatism (BMI), and in those with slow gait (WtHR). The estimated overweight/obesity prevalences according to WC and WtHR were 29.00% and 38.00% higher, respectively, than BMI. In the multiple model, there was a higher prevalence of adiposity among diabetics and those with normal calf circumference. CONCLUSIONS: Measures of abdominal adiposity provided a better diagnosis of excess weight. We recommended that health professionals consider using WtHR in anthropometric assessment of older adults, especially regarding adiposity.
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Yassuda MS, Borim FA, Cipolli GC, Aprahamian I, Neri AL. Cognitive impairment and lower education predict physical frailty in an eight‐year longitudinal study in Brazil. Alzheimers Dement 2020. [DOI: 10.1002/alz.041511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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13
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Quesque F, Coutrot A, Cox S, de Souza LC, Baez S, Mulet‐Perreault H, Flanagan E, Neely‐Prado A, Clarens MF, Cassimiro L, Kemp J, Botzung A, Cosseddu M, Cardona JF, Trujillo C, Grisales JS, Crivelli L, Musa G, Delgado C, Magrath N, Calandri IL, Sedeno L, Fittipaldi S, Garcia AM, Moreno F, Indakoetxea B, Benussi A, Moura MMVB, Morozova A, Prianishnikova G, Iakovlena O, Veryugina N, Philippi N, Zhao L, Liang J, Duning T, Barandiaran M, Huepe D, Johnen A, Lyashenko E, Allegri RF, Wang F, Borroni B, Yassuda MS, Lillo P, Hudon C, Teixeira AL, Caramelli P, Slachevsky A, Blanc F, Lebouvier T, Pasquier F, Ibanez A, Hornberger M, Bertoux M. The impact of culture on neuropsychological performance: A global social cognition study across 12 countries. Alzheimers Dement 2020. [DOI: 10.1002/alz.039675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
| | | | - Sharon Cox
- London South Bank University London United Kingdom
| | | | | | | | | | | | | | - Luciana Cassimiro
- Cognitive and Behavioral Neurology Unit ‐ University of São Paulo São Paulo Brazil
| | - Jennifer Kemp
- University Hospital of Strasbourg Geriatrics, Neurology & CMRR Strasbourg France
| | - Anne Botzung
- University Hospital of Strasbourg Geriatrics, Neurology & CMRR Strasbourg France
| | | | | | | | | | | | - Gada Musa
- Capredena, Health and Rehabilitation Center Santiago Chile
| | | | | | | | | | | | | | - Fermin Moreno
- Department of Neurology Hospital Universitario Donostia San Sebastian Spain
| | | | | | | | - Anna Morozova
- Central Clinic No 1 of the Ministry of Internal Affairs of Russia Moscow Russia
| | | | | | | | - Nathalie Philippi
- University Hospital of Strasbourg Geriatrics, Neurology & CMRR Strasbourg France
| | - Lina Zhao
- Xuan Wu Hospital Capital Medical University Beijing China
| | - Junhua Liang
- Xuan Wu Hospital Capital Medical University Beijing China
| | | | - Myriam Barandiaran
- Organización Sanitaria Integrada Donostialdea Donostia‐San Sebastian Spain
| | - David Huepe
- Universidad Adolfo Ibáñez Santiago de Chile Chile
| | | | | | | | - Fen Wang
- Xuan Wu Hospital Capital Medical University Beijing China
| | | | | | - Patricia Lillo
- Departamento de Neurociencia Facultad de Medicina, Universidad de Chile Santiago Chile
| | | | | | | | - Andrea Slachevsky
- Memory and Neuropsychiatric Clinic (CMYN) Neurology Department‐Hospital del Salvador and University of Chile Santiago Chile
| | - Frédéric Blanc
- Centre Mémoire de Ressources et de Recherche Strasbourg France
| | - Thibaud Lebouvier
- Univ. Lille, Inserm, CHU‐Lille, Lille Neuroscience & Cognition F‐59000 Lille France
| | | | | | | | - Maxime Bertoux
- Univ Lille, Inserm, CHU Lille, UMR 1172. Degenerative and Vascular Cognitive Disorders Lille France
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14
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Fonseca LM, Mattar GP, Haddad GG, Burduli E, McPherson SM, de Figueiredo Ferreira Guilhoto LM, Filho GB, Yassuda MS, Bottino CM, Hoexter MQ, Chaytor NS. Prevalence of neuropsychiatric symptoms related to dementia in individuals with Down syndrome. Alzheimers Dement 2020. [DOI: 10.1002/alz.047603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Luciana Mascarenhas Fonseca
- Old Age Research Group (PROTER), Department of Psychiatry University of São Paulo Sao Paulo Brazil
- Elson S. Floyd College of Medicine Washington State University Spokane WA USA
| | | | - Glenda Guerra Haddad
- Old Age Research Group (PROTER), Department and Institute of Psychiatry, Faculty of Medicine University of São Paulo Sao Paulo Brazil
| | | | | | | | | | | | - Cassio M.C. Bottino
- Old Age Research Group (PROTER), Medical School University of São Paulo São Paulo Brazil
| | - Marcelo Queiroz Hoexter
- Obsessive‐Compulsive Spectrum Disorders Program (PROTOC), Faculty of Medicine University of São Paulo São Paulo Brazil
| | - Naomi S. Chaytor
- Elson S. Floyd College of Medicine Washington State University Spokane WA USA
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15
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Machado MF, Muela HCS, Costa-Hong VA, Yassuda MS, Moraes NC, Memória CM, Bor-Seng-Shu E, Massaro AR, Nitrini R, Bortolotto LA, Nogueira RDC. Evaluation of cerebral autoregulation performance in patients with arterial hypertension on drug treatment. J Clin Hypertens (Greenwich) 2020; 22:2114-2120. [PMID: 32966689 DOI: 10.1111/jch.14052] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2020] [Revised: 09/01/2020] [Accepted: 09/03/2020] [Indexed: 11/28/2022]
Abstract
Cerebral autoregulation (AR) keeps cerebral blood flow constant despite fluctuations in systemic arterial pressure. The final common AR pathway is made up of vasomotor adjustments of cerebrovascular resistance mediated by arterioles. Structural and functional changes in the arteriolar wall arise with age and systemic arterial hypertension. This study evaluated whether AR is impaired in hypertensive patients and whether this impairment differs with disease control. Three groups of patients were prospectively compared: hypertensive patients under treatment with systolic blood pressure (SBP) <140 and diastolic blood pressure (DBP) <90 mm Hg (n = 54), hypertensive patients under treatment with SBP > 140 or DBP > 90 mm Hg (n = 31), and normotensive volunteers (n = 30). Simultaneous measurements of cerebral blood flow velocity (CBFV) and BP were obtained by digital plethysmography and transcranial Doppler, and the AR index (ARI) was defined according to the step response to spontaneous fluctuations in BP. Compared to the uncontrolled hypertension, the normotensive individuals were younger (age 43.42 ± 11.14, P < .05) and had a lower resistance-area product (1.17 ± 0.24, P < .05), although age and greater arteriolar stiffness did not affect the CBFV mean of hypertensive patients, whether controlled or uncontrolled (62.85 × 58.49 × 58.30 cm/s, P = .29), most likely because their ARIs were not compromised (5.54 × 5.91 × 5.88, P = .6). Hypertensive patients under treatment, regardless of their BP control, have intact AR capacity.
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Affiliation(s)
- Michel Ferreira Machado
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | | | | | - Monica Sanches Yassuda
- Gerontology, School of Arts, Sciences and Humanities, University of São Paulo Medical School, São Paulo, Brazil
| | - Natalia Cristina Moraes
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | - Claudia Maia Memória
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | - Edson Bor-Seng-Shu
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | - Ayrton Roberto Massaro
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | - Ricardo Nitrini
- Department of Neurology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, Brazil
| | - Luiz Aparecido Bortolotto
- Instituto do Coração (Incor), University of São Paulo Medical School - Hypertension Unit, São Paulo, Brazil
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16
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Moraes NC, Muela HCS, MemÓria CM, Costa-Hong VAD, Machado MF, Cechinhi MA, Nitrini R, Bortolotto LA, Yassuda MS. Systemic arterial hypertension and cognition in adults: effects on executive functioning. Arq Neuropsiquiatr 2020; 78:412-418. [PMID: 32627812 DOI: 10.1590/0004-282x20200039] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 03/30/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Central nervous system changes associated to systemic arterial hypertension (SAH) are progressive and may cause negative effects on cognitive performance. The objective of this study was to investigate the relation between SAH and the components of executive functions (EF), inhibitory control (IC), updating and shifting, comparing a control group (without SAH) to patients with SAH, in two levels of severity. METHODS The protocol included the following tests to evaluate EF components: T.O.V.A. Test (IC), Backward Digit Span from Wechsler Adults Intelligence Scale (WAIS-III), Phonemic and Semantic Verbal Fluency (updating), and Trail Making Test Part B (shifting). RESULTS A total of 204 participants was included: 56 from the Control Group (CG), 87 SAH stage 1, and 61 SAH stage 2. The groups were not different for age (52.37±12.29) and education (10.98±4.06). As to controlled blood pressure (BP), duration of hypertension treatment and number of drugs, the SAH 2 group had a worse BP control, longer duration of hypertension treatment and use of more drugs when compared to the SAH 1. The findings revealed that patients with more severe hypertension presented worse performance in updating (Backward Digit Span, phonemic and semantics VF) and shifting (Trail Making Test Part B). CONCLUSION The results suggest that patients with SAH have a significant impairment in EF, more specifically in updating and shifting. Besides that, such damage may be directly proportional to the severity of SAH. It is suggested that future studies include neuroimaging exams to exclude possible cerebrovascular diseases.
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Affiliation(s)
| | | | | | | | | | | | - Ricardo Nitrini
- Department of Neurology, Universidade de São Paulo, São Paulo, SP, Brazil
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17
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Melo RC, Cipolli GC, Buarque GLA, Yassuda MS, Cesari M, Oude Voshaar RC, Aprahamian I. Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-analysis. J Nutr Health Aging 2020; 24:708-716. [PMID: 32744566 DOI: 10.1007/s12603-020-1398-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
OBJECTIVES Frailty is characterized by a functioning decline in multiple systems accompanied by an increase in individual's vulnerability to stressors. It appears to be higher in low and middle-income countries compared with high-income ones. This study aimed to evaluate the prevalence of frailty in non-institutionalized Brazilian older adults. DESIGN a systematic review and meta-analysis study. SETTING Cross-sectional and prospective data from Brazil. PARTICIPANTS non-institutionalized adults aged 60 and older. METHODS Electronic searches were performed in PubMed/MEDLINE, LILACS, SCOPUS and Web of Science, considering the studies published between March 2001 and July 2018, using a combination of the following terms and correlates: "elder" AND "frail" AND "prevalence" AND "Brazil". Two independent reviewers selected studies according to the inclusion criteria. Disagreements were resolved by a third reviewer (title/abstract) and by consensus. Studies with samples ≥221 subjects were considered for meta-analysis. RESULTS 28 studies were included, while 18 had the data meta-analyzed. The majority of studies (61%) included older adults only from the Southeastern region. The number of subjects ranged from 53 to 5,532 individuals (N = 17,604) and the average age ranged from 65.6 to 85.5 years. The overall prevalence of frailty was 24%. When considering the different assessment methods, the prevalence was lower for frailty phenotype (16%) compared with other criteria (40%). Regarding sex, the prevalence of frailty was similar for women (28%) and men (25%). The prevalence of frailty was higher in older adults recruited from health care services (30%) compared to community ones (22%). CONCLUSION In Brazil, the overall prevalence of frailty in non-institutionalized older adults is higher than observed from more developed countries. However, it may vary according to the assessment methods and settings.
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Affiliation(s)
- R C Melo
- R.C. Melo, Universidade de Sao Paulo, Brazil,
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18
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Ciola G, Silva MF, Yassuda MS, Neri AL, Borim FSA. Dor crônica em idosos e associações diretas e indiretas com variáveis sociodemográficas e de condições de saúde: uma análise de caminhos. Rev bras geriatr gerontol 2020. [DOI: 10.1590/1981-22562020023.200065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumo Objetivo Identificar a prevalência de dor crônica em idosos acima de 70 anos de idade e as relações diretas e indiretas entre dor crônica e variáveis sociodemográficas e de condições de saúde. Método Estudo transversal, realizado com 419 idosos de 72 anos ou mais, entre 2016 e 2017. Os participantes são provenientes do estudo de seguimento do Estudo FIBRA, que incluiu idosos não institucionalizados residentes da zona urbana dos municípios de Campinas e Ermelino Matarazzo, do estado de São Paulo, Brasil. A variável mediadora foi dor crônica, avaliada positivamente pelo autorrelato da presença de dor nos últimos seis meses. As variáveis independentes contempladas foram: sociodemográficas, comportamentos relacionados à saúde, multimorbidade, sintomas depressivos, insônia e autoavaliação de saúde. As relações diretas e indiretas foram testadas por meio da análise de caminhos. Resultados 57,0% da população estudada relatou dor crônica. O sexo feminino, o Índice de Massa Corporal (IMC) elevado, a multimorbidade e os sintomas de insônia e de depressão apresentaram associação direta com dor crônica. A dor crônica figurou como variável mediadora das associações entre autoavaliação de saúde e gênero, IMC, multimorbidade e sintomas de insônia. Conclusão Os dados mostram uma rede de interações da dor crônica com variáveis sociodemográficas e de condições de saúde. Esse conhecimento poderá beneficiar o manejo e o cuidado à pessoa idosa acometida por dor crônica.
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Affiliation(s)
| | | | - Monica Sanches Yassuda
- Universidade Estadual de Campinas (Unicamp), Brasil; Universidade de São Paulo (USP), Brasil
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19
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Chan KY, Adeloye D, Asante KP, Calia C, Campbell H, Danso SO, Juvekar S, Luz S, Mohan D, Muniz-Terrera G, Nitrini R, Noroozian M, Nulkar A, Nyame S, Paralikar V, Parra Rodriguez MA, Poon AN, Reidpath DD, Rudan I, Stephan BCM, Su T, Wang H, Watermeyer T, Wilkinson H, Yassuda MS, Yu X, Ritchie C. Tackling dementia globally: the Global Dementia Prevention Program (GloDePP) collaboration. J Glob Health 2019; 9:020103. [PMID: 31893025 PMCID: PMC6925964 DOI: 10.7189/jogh.09.020103] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Affiliation(s)
- Kit Yee Chan
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
- Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Australia
| | - Davies Adeloye
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
- RcDavies Evidence-based Medicine, Lagos, Nigeria
| | - Kwaku Poku Asante
- Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana
| | - Clara Calia
- Department of Clinical Psychology, School of Health in Social Science, Medical School, The University of Edinburgh, United Kingdom
| | - Harry Campbell
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
| | - Samuel O Danso
- Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom
| | - Sanjay Juvekar
- King Edward Memorial Hospital Research Centre (KEMHRC), Pune, India
| | - Saturnino Luz
- Usher Institute, University of Edinburgh, United Kingdom
| | - Devi Mohan
- Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia
- South East Asia Community Observatory, Monash University Malaysia, Malaysia
| | - Graciela Muniz-Terrera
- Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom
| | - Ricardo Nitrini
- Departamento de Neurologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo (SP), Brazil
| | | | - Amit Nulkar
- King Edward Memorial Hospital Research Centre (KEMHRC), Pune, India
| | - Solomon Nyame
- Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana
| | | | - Mario A Parra Rodriguez
- School of Psychological Sciences and Health, University of Strathclyde, Glasgow, United Kingdom
- Autonomous University of the Caribbean, Barranquilla, Colombia
| | - Adrienne N. Poon
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
- Department of Medicine, George Washington School of Medicine & Health Sciences, Washington, DC, United States
| | | | - Igor Rudan
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
| | - Blossom CM Stephan
- Institute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, Nottingham University, United Kingdom
| | - TinTin Su
- Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia
- South East Asia Community Observatory, Monash University Malaysia, Malaysia
| | - Huali Wang
- Dementia Care & Research Centre, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China
- National Clinical Research Centre for Mental Disorders, Key Laboratory for Mental Health, Beijing, China
| | - Tam Watermeyer
- Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom
- Department of Psychology, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Heather Wilkinson
- Edinburgh – Centre for Research on the Experience of Dementia, School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom
| | - Monica Sanches Yassuda
- Departamento de Neurologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo (SP), Brazil
- Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil
| | - Xin Yu
- Dementia Care & Research Centre, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China
- National Clinical Research Centre for Mental Disorders, Key Laboratory for Mental Health, Beijing, China
| | - Craig Ritchie
- Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom
| | - on behalf of the Global Dementia Prevention Program (GloDePP)
- Centre for Global Health, Usher Institute, University of Edinburgh, United Kingdom
- Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Australia
- RcDavies Evidence-based Medicine, Lagos, Nigeria
- Kintampo Health Research Centre, Ghana Health Service, Kintampo, Ghana
- Department of Clinical Psychology, School of Health in Social Science, Medical School, The University of Edinburgh, United Kingdom
- Edinburgh Dementia Prevention, Centre for Clinical Brain Sciences, University of Edinburgh, United Kingdom
- King Edward Memorial Hospital Research Centre (KEMHRC), Pune, India
- Usher Institute, University of Edinburgh, United Kingdom
- Global Public Health, Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia
- South East Asia Community Observatory, Monash University Malaysia, Malaysia
- Departamento de Neurologia, Faculdade de Medicina da Universidade de São Paulo, São Paulo (SP), Brazil
- Tehran University of Medical Sciences (TUMS), Tehran, Iran
- School of Psychological Sciences and Health, University of Strathclyde, Glasgow, United Kingdom
- Alzheimer’s Scotland Dementia Research Centre, Edinburgh University, United Kingdom
- Autonomous University of the Caribbean, Barranquilla, Colombia
- Department of Medicine, George Washington School of Medicine & Health Sciences, Washington, DC, United States
- Health System and Population Studies Division, icddr,b Bangladesh
- Institute of Mental Health, Division of Psychiatry and Applied Psychology, School of Medicine, Nottingham University, United Kingdom
- Dementia Care & Research Centre, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China
- Beijing Dementia Key Lab, Beijing, China
- National Clinical Research Centre for Mental Disorders, Key Laboratory for Mental Health, Beijing, China
- Department of Psychology, Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, United Kingdom
- Edinburgh – Centre for Research on the Experience of Dementia, School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom
- Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte (MG), Brazil
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20
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Pivetta NRS, Marincolo JCS, Neri AL, Aprahamian I, Yassuda MS, Borim FSA. Multimorbidity, frailty and functional disability in octogenarians: A structural equation analysis of relationship. Arch Gerontol Geriatr 2019; 86:103931. [PMID: 31541858 DOI: 10.1016/j.archger.2019.103931] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Revised: 07/26/2019] [Accepted: 08/01/2019] [Indexed: 01/08/2023]
Abstract
Path analysis allows for an understanding of the complex interrelationships between multiple variables and interactions in the octogenarians. The aim of this study was to estimate the isolated and combined prevalence of multimorbidity, frailty and functional disability and the direct and indirect association of these conditions in octogenarians. A cross-sectional study was conducted with 166 community-dwelling individuals aged 80 years or older participating in the FIBRA80+ epidemiological study. Multimorbidity was defined by three or more chronic diseases, frailty according to 3 or more components of physical frailty phenotype and functional disability as aid needed to perform one or more activities of daily living (ADLs). Associations were tested by Pearson's chi-square test; the relationship between the variables of interest and the mediating variables was tested with structural equation (path) analysis. We observed a higher prevalence of seniors with disability and multimordibity/disability. In path analysis, number of chronic diseases mediated the relation between sex and number of frailty components (p = 0.031), and these mediated the relation between number of diseases and disability (p = 0.008). The study points out the relationship between the simultaneous presence and interaction between multimorbidity, functional disability and frailty. Through path analysis, our findings provide characteristics in relation to the health-disease process, mainly mediation and interaction among octogenarians.
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Affiliation(s)
- N R S Pivetta
- Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil.
| | - J C S Marincolo
- Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil
| | - A L Neri
- Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil
| | | | - M S Yassuda
- Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil; School of Arts, Sciences and Humanities (EACH), University of São Paulo, São Paulo, Brazil
| | - F S A Borim
- Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil
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21
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Brigola AG, Alexandre TDS, Inouye K, Yassuda MS, Pavarini SCI, Mioshi E. Limited formal education is strongly associated with lower cognitive status, functional disability and frailty status in older adults. Dement Neuropsychol 2019; 13:216-224. [PMID: 31285797 PMCID: PMC6601310 DOI: 10.1590/1980-57642018dn13-020011] [Citation(s) in RCA: 44] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Limited formal education is still common in ageing populations. Although limited
formal education seems to be independently and negatively associated with
cognition, functional abilities and frailty in ageing, no studies have examined
whether the gradient of limited formal education has an impact on health in
later life.
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Affiliation(s)
| | | | - Keika Inouye
- Department of Gerontology, Federal University of São Carlos, SP, Brazil
| | - Monica Sanches Yassuda
- Gerontology, School of Arts, Sciences and Humanities, University of São Paulo, SP, Brazil
| | - Sofia Cristina Iost Pavarini
- Nursing Post Graduate Program, Federal University of São Carlos, SP, Brazil.,Department of Gerontology, Federal University of São Carlos, SP, Brazil
| | - Eneida Mioshi
- School of Health Sciences, University of East Anglia, Norwich, UK
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22
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Yokomizo JE, Seeher K, Oliveira GMD, Silva LDSVE, Saran L, Brodaty H, Aprahamian I, Yassuda MS, Bottino CMDC. Cognitive screening test in primary care: cut points for low education. Rev Saude Publica 2018; 52:88. [PMID: 30484482 PMCID: PMC6280619 DOI: 10.11606/s1518-8787.2018052000462] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 01/02/2018] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To establish the diagnostic accuracy of the Brazilian version of the General Practitioner Assessment of Cognition (GPCOG-Br) compared to the Mini-Mental State Examination (MMSE) in individuals with low educational level. METHODS Ninety-three patients (≥ 60 years old) from Brazilian primary care units provided sociodemographic, cognitive, and functional data. Receiver operating characteristics, areas under the curve (AUC) and logistic regressions were conducted. RESULTS Sixty-eight patients with 0-4 years of education. Cases (n = 44) were older (p = 0.006) and performed worse than controls (n = 49) on all cognitive or functional measures (p < 0.001). The GPCOG-Br demonstrated similar diagnostic accuracy to the MMSE (AUC = 0.90 and 0.91, respectively) and similar positive and negative predictive values (PPV/NPV, respectively: 0.79/0.86 for GPCOG-Br and 0.79/0.81 for MMSE). Adjusted cut-points displayed high sensitivity (all 86%) and satisfactory specificity (65%-80%). Lower educational level predicted lower cognitive performance. CONCLUSIONS The GPCOG-Br is clinically well-suited for use in primary care.
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Affiliation(s)
- Juliana Emy Yokomizo
- Universidade de São Paulo. Faculdade de Medicina. Programa Terceira Idade (PROTER), Instituto de Psiquiatria. São Paulo, SP, Brasil
| | - Katrin Seeher
- University of New South Wales. Dementia Collaborative Research Center. Sydney, New South Wales, Australia
| | | | | | - Laura Saran
- Universidade de São Paulo. Faculdade de Medicina. Programa Terceira Idade (PROTER), Instituto de Psiquiatria. São Paulo, SP, Brasil
| | - Henry Brodaty
- University of New South Wales. Dementia Collaborative Research Center. Sydney, New South Wales, Australia
| | - Ivan Aprahamian
- Universidade de São Paulo. Faculdade de Medicina. Programa Terceira Idade (PROTER), Instituto de Psiquiatria. São Paulo, SP, Brasil.,Departmento de Clínica Médica. Faculdade de Medicina de Jundiaí. Jundiaí, SP, Brasil
| | - Monica Sanches Yassuda
- Universidade de São Paulo. Escola de Artes, Ciências e Humanidades. São Paulo, SP, Brasil
| | - Cássio Machado de Campos Bottino
- Universidade de São Paulo. Faculdade de Medicina. Programa Terceira Idade (PROTER), Instituto de Psiquiatria. São Paulo, SP, Brasil
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Pires Camargo Novelli MM, Machado SC, Balestra de Lima G, Cantatore L, Pereira de Sena B, Rodrigues RS, Izys C, Fernandez Canon MB, Nitrini R, Piersol CV, Yassuda MS, Gitlin LN. P3‐546: THE IMPACT OF THE TAILORED ACTIVITY PROGRAM (TAP‐BR) ON CAREGIVERS’ MENTAL HEALTH IN BRAZIL. Alzheimers Dement 2018. [DOI: 10.1016/j.jalz.2018.06.1911] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | | | | | | | | | | | - Camyla Izys
- Federal University of São PauloSantosSao PauloBrazil
| | | | | | | | | | - Laura N. Gitlin
- Johns Hopkins Center for Innovative Care in AgingBaltimoreMDUSA
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Cesar KG, Yassuda MS, Gobbi Porto FH, Brucki SMD, Nitrini R. P1‐528: MONTREAL COGNITIVE ASSESSMENT: DATA FOR SENIORS WITH HETEROGENEOUS EDUCATIONAL LEVELS IN BRAZIL. Alzheimers Dement 2018. [DOI: 10.1016/j.jalz.2018.06.539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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25
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Muela HCS, Costa-Hong VA, Yassuda MS, Machado MF, Nogueira RDC, Moraes NC, Memória CM, Macedo TA, Bor-Seng-Shu E, Massaro AR, Nitrini R, Bortolotto LA. Impact of hypertension severity on arterial stiffness, cerebral vasoreactivity, and cognitive performance. Dement Neuropsychol 2017; 11:389-397. [PMID: 29354219 PMCID: PMC5769997 DOI: 10.1590/1980-57642016dn11-040008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Aging, hypertension (HTN), and other cardiovascular risk factors contribute to structural and functional changes of the arterial wall.
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Affiliation(s)
- Henrique Cotchi Simbo Muela
- Heart Institute (Incor), University of São Paulo Medical School - Hypertension Unit São Paulo, São Paulo, SP, Brazil.,Department of Physiology, Faculty of Medicine, Agostinho Neto University, Luanda, Angola
| | - Valeria A Costa-Hong
- Heart Institute (Incor), University of São Paulo Medical School - Hypertension Unit São Paulo, São Paulo, SP, Brazil
| | - Monica Sanches Yassuda
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | | | - Natalia C Moraes
- University of São Paulo Medical School, Department of Neurology, São Paulo, SP, Brazil
| | - Claudia Maia Memória
- University of São Paulo Medical School, Department of Neurology, São Paulo, SP, Brazil
| | - Thiago A Macedo
- Heart Institute (Incor), University of São Paulo Medical School - Hypertension Unit São Paulo, São Paulo, SP, Brazil
| | - Edson Bor-Seng-Shu
- University of São Paulo Medical School, Department of Neurology, São Paulo, SP, Brazil
| | | | - Ricardo Nitrini
- University of São Paulo Medical School, Department of Neurology, São Paulo, SP, Brazil
| | - Luiz A Bortolotto
- Heart Institute (Incor), University of São Paulo Medical School - Hypertension Unit São Paulo, São Paulo, SP, Brazil
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Morelli NL, Cachioni M, Lopes A, Batistoni SST, Falcão DVDS, Neri AL, Yassuda MS. Verbal fluency in elderly with and without hypertension and diabetes from the FIBRA study in Ermelino Matarazzo. Dement Neuropsychol 2017; 11:413-418. [PMID: 29354222 PMCID: PMC5770000 DOI: 10.1590/1980-57642016dn11-040011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Accepted: 11/06/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND There are few studies on the qualitative variables derived from the animal category verbal fluency test (VF), especially with data originating from low-income samples of community-based studies. OBJECTIVE To compare elderly with and without hypertension (HTN) and diabetes mellitus (DM) regarding the total number of animals spoken, number of categories, groups and category switches on the VF test. METHODS We used the database of the FIBRA (Frailty in Brazilian Elderly) community-based study. The variables number of Categories, Groups and Category Switches were created for each participant. The total sample (n = 384) was divided into groups of elderly who reported having HTN, DM, both HTN and DM, or neither of these conditions. RESULTS There were no significant differences between the groups with and without these chronic diseases for VF total score or for the qualitative variables. CONCLUSION Among independent community-dwelling elderly, the qualitative variables derived from the VF animal category may not add information regarding the cognitive profile of elderly with chronic diseases. Total VF score and the qualitative variables Category, Group and Switching did not differentiate elderly with and without HTN and DM.
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Affiliation(s)
- Nathalia Lais Morelli
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Meire Cachioni
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
- Gerontologia, Faculdade de Ciências Médicas, UNICAMP, Campinas, São Paulo, Brazil
| | - Andrea Lopes
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
| | - Samila Sathler Tavares Batistoni
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
- Gerontologia, Faculdade de Ciências Médicas, UNICAMP, Campinas, São Paulo, Brazil
| | | | - Anita Liberalesso Neri
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
- Gerontologia, Faculdade de Ciências Médicas, UNICAMP, Campinas, São Paulo, Brazil
| | - Monica Sanches Yassuda
- Gerontologia, Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, São Paulo, São Paulo, Brazil
- Gerontologia, Faculdade de Ciências Médicas, UNICAMP, Campinas, São Paulo, Brazil
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Yassuda MS, Bahia VS, Cecchini MA, Cassimiro L, Lima‐Silva TB, Guimaraes HC, Gambogi LB, Cruz de Souza L, Caramelli P, Figueredo Balthazar ML, Damasceno BP, Dozzi Brucki SM, Nitrini R. [P2–467]: TESTS OF EXECUTIVE FUNCTION MAY NOT DIFFERENTIATE ALZHEIMER's DISEASE FROM BEHAVIORAL VARIANT FRONTOTEMPORAL DEMENTIA. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.1124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Carvalho VA, Mariano LI, Lima‐Silva TB, Guimaraes HC, Cruz de Souza L, Barbosa MT, Machado Rodrigues RB, Paula França Resende E, Machado de Campos Bottino C, Yassuda MS, Nitrini R, Caramelli P. [P3–441]: THE ADDENBROOKE's COGNITIVE EXAMINATION‐REVISED (ACE‐R) IN THE DIAGNOSIS OF MILD COGNITIVE IMPAIRMENT DUE TO ALZHEIMER's DISEASE: A PRELIMINARY ANALYSIS. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.1659] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Neto AS, Trés ES, Moraes NC, Parmera JB, Spera RR, Cippiciani TM, Henrique de Gobbi Porto F, Takada LT, Miotto EC, Yassuda MS, Dozzi Brucki SM, Nitrini R. [P4–177]: TRANSLATION AND CROSSCULTURAL ADAPTATION OF THE BRAZILIAN VERSION OF THE COGNITIVE FUNCTION INSTRUMENT FOR EVALUATION OF SUBJECTIVE COGNITIVE DECLINE. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.2044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Lima‐Silva TB, Bahia VS, Cecchini MA, Cassimiro L, Guimaraes HC, Gambogi LB, Caramelli P, Figueredo Balthazar ML, Damasceno BP, Dozzi Brucki SM, Cruz de Souza L, Mioshi E, Nitrini R, Yassuda MS. [P2–301]: DISEASE STAGING IN FRONTOTEMPORAL DEMENTIA AND ALZHEIMER'S DISEASE: THE CONTRIBUTION OF THE FRONTOTEMPORAL DEMENTIA RATING SCALE (FTD‐FRS) IN A 12‐MONTH FOLLOW‐UP STUDY. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.954] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | | | | | | | | | | | | | | | - Leonardo Cruz de Souza
- Federal University of Minas GeraisBelo HorizonteBrazil
- Neurology DepartmentBelo HorizonteBrazil
| | | | | | - Monica Sanches Yassuda
- Medical School of University of São PauloSão PauloBrazil
- State University of Campinas UNICAMPCampinasBrazil
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Cecchini MA, Yassuda MS, Bahia VS, Lima‐Silva TB, Cassimiro L, Cruz de Souza L, Caramelli P, Gambogi LB, Foss MP, Brozinga TR, Tumas V, Carthery‐Goulart MT, Dozzi Brucki SM, Nitrini R, Della Sala S, Parra MA. [P2–269]: THE SHORT‐TERM MEMORY BINDING TEST DIFFERENTIATES ALZHEIMER DISEASE FROM BEHAVIORAL VARIANT FRONTOTEMPORAL DEMENTIA PATIENTS WITH AMNESTIC DEFICITS. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Mariano LI, Guimaraes HC, Gambogi LB, Hornberger M, O'Callaghan C, Lima‐Silva TB, Yassuda MS, Amaral JS, Teixeira AL, Caramelli P, Cruz de Souza L. [P4–291]: BEHAVIOURAL BUT NOT COGNITIVE MEASURES OF DISINHIBITION CAN EFFECTIVELY DIFFERENTIATE FRONTOTEMPORAL DEMENTIA FROM ALZHEIMER's DISEASE. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.06.2160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Parra MA, Yassuda MS, Nitrini R, Dozzi Brucki SM, Cappa SF, Pomati S, Lopera F, Stamate A, Guinea SF, Frank A, Olazarán J, Pattan V, Clafferty R, Starr JM, Della Sala S. [F3–05–02]: A TRANSCULTURAL COGNITIVE MARKER OF ALZHEIMER'S DISEASE. Alzheimers Dement 2017. [DOI: 10.1016/j.jalz.2017.07.279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Mario Alfredo Parra
- University Heriot‐WattEdinburghUnited Kingdom
- Autonomous University of the CaribbeanBarranquillaColombia
- University of São PauloSão PauloBrazil
- Medical School of University of São PauloSão PauloBrazil
- IUSS Pavia and IRCCSBresciaItaly
| | | | | | | | | | | | | | | | | | - Anna Frank
- University Heriot‐WattEdinburghUnited Kingdom
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Santos GD, Nunes PV, Stella F, Brum PS, Yassuda MS, Ueno LM, Gattaz WF, Forlenza OV. Multidisciplinary rehabilitation program: effects of a multimodal intervention for patients with Alzheimer’s disease and cognitive impairment without dementia. ARCH CLIN PSYCHIAT 2015. [DOI: 10.1590/0101-60830000000066] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Yassuda MS, Lopes A, Cachioni M, Falcao DVS, Batistoni SST, Guimaraes VV, Neri AL. Frailty criteria and cognitive performance are related: data from the FIBRA study in Ermelino Matarazzo, São Paulo, Brazil. J Nutr Health Aging 2012; 16:55-61. [PMID: 22238002 DOI: 10.1007/s12603-012-0003-6] [Citation(s) in RCA: 79] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To assess the relationship between the CHS frailty criteria (Fried et al., 2001) and cognitive performance. DESIGN Cross sectional and population-based. SETTING Ermelino Matarazzo, a poor sub district of the city of São Paulo, Brazil. PARTICIPANTS 384 community dwelling older adults, 65 and older. MEASUREMENTS Assessment of the CHS frailty criteria, the Brief Cognitive Screening Battery (memorization of 10 black and white pictures, verbal fluency animal category, and the Clock Drawing Test) and the Mini-Mental State Examination (MMSE). RESULTS Frail older adults performed significantly lower than non-frail and pre frail elderly in most cognitive variables. Grip strength and age were associated to MMSE performance, age was associated to delayed memory recall, gait speed was associated to verbal fluency and CDT performance, and education was associated to CDT performance. CONCLUSION Being frail may be associated with cognitive decline, thus, gerontological assessments and interventions should consider that these forms of vulnerability may occur simultaneously.
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Affiliation(s)
- M S Yassuda
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, Brazil.
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