TY - JOUR
T1 - Dementia among older adults living in long-term care facilities
T2 - An epidemiological study
AU - Fagundes, Daniel Ferreira
AU - Costa, Marcos Túlio
AU - Alves, Bárbara Bispo da Silva
AU - Carneiro, Lara Souza Fernandes
AU - Nascimento, Osvaldo Jose Moreira
AU - Leão, Luana Lemos
AU - Guimarães, André Luiz Sena
AU - de Paula, Alfredo Maurício Batista
AU - Monteiro-Junior, Renato Sobral
N1 - Publisher Copyright:
© 2021, Associacao Arquivos de Neuro-Psiquiatria. All rights reserved.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Institutionalization has been associated with social isolation, psychological and cognitive changes, and decreased levels of physical activity in older adults. Objectives: The aim of this study was to estimate the prevalence of dementia, mild cognitive impairment (MCI), and functional dependence in older adults dwelling in two different Brazilian long-term care facilities (LTCFs). Methods: This is a cross-sectional study with 185 older people of both sexes, aged 60 years or over, residing in two LTCFs in the city of Montes Claros-MG, Brazil. The diagnosis of MCI and dementia was performed using the Diagnostic and Statistical Manual of Mental Disorders. Results: Prevalence rates of dementia, MCI, and functional dependence in institutionalized older participants were 62.3, 15.1, and 78.9%, respectively. There was a significant reduction of the Mini-Mental State Examination scores according to the increase of the institutionalization period in LCTFs and the age of older adults (p<0.001). Conclusions: Prevalence of dementia and functional dependence of older adults residing in LTCFs exhibited higher rates compared to the other older population worldwide. A higher institutionalization period is related to a greater cognitive decline.
AB - Institutionalization has been associated with social isolation, psychological and cognitive changes, and decreased levels of physical activity in older adults. Objectives: The aim of this study was to estimate the prevalence of dementia, mild cognitive impairment (MCI), and functional dependence in older adults dwelling in two different Brazilian long-term care facilities (LTCFs). Methods: This is a cross-sectional study with 185 older people of both sexes, aged 60 years or over, residing in two LTCFs in the city of Montes Claros-MG, Brazil. The diagnosis of MCI and dementia was performed using the Diagnostic and Statistical Manual of Mental Disorders. Results: Prevalence rates of dementia, MCI, and functional dependence in institutionalized older participants were 62.3, 15.1, and 78.9%, respectively. There was a significant reduction of the Mini-Mental State Examination scores according to the increase of the institutionalization period in LCTFs and the age of older adults (p<0.001). Conclusions: Prevalence of dementia and functional dependence of older adults residing in LTCFs exhibited higher rates compared to the other older population worldwide. A higher institutionalization period is related to a greater cognitive decline.
KW - Dementia
KW - Elderly
KW - Homes for the aged
KW - Mild cognitive impairment
UR - https://www.scopus.com/pages/publications/85121866475
UR - https://www.scopus.com/pages/publications/85121866475#tab=citedBy
U2 - 10.1590/1980-57642021dn15-040007
DO - 10.1590/1980-57642021dn15-040007
M3 - Article
AN - SCOPUS:85121866475
SN - 1980-5764
VL - 15
SP - 464
EP - 469
JO - Dementia e Neuropsychologia
JF - Dementia e Neuropsychologia
IS - 4
ER -