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Ragusa FS, Veronese N, Vernuccio L, Dominguez LJ, Smith L, Bolzetta F, Koyanagi A, Monastero R, Barbagallo M. Mild cognitive impairment predicts the onset of Sarcopenia: a longitudinal analysis from the English Longitudinal Study on Ageing. Aging Clin Exp Res 2024; 36:129. [PMID: 38856870 PMCID: PMC11164776 DOI: 10.1007/s40520-024-02781-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 05/19/2024] [Indexed: 06/11/2024]
Abstract
BACKGROUND Mild cognitive impairment (MCI) and sarcopenia are two common conditions in older people. It is not widely known if MCI could predict the onset of sarcopenia. Therefore, we aimed to investigate whether MCI could predict the occurrence of sarcopenia in a population of older adults. METHODS In the ELSA (English Longitudinal Study on Ageing), MCI was defined as the absence of dementia, preserved functional capacity and low performance in three objective cognitive tests. Sarcopenia was diagnosed as having low handgrip strength and low skeletal muscle mass index during follow-up. The longitudinal association between MCI at the baseline and incident sarcopenia was assessed using a multivariable logistic regression model, reporting the data as adjusted odds ratios (OR) and 95% confidence intervals (95%CI). RESULTS 3,106 participants (mean age of 63.1 years; 55.3% males) were included. People with MCI reported significantly lower mean handgrip strength values and Skeletal Mass Index (SMI), as well as a higher prevalence of obesity at baseline. At baseline, 729 people had MCI and during the ten years follow-up period, 12.1% of the initial population included had sarcopenia. On multivariate analysis, adjusted for 18 potential confounders, the presence of MCI (OR = 1.236; 95%CI: 1.090-1.596, p = 0.01) significantly predicted the onset of sarcopenia during follow-up. CONCLUSION The presence of MCI at baseline was associated with a higher incidence of sarcopenia at ten-years follow-up, demonstrating a likely role of MCI as a predictor of the onset of sarcopenia in older people.
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Affiliation(s)
- Francesco Saverio Ragusa
- Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Via del Vespro, 141, 90127,, Palermo, Italy
| | - Nicola Veronese
- Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Via del Vespro, 141, 90127,, Palermo, Italy.
| | - Laura Vernuccio
- Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Via del Vespro, 141, 90127,, Palermo, Italy
| | - Ligia J Dominguez
- Faculty of Medicine and Surgery, Kore University of Enna, Enna, Italy
| | - Lee Smith
- Centre for Health, Performance, and Wellbeing, Anglia Ruskin University, Cambridge, UK
| | - Francesco Bolzetta
- Azienda Unita Locale Socio Sanitaria 3 Serenissima, Department of Medicine, Geriatrics Section, Dolo-Mirano, Italy
| | - Ai Koyanagi
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Barcelona, 08830, Spain
| | - Roberto Monastero
- Department of Biomedicine, Neuroscience, and Advanced Diagnostic (BIND), University of Palermo, Palermo, Italy
| | - Mario Barbagallo
- Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, Via del Vespro, 141, 90127,, Palermo, Italy
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2
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Abstract
BACKGROUND Alzheimer's disease (AD) plagues 6.5 million Americans 65+, yet treatments are lacking. The Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet has been developed to address the expansive impact of dementias on the general public. This systematic review evaluated the impact of the MIND diet on cognition in those with pathologies across the dementia spectrum. OBJECTIVE To evaluate the application of the MIND diet for prevention and/or treatment of dementia. METHODS PubMed was used to conduct a search using the MIND diet and terms related to cognition. Articles were excluded if they were published prior to 2018, studied a population without dementia or significant risk factors, or did not include those 65 + . The overall quality of each source was analyzed based on the cognitive test(s) used, the selection of subjects, and the sample size. RESULTS The search generated 33 papers, which yielded 11 articles after screening. Of these studies, one was conducted on those with mild cognitive impairment, one with AD, two with general dementia, and seven with at-risk individuals. All the studies found a positive correlation between adherence and some form of cognitive functioning, but results were mixed for specific cognitive domains. CONCLUSIONS These findings suggest that the MIND diet may be a useful long-term treatment option for those with various dementia pathologies. However, more research is needed on subjects with onset dementias. Additionally, there is a need for more research into the mechanisms behind the common comorbidities.
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Affiliation(s)
- Elizabeth Healy
- James Madison University, College of Health and Behavioral Studies, Harrisonburg, VA, USA
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3
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Feter N, Dumith SC, Smith EC, da Cunha LL, Cassuriaga J, Leite JS, Alt R, Coombes JS, Rombaldi AJ. Physical activity attenuates the risk for dementia associated with aging in older adults with mild cognitive impairment. Findings from a population-based cohort study. J Psychiatr Res 2021; 141:1-8. [PMID: 34171758 DOI: 10.1016/j.jpsychires.2021.06.034] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 06/11/2021] [Accepted: 06/15/2021] [Indexed: 10/21/2022]
Abstract
From 2016 to 2040 the number of people with dementia in the United Kingdom is expected to increase by 57%, while 70% percent of it is due to a higher life expectancy. Thus, we analyzed the overall and age-stratified effect of physical activity on risk of dementia in participants with mild cognitive impairment (MCI) of the English Longitudinal Study of Ageing (ELSA). Participants of the ELSA, aged over 50 with MCI, were followed-up nine times between 2002 and 2019. Physical activity was assessed using a self-reported, validated questionnaire and participants were classified as inactive, low, or moderate-to-high active. Medical diagnosis of dementia was self-reported or determined using the Informant Questionnaire on Cognitive Decline in the Elderly. Data from 521 participants with MCI were analyzed (56% women; mean [SD] age, 68.7 [10.6]). Over 17-year follow-up, 20.5 (95%CI: 17.3 to 24.2)% were diagnosed with dementia. The risk of incident dementia was reduced in participants engaging in low (HR: 0.34; 95%CI: 0.22 to 0.54) or moderate-to-high (HR: 0.16; 95%CI: 0.08 to 0.33) levels of physical activity. Risk of dementia in adults aged 80 or more engaging in low or moderate-to-high levels of physical activity was not different from inactive adults aged between 50 and 69 years. Results were sustained after competing risk regression model and sensitivity analyses to reduce the impact of reverse causality. Physical activity appears to minimize the risk associated with aging in older adults with MCI.
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Affiliation(s)
- Natan Feter
- Neuroscience and Physical Activity Research Group, Superior School of Physical Education, Federal University of Pelotas, Pelotas, Brazil; Centre of Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
| | - Samuel C Dumith
- Postgraduate Program in Health Sciences, Federal University of Rio Grande, Rio Grande, Brazil
| | - Emily C Smith
- Centre of Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia
| | - Larissa L da Cunha
- Neuroscience and Physical Activity Research Group, Superior School of Physical Education, Federal University of Pelotas, Pelotas, Brazil
| | - Júlia Cassuriaga
- Neuroscience and Physical Activity Research Group, Superior School of Physical Education, Federal University of Pelotas, Pelotas, Brazil
| | - Jayne S Leite
- Postgraduate Program in Health Sciences, Federal University of Rio Grande Do Sul, Porto Alegre, RS, Brazil
| | - Ricardo Alt
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, RS, Brazil
| | - Jeff S Coombes
- Centre of Research on Exercise, Physical Activity and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia
| | - Airton J Rombaldi
- Neuroscience and Physical Activity Research Group, Superior School of Physical Education, Federal University of Pelotas, Pelotas, Brazil
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4
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Preserved semantic categorical organization in mild cognitive impairment: A network analysis of verbal fluency. Neuropsychologia 2021; 157:107875. [PMID: 33930387 DOI: 10.1016/j.neuropsychologia.2021.107875] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 12/15/2020] [Accepted: 04/21/2021] [Indexed: 11/21/2022]
Abstract
The decline in semantic verbal fluency as we age may originate from both semantic memory degradation and executive function deficits. We investigated to what extent semantic memory is organized into categories in older adults with mild cognitive impairment (n = 81) and healthy controls (n = 83). We obtained the semantic networks automatically from the probability of co-occurrence of words in a verbal fluency test and characterized them with graph-theory tools. We found that the degree of categorical organization was similar for both diagnostic groups, but there was a higher tendency to transition to other categories during word production in the patient group. These results suggest that the semantic network is preserved in mild cognitive impairment, but also that the existing associations are exploited less efficiently during long-term memory search, possibly because of deficits in executive function.
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5
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Nitrini R, Bucki SMD, Yassuda MS, Fichman HC, Caramelli P. The Figure Memory Test: diagnosis of memory impairment in populations with heterogeneous educational background. Dement Neuropsychol 2021; 15:173-185. [PMID: 34345358 PMCID: PMC8283874 DOI: 10.1590/1980-57642021dn15-020004] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Accepted: 04/19/2021] [Indexed: 12/02/2022] Open
Abstract
Diagnosis of cognitive impairment is usually difficult in low-educated individuals. The Brief Cognitive Screening Battery (BCSB) was designed as a screening tool for the evaluation of cognitive impairment in low-educated individuals, but it may also be used for evaluating individuals with high educational level. OBJECTIVES To perform a narrative review analyzing the origin of the BCSB, to report all studies that have used the Figure Memory Test (FMT) of the BCSB, and to demonstrate that it is a useful battery for regions where populations have heterogeneous educational background. METHODS We performed a search in PubMed, SciELO, and LILACS using the terms "Brief Cognitive Screening Battery" and "Brief Cognitive Battery". RESULTS We obtained 49 papers from PubMed, 32 from SciELO, and 28 from LILACS. After the exclusion of duplicate papers, 54 publications were obtained; five more studies were included from previous knowledge of the authors. Twenty-four papers were related to the impact of education on performance, diagnostic accuracy, cutoff scores and normative studies. The delayed recall of the FMT showed the best accuracy for the diagnosis of dementia with a cutoff score of ≤5 in different education levels. In 35 papers, the FMT of the BCSB was used in clinical studies with different settings, from outpatient memory clinics to epidemiological studies and evaluation of Amazon river basin dwelling individuals, and it was always considered to be easy to apply. CONCLUSIONS The FMT of the BCSB is an easy and short tool for the diagnosis of dementia in populations with heterogeneous educational background.
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Affiliation(s)
- Ricardo Nitrini
- Department of Neurology, Faculdade de Medicina, Universidade de São Paulo ‒ São Paulo, SP, Brazil
| | | | - Mônica Sanches Yassuda
- Department of Neurology, Faculdade de Medicina, Universidade de São Paulo ‒ São Paulo, SP, Brazil
- Gerontology, School of Arts, Sciences and Humanities, Universidade de São Paulo ‒ São Paulo, SP, Brazil
| | - Helenice Charchat Fichman
- Department of Psychology, Pontifícia Universidade Católica do Rio de Janeiro ‒ Rio de Janeiro, RJ, Brazil
| | - Paulo Caramelli
- Behavioral and Cognitive Neurology Group, Faculdade de Medicina, Universidade Federal de Minas Gerais ‒ Belo Horizonte, MG, Brazil
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Tang Y, Liang X, Han L, Peng F, Shen B, Yu H, Shen Y, Shen C, Yu J, Wang J. Cognitive Function and Quality of Life in Parkinson's Disease: A Cross-Sectional Study. JOURNAL OF PARKINSONS DISEASE 2020; 10:1209-1216. [PMID: 32568115 DOI: 10.3233/jpd-202097] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Parkinson's disease with mild cognitive impairment (PD-MCI) or dementia (PDD) has been shown to be correlated with poor quality of life (QoL). The association between specific cognitive domains and QoL is less clear. OBJECTIVE To determine how the cognitive domains affect QoL in different cognitive states in PD. METHODS We recruited 600 PD patients, including 185 PD patients with normal cognition (PD-NC), 336 PD-MCI patients, and 79 PDD patients. All patients underwent a scale-based assessment (PDQ-39) for QoL, as well as clinical evaluations and neuropsychological tests. RESULTS Compared to PD-NC group, QoL became more impaired in the PD-MCI and PDD groups. Generalized linear model revealed that no neuropsychological test was significantly associated with QoL in PD-NC group; neuropsychological tests in attention and language domains were significantly associated with QoL in PD-MCI patients; neuropsychological tests in memory and language domains were significantly associated with QoL in PDD patients. CONCLUSIONS Cognitive domains contribute differently to QoL in PD. These findings may prompt clinicians to target specific cognitive domains for improving QoL in the PD patients.
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Affiliation(s)
- Yilin Tang
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Xiaoniu Liang
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Linlin Han
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Fang Peng
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Bo Shen
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Huiling Yu
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Yan Shen
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Cong Shen
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Jintai Yu
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
| | - Jian Wang
- Department of Neurology and National Clinical Research Center for Aging and Medicine, Huashan Hospital, Fudan University, Shanghai, China
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7
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A Systematic Review of Neuropsychological Tests for the Assessment of Dementia in Non-Western, Low-Educated or Illiterate Populations. J Int Neuropsychol Soc 2020; 26:331-351. [PMID: 31511111 DOI: 10.1017/s1355617719000894] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Neuropsychological tests are important instruments to determine a cognitive profile, giving insight into the etiology of dementia; however, these tests cannot readily be used in culturally diverse, low-educated populations, due to their dependence upon (Western) culture, education, and literacy. In this review we aim to give an overview of studies investigating domain-specific cognitive tests used to assess dementia in non-Western, low-educated populations. The second aim was to examine the quality of these studies and of the adaptations for culturally, linguistically, and educationally diverse populations. METHOD A systematic review was performed using six databases, without restrictions on the year or language of publication. RESULTS Forty-four studies were included, stemming mainly from Brazil, Hong Kong, Korea, and considering Hispanics/Latinos residing in the USA. Most studies focused on Alzheimer's disease (n = 17) or unspecified dementia (n = 16). Memory (n = 18) was studied most often, using 14 different tests. The traditional Western tests in the domains of attention (n = 8) and construction (n = 15), were unsuitable for low-educated patients. There was little variety in instruments measuring executive functioning (two tests, n = 13), and language (n = 12, of which 10 were naming tests). Many studies did not report a thorough adaptation procedure (n = 39) or blinding procedures (n = 29). CONCLUSIONS Various formats of memory tests seem suitable for low-educated, non-Western populations. Promising tasks in other cognitive domains are the Stick Design Test, Five Digit Test, and verbal fluency test. Further research is needed regarding cross-cultural instruments measuring executive functioning and language in low-educated people.
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8
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García-Herranz S, Díaz-Mardomingo MC, Venero C, Peraita H. Accuracy of verbal fluency tests in the discrimination of mild cognitive impairment and probable Alzheimer's disease in older Spanish monolingual individuals. AGING NEUROPSYCHOLOGY AND COGNITION 2019; 27:826-840. [PMID: 31822214 DOI: 10.1080/13825585.2019.1698710] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
The main objetive was to analyze the accuracy of different verbal fluency tests (VFTs) in discriminating cognitively healthy subjects from individuals with mild cognitive impairment (MCI) and probable Alzheimer's disease (AD) in a cohort of older Spanish speaking adults. As a result, we aimed to identify the VFT that best predicts conversion from MCI to probable AD. 287 subjects: 170 controls (HC), 90 stable MCI and 27 patients with MCI that evolved into probable AD (MCI-AD) were assessed with a neuropsychological battery test and five VFTs. The animal fluency test produced the best differentiation of HC from MCI (p < .001), of HC from MCI-AD (p < .001) and of MCI from MCI-AD converters (p < .001), with sensitivities 98.8%, 98.8% and 75.6%, respectively. Logistic regression showed that the animal fluency test (p < 0.001) appears to be the most useful and neuropsychological VFT to predict conversion to probable dementia.
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Affiliation(s)
- S García-Herranz
- Department of Basic Psychology II, Universidad Nacional de Educación a Distancia , Madrid, Spain.,Instituto Mixto de Investigación-Escuela Nacional de Sanidad (IMIENS) , Madrid, Spain
| | - M C Díaz-Mardomingo
- Instituto Mixto de Investigación-Escuela Nacional de Sanidad (IMIENS) , Madrid, Spain.,Department of Basic Psychology I, Universidad Nacional de Educación a Distancia , Madrid, Spain
| | - C Venero
- Instituto Mixto de Investigación-Escuela Nacional de Sanidad (IMIENS) , Madrid, Spain.,Department of Psychobiology, Universidad Nacional de Educación a Distancia , Madrid, Spain
| | - H Peraita
- Department of Basic Psychology I, Universidad Nacional de Educación a Distancia , Madrid, Spain
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9
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Esteves CS, Lima MP, Gonzatti V, de Oliveira CR, de Lima Argimon II, Irigaray TQ. Depressive Symptoms and Cognitive Functioning of Elderly from the Family Health Strategy. AGEING INTERNATIONAL 2019. [DOI: 10.1007/s12126-017-9313-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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10
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Beltrami D, Gagliardi G, Rossini Favretti R, Ghidoni E, Tamburini F, Calzà L. Speech Analysis by Natural Language Processing Techniques: A Possible Tool for Very Early Detection of Cognitive Decline? Front Aging Neurosci 2018; 10:369. [PMID: 30483116 PMCID: PMC6243042 DOI: 10.3389/fnagi.2018.00369] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Accepted: 10/24/2018] [Indexed: 11/23/2022] Open
Abstract
Background: The discovery of early, non-invasive biomarkers for the identification of “preclinical” or “pre-symptomatic” Alzheimer's disease and other dementias is a key issue in the field, especially for research purposes, the design of preventive clinical trials, and drafting population-based health care policies. Complex behaviors are natural candidates for this. In particular, recent studies have suggested that speech alterations might be one of the earliest signs of cognitive decline, frequently noticeable years before other cognitive deficits become apparent. Traditional neuropsychological language tests provide ambiguous results in this context. In contrast, the analysis of spoken language productions by Natural Language Processing (NLP) techniques can pinpoint language modifications in potential patients. This interdisciplinary study aimed at using NLP to identify early linguistic signs of cognitive decline in a population of elderly individuals. Methods: We enrolled 96 participants (age range 50–75): 48 healthy controls (CG) and 48 cognitively impaired participants: 16 participants with single domain amnestic Mild Cognitive Impairment (aMCI), 16 with multiple domain MCI (mdMCI) and 16 with early Dementia (eD). Each subject underwent a brief neuropsychological screening composed by MMSE, MoCA, GPCog, CDT, and verbal fluency (phonemic and semantic). The spontaneous speech during three tasks (describing a complex picture, a typical working day and recalling a last remembered dream) was then recorded, transcribed and annotated at various linguistic levels. A multidimensional parameter computation was performed by a quantitative analysis of spoken texts, computing rhythmic, acoustic, lexical, morpho-syntactic, and syntactic features. Results: Neuropsychological tests showed significant differences between controls and mdMCI, and between controls and eD participants; GPCog, MoCA, PF, and SF also discriminated between controls and aMCI. In the linguistic experiments, a number of features regarding lexical, acoustic and syntactic aspects were significant in differentiating between mdMCI, eD, and CG (non-parametric statistical analysis). Some features, mainly in the acoustic domain also discriminated between CG and aMCI. Conclusions: Linguistic features of spontaneous speech transcribed and analyzed by NLP techniques show significant differences between controls and pathological states (not only eD but also MCI) and seems to be a promising approach for the identification of preclinical stages of dementia. Long duration follow-up studies are needed to confirm this assumption.
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Affiliation(s)
- Daniela Beltrami
- Interdepartmental Centre for Industrial Research in Health Sciences and Technologies, University of Bologna, Bologna, Italy.,Clinical Neuropsychology Unit, Arcispedale S. Maria Nuova di Reggio Emilia, Reggio Emilia, Italy
| | - Gloria Gagliardi
- Interdepartmental Centre for Industrial Research in Health Sciences and Technologies, University of Bologna, Bologna, Italy.,Department of Classical Philology and Italian Studies, University of Bologna, Bologna, Italy
| | - Rema Rossini Favretti
- Department of Classical Philology and Italian Studies, University of Bologna, Bologna, Italy
| | - Enrico Ghidoni
- Clinical Neuropsychology Unit, Arcispedale S. Maria Nuova di Reggio Emilia, Reggio Emilia, Italy
| | - Fabio Tamburini
- Department of Classical Philology and Italian Studies, University of Bologna, Bologna, Italy
| | - Laura Calzà
- Interdepartmental Centre for Industrial Research in Health Sciences and Technologies, University of Bologna, Bologna, Italy.,Department of Pharmacy and Biotechnology, University of Bologna, Bologna, Italy
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11
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Cezar NO, Izbicki R, Cardoso D, Almeida JG, Valiengo L, Camargo MV, Forlenza OV, Yassuda MS, Aprahamian I. Frailty in older adults with amnestic mild cognitive impairment as a result of Alzheimer's disease: A comparison of two models of frailty characterization. Geriatr Gerontol Int 2017; 17:2096-2102. [DOI: 10.1111/ggi.13028] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2016] [Revised: 01/12/2017] [Accepted: 01/25/2017] [Indexed: 01/09/2023]
Affiliation(s)
- Natália O.C. Cezar
- Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Rafael Izbicki
- Department of Statistics; Federal University of São Carlos (UFSCar); São Paulo Brazil
| | - Diego Cardoso
- Department of Statistics; Federal University of São Carlos (UFSCar); São Paulo Brazil
| | - Jouce G. Almeida
- Laboratory of Neuroscience LIM-27, Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Leandro Valiengo
- Laboratory of Neuroscience LIM-27, Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Marina V.Z. Camargo
- Laboratory of Neuroscience LIM-27, Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Orestes V. Forlenza
- Laboratory of Neuroscience LIM-27, Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
| | - Monica S. Yassuda
- Department of Neurology, Faculty of Medicine; University of São Paulo; São Paulo Brazil
- School of Arts, Sciences and Humanities; University of São Paulo; São Paulo Brazil
| | - Ivan Aprahamian
- Institute and Department of Psychiatry, Faculty of Medicine; University of São Paulo; São Paulo Brazil
- Department of Internal Medicine; Faculty of Medicine of Jundiaí; São Paulo Brazil
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12
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Serna A, Contador I, Bermejo-Pareja F, Mitchell AJ, Fernández-Calvo B, Ramos F, Villarejo A, Benito-León J. Accuracy of a Brief Neuropsychological Battery for the Diagnosis of Dementia and Mild Cognitive Impairment: An Analysis of the NEDICES Cohort. J Alzheimers Dis 2016; 48:163-73. [PMID: 26401937 DOI: 10.3233/jad-150086] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Early separation of mild cognitive impairment (MCI) from normal aging and mild cases of dementia remains a challenge, especially in the general population. We aimed to analyze the diagnostic accuracy of a brief neuropsychological battery (BNB) in dementia and MCI cases from the Neurological Disorders in Central Spain (NEDICES) population-based cohort study. We screened 3,891 participants into dementia and non-dementia groups using a two-phase procedure: screening (MMSE-37 and Pfeffer-11) and clinical diagnosis by specialists (DSM-IV criteria). We selected subsequently a subsample of dementia (n = 98), MCI (n = 71), and cognitively healthy (n = 123) participants matched in socio-demographic characteristics. The clinical validity of each test of the BNB was determined by the area under the ROC curve. We determined the best combination of tests to classify individuals into the diagnostic groups by logistic regression analyses. The results indicated that dementia and MCI groups could be best discriminated from the healthy control group on the basis of their scores on the semantic verbal fluency and delayed recall subtests of the BNB. As for discriminating the MCI group from the dementia group, immediate recall tasks (stories and pictures) yielded the highest level of accuracy. Probably the most interesting finding is that the verbal fluency task consistently allowed discrimination among the diagnostic groups. Overall, subtests of the BNB are more accurate in differentiating dementia patients than MCI patients from healthy controls. In this population-based sample, a more fine-grained discrimination that includes MCI patients should follow a systematic subtest-wise analysis and decision.
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Affiliation(s)
- Adriana Serna
- Department of Personality, Evaluation and Psychological Treatment, University of Salamanca, Salamanca, Spain
| | - Israel Contador
- Department of Basic Psychology, Psychobiology and Methodology of Behavioral Science, University of Salamanca, Salamanca, Spain
| | - Félix Bermejo-Pareja
- Research Institute (Imas12), University Hospital "12 de Octubre", Madrid, Spain.,Department of Medicine, Faculty of Medicine, Complutense University, Madrid, Spain.,Center for Networked Biomedical Research on Neurodegenerative Diseases (CIBERNED), Madrid, Spain
| | - Alex J Mitchell
- Leicestershire Partnership NHS Trust and University of Leicester, UK
| | | | - Francisco Ramos
- Department of Personality, Evaluation and Psychological Treatment, University of Salamanca, Salamanca, Spain
| | - Alberto Villarejo
- Center for Networked Biomedical Research on Neurodegenerative Diseases (CIBERNED), Madrid, Spain.,Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain
| | - Julián Benito-León
- Center for Networked Biomedical Research on Neurodegenerative Diseases (CIBERNED), Madrid, Spain.,Department of Neurology, University Hospital "12 de Octubre", Madrid, Spain
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13
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Parente MADMP, Baradel RR, Fonseca RP, Pereira N, Carthery-Goulart MT. Evolution of language assessment in patients with acquired neurological disorders in Brazil. Dement Neuropsychol 2014; 8:196-206. [PMID: 29213904 PMCID: PMC5619395 DOI: 10.1590/s1980-57642014dn83000002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 04/18/2014] [Indexed: 12/02/2022] Open
Abstract
The objective of this paper was to describe the evolution of language assessments in patients with acquired neurological diseases over a period of around 45 years from 1970, when interdisciplinarity in Neuropsychology first began in Brazil, to the present day. The first twenty years of data was based on memories of Speech Pathology University Professors who were in charge of teaching aphasia. We then show the contributions of Linguistics, Cognitive Psychology, as well as Psycholinguistic and Psychometric criteria, to language evaluation. Finally, the current panorama of adaptations and creations of validated and standardized instruments is given, based on a search of the databases Pubmed, Scopus and Lilacs. Our closing remarks highlight the diversity in evaluation approaches and the recent tendency of language evaluations linked to new technologies such as brain imaging and computational analysis.
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Affiliation(s)
- Maria Alice de Mattos Pimenta Parente
- Senior Professor (PVNS/ CAPES) at UFABC – Universidade
Federal do ABC. Center of Mathematics, Computation and Cognition. Neuroscience and
Cognition Post-graduate Program. Language and Cognition Research Group (GELC-UFABC),
Santo André, SP, Brazil
| | - Roberta Roque Baradel
- Post-graduate student (MSc). Neuroscience and Cognition
Post-graduate Program, UFABC – Universidade Federal do ABC. Language and Cognition
Research Group (GELC-UFABC), Santo André, SP, Brazil
| | - Rochele Paz Fonseca
- Adjunct Professor with the Psychology Department,
Post-Graduate Program in Psychology, Human Cognition Pontifical Catholic University
of Rio Grande do Sul (PUCRS)
| | - Natalie Pereira
- Post-graduate student (MSc). Post-Graduate Program in
Psychology, Human Cognition; Pontifical Catholic University of Rio Grande do Sul
(PUCRS)
| | - Maria Teresa Carthery-Goulart
- Professor at UFABC – Universidade Federal do ABC. Center
of Mathematics, Computation and Cognition. Neuroscience and Cognition Post-graduate
Program. Language and Cognition Research Group (GELC-UFABC), Santo André, SP,
Brazil. Researcher at the Behavioural and Cognitive Neurology Unit, University of
São Paulo, School of Medicine, São Paulo, Brazil
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Zueva IB, Vanaeva KI, Sanez EL, Piotrovskaya VR, Genikhovich EL, Kirillova VI, Shlyakhto EV. Association of cognitive function with cardiovascular risk factors in middle age individuals. ACTA ACUST UNITED AC 2011. [DOI: 10.18705/1607-419x-2011-17-5-432-440] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Objective. To find the association between cognitive function and cardiovascular risk factors and to develop statistic model. Results. Our study demonstrated that cognitive dysfunction is more profound in middle-aged patients with metabolic syndrome (MS) compared to the individuals with single risk factors without MS. Multiple regression analysis defined glucose (β = 0,0114) and systolic blood pressure (SBP) (β = -0,212) to be factors related with MMSE-test results. When glucose level was excluded from the model, the following factors were shown to be significant: SBP (β = -0,202), age (β = -0,093), operative memory (β = -0,169), total cholesterol level (β = -0,065), therapy by calcium antagonist (β = 0,082), obesity (β = 0,06), R = 92 %.
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Affiliation(s)
- I. B. Zueva
- Almazov Federal Heart, Blood, and Endocrinology Centre
| | - K. I. Vanaeva
- Almazov Federal Heart, Blood, and Endocrinology Centre
| | - E. L. Sanez
- Almazov Federal Heart, Blood, and Endocrinology Centre
| | - V. R. Piotrovskaya
- Pavlov St Petersburg State Medical University, the Department of Psychiatry and Narcology with the Course of Medical Psychology and Psychosomatic Medicine
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15
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Cecato JF, Martinellil JE, Bartholomeu LL, Basqueira AP, Yassuda MS, Aprahamian I. Verbal behavior in Alzheimer's disease patients: Analysis of phrase repetition. Dement Neuropsychol 2010; 4:202-206. [PMID: 29213687 PMCID: PMC5619290 DOI: 10.1590/s1980-57642010dn40300008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Language problems in the elderly with AD are due to the fact that deterioration
occurs not only in semantic memory, but in a group of cognitive factors,
evidenced by a deficiency in search strategies for linguistic information.
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Affiliation(s)
- Juliana Francisca Cecato
- Instituto de Geriatria e Gerontologia de Jundiaí e Faculdade Anhanguera de Jundiaí, Jundiaí SP, Brazil
| | - José Eduardo Martinellil
- Instituto de Geriatria e Gerontologia de Jundiaí e Faculdade de Medicina de Jundiaí, Jundiaí SP, Brazil
| | | | | | | | - Ivan Aprahamian
- IPq HCFMUSP e Hospital Albert Einstein, São Paulo SP, Brazil
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16
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Verbal fluency in the detection of mild cognitive impairment and Alzheimer's disease among Brazilian Portuguese speakers: the influence of education. Int Psychogeriatr 2009; 21:1081-7. [PMID: 19619390 DOI: 10.1017/s1041610209990639] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
BACKGROUND Verbal fluency (VF) tasks are simple and efficient clinical tools to detect executive dysfunction and lexico-semantic impairment. VF tasks are widely used in patients with suspected dementia, but their accuracy for detection of mild cognitive impairment (MCI) is still under investigation. Schooling in particular may influence the subject's performance. The aim of this study was to compare the accuracy of two semantic categories (animals and fruits) in discriminating controls, MCI patients and Alzheimer's disease (AD) patients. METHODS 178 subjects, comprising 70 controls (CG), 70 MCI patients and 38 AD patients, were tested on two semantic VF tasks. The sample was divided into two schooling groups: those with 4-8 years of education, and those with 9 or more years. RESULTS Both VF tasks - animal fluency (VFa) and fruits fluency (VFf) - adequately discriminated CG from AD in the total sample (AUC = 0.88 +/- 0.03, p < 0.0001) and in both education groups, and high educated MCI from AD (VFa: AUC = 0.82 +/- 0.05, p < 0.0001; VFf: AUC = 0.85 +/- 0.05, p < 0.0001). Both tasks were moderately accurate in discriminating CG from MCI (VFa: AUC = 0.68 +/- 0.04, p < 0.0001; VFf: AUC = 0.73 +/- 0.04, p < 0.0001) regardless of the schooling level, and MCI from AD in the total sample (VFa: AUC = 0.74 +/- 0.05, p < 0.0001; VFf: AUC = 0.76 +/- 0.05, p < 0.0001). Neither of the two tasks differentiated low educated MCI from AD. In the total sample, fruits fluency best discriminated CG from MCI and MCI from AD; a combination of the two improved the discrimination between CG and AD. CONCLUSIONS Both categories were similar in discriminating CG from AD; the combination of both categories improved the accuracy for this distinction. Both tasks were less accurate in discriminating CG from MCI, and MCI from AD.
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Fichman HC, Fernandes CS, Nitrini R, Lourenço RA, Paradela EMDP, Carthery-Goulart MT, Caramelli P. Age and educational level effects on the performance of normal elderly on category verbal fluency tasks. Dement Neuropsychol 2009; 3:49-54. [PMID: 29213610 PMCID: PMC5619032 DOI: 10.1590/s1980-57642009dn30100010] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Cognitive decline, particularly executive dysfunction, is observed in normal aging. In Brazil, the elderly population presents broad educational diversity. Category verbal fluency tests are frequently used to detect cognitive impairment, assessing executive function, language and semantic memory. Objective To investigate the effects of age and education on category animal fluency task (CAF) in healthy elderly. Methods We evaluated 319 healthy elderly from outpatient care units of two university reference centers of Rio de Janeiro and São Paulo. The sample was divided into two age, and five schooling subgroups. To be included participants had to demonstrate preservation of global cognitive functioning, independence for activities of daily living and not fulfill diagnostic criteria for dementia. All participants were submitted to neurological and neuropsychological evaluations. Results There was a correlation between age and CAF performance (r= -0.26, p<0.01), which was not confirmed when years of education were included as a covariant in univariate ANCOVA. Significant differences were found in CAF performance among the different educational level groups on correlation analysis (r=0.42, p<0.01) and ANCOVA analysis (F=18.8, p<0.05). Illiteracy was associated with worst CAF performance, while university level was associated with best performance. Conclusion The best CAF performance was found in the first years of schooling (literacy learning process) compared to illiteracy, and when finishing high school and starting university courses compared to all other educational levels. These stages are associated with significant gains in semantic memory and executive function which are critical for verbal fluency performance.
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Affiliation(s)
- Helenice Charchat Fichman
- Departamento de Psicologia, Pontíficia Universidade Católica do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; Departamento de Neurologia, Universidade de São Paulo, São Paulo, SP, Brazil.,Laboratório de Pesquisa em Envelhecimento Humano - GeronLab, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.,Departamento de Neurologia, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Conceição Santos Fernandes
- Laboratório de Pesquisa em Envelhecimento Humano - GeronLab, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Ricardo Nitrini
- Departamento de Neurologia, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Roberto Alves Lourenço
- Laboratório de Pesquisa em Envelhecimento Humano - GeronLab, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.,Departamento de Medicina Interna, Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | | | - Paulo Caramelli
- Grupo de Pesquisa em Neurologia Cognitiva e do Comportamento, Departamento de Clínica Médica da Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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18
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Balthazar MLF, Cendes F, Damasceno BP. Category verbal fluency performance may be impaired in amnestic mild cognitive impairment. Dement Neuropsychol 2007; 1:161-165. [PMID: 29213383 PMCID: PMC5619564 DOI: 10.1590/s1980-57642008dn10200008] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
To study category verbal fluency (VF) for animals in patients with amnestic mild cognitive impairment (aMCI), mild Alzheimer disease (AD) and normal controls. Method Fifteen mild AD, 15 aMCI, and 15 normal control subjects were included. Diagnosis of AD was based on DSM-IV and NINCDS-ADRDA criteria, while aMCI was based on the criteria of the International Working Group on Mild Cognitive Impairment, using CDR 0.5 for aMCI and CDR 1 for mild AD. All subjects underwent testing of category VF for animals, lexical semantic function (Boston Naming-BNT, CAMCOG Similarities item), WAIS-R forward and backward digit span, Rey Auditory Verbal Learning (RAVLT), Mini-Mental Status Examination (MMSE), and other task relevant functions such as visual perception, attention, and mood state (with Cornell Scale for Depression in Dementia). Data analysis used ANOVA and a post-hoc Tukey test for intergroup comparisons, and Pearson's coefficient for correlations of memory and FV tests with other task relevant functions (statistical significance level was p<0.05). Results aMCI patients had lower performance than controls on category VF for animals and on the backward digit span subtest of WAIS-R but higher scores compared with mild AD patients. Mild AD patients scored significantly worse than aMCI and controls across all tests. Conclusion aMCI patients may have poor performance in some non-memory tests, specifically category VF for animals in our study, where this could be attributable to the influence of working memory.
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Affiliation(s)
| | - Fernando Cendes
- Associate Professor. Department of Neurology, Medical School, State University of Campinas - SP, Brazil
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