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Callow DD, Spira AP, Bakker A, Smith JC. Sleep Quality Moderates the Associations between Cardiorespiratory Fitness and Hippocampal and Entorhinal Volume in Middle-Aged and Older Adults. Med Sci Sports Exerc 2024; 56:1740-1746. [PMID: 38742864 PMCID: PMC11326995 DOI: 10.1249/mss.0000000000003454] [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] [Indexed: 05/16/2024]
Abstract
INTRODUCTION/PURPOSE As individuals age, the entorhinal cortex (ERC) and hippocampus-crucial structures for memory-tend to atrophy, with related cognitive decline. Simultaneously, lifestyle factors that can be modified, such as exercise and sleep, have been separately linked to slowing of brain atrophy and functional decline. However, the synergistic impact of fitness and sleep on susceptible brain structures in aging adults remains uncertain. METHODS We examined both independent and interactive associations of fitness and subjective sleep quality with regard to ERC thickness and hippocampal volume in 598 middle-aged and older adults from the Human Connectome Lifespan Aging Project. Cardiorespiratory fitness was assessed using the 2-min walk test, whereas subjective sleep quality was measured with the continuous Pittsburgh Sleep Quality Index global score. High-resolution structural magnetic resonance imaging was used to examine mean ERC thickness and bilateral hippocampal volume. Through multiple linear regression analyses, we investigated the moderating effects of subjective sleep quality on the association between fitness and brain structure, accounting for age, sex, education, body mass index, gait speed, and subjective physical activity. RESULTS We found that greater cardiorespiratory fitness, but not subjective sleep quality, was positively associated with bilateral hippocampal volume and ERC thickness. Notably, significant interaction effects suggest that poor subjective sleep quality was associated with a weaker association between fitness and both hippocampal volume and ERC thickness. CONCLUSIONS Findings suggest the potential importance of both cardiorespiratory fitness and subjective sleep quality in preserving critical, age-vulnerable brain structures. Interventions targeting brain health should consider potential combined effects of sleep and fitness on brain health.
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Affiliation(s)
- Daniel D Callow
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | | | | | - J Carson Smith
- Department of Kinesiology, University of Maryland, College Park, MD
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Chang KC, Chen HS, Wu CS, Chang CK, Hwang JJ, Huang SH, Chen YM, Cheng BW, Weng MH, Hsu CC, Huang WL. Prospective Impacts of Social Participation Activities on Cognitive and Psychopathological Statuses in Community-Dwelling Older Adults. Clin Gerontol 2024:1-12. [PMID: 38967355 DOI: 10.1080/07317115.2024.2374518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/06/2024]
Abstract
OBJECTIVES This study investigated the impact of social activities on cognitive functioning and psychopathological symptoms. METHODS Participants aged 55 or older were enrolled through communities. Initial measures assessed demographic data, neuropsychological functioning, psychopathological state, and happiness. Social activities were evaluated using a modified 12-item tool, with 3-4 activities as the cutoff. Follow-up after 6-9 months included Mini-Mental State Examination (MMSE), Beck Depression Inventory - II (BDI-II), Beck Anxiety Inventory (BAI), Health Assessment Questionnaire (HAQ), and Patient Health Questionnaire-15 (PHQ-15) measurements. Predictive models for psychiatric and cognitive statuses were built using multiple linear regression, adjusting for baseline conditions. RESULTS Initially, 516 older individuals enrolled, with 403 undergoing follow-up. During follow-up, the low participation group reported lower MMSE scores, higher BAI scores, and increased PHQ-15 risk. Negative correlations between social activity numbers and PHQ-15 results were found. Engagement in social clubs correlated positively with higher MMSE scores, while regular interactions with one's adult child(ren) were linked to decreased BAI scores. CONCLUSIONS The quantity of social activities was associated with lower somatic distress. Social club engagement positively influenced cognition, and regular interactions with one's adult child(ren) mitigated anxiety among older individuals. CLINICAL IMPLICATIONS Enough types of social activities, participating in social clubs, and adequate interactions with children protected against psychopathologies.
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Affiliation(s)
- Kai-Chieh Chang
- Department of Neurology, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
| | - Hsin-Shui Chen
- Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
| | - Chi-Shin Wu
- Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
- National Center for Geriatrics and Welfare Research, National Health Research Institutes, Miaoli County, Taiwan
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
| | - Chin-Kai Chang
- Department of Geriatrics and Gerontology, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
| | - Juey-Jen Hwang
- Department of Internal Medicine, National Taiwan University Hospital
- Department of Cardiovascular Medicine, Fu Jen Catholic University Hospital, Taiwan
| | - Su-Hua Huang
- Department of Nutrition, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
| | - Yung-Ming Chen
- Department of Internal Medicine, National Taiwan University Hospital
- Department of Geriatrics and Gerontology, National Taiwan University Hospital, Taiwan
- Department of Internal Medicine, National Taiwan University Hospital Bei-Hu Branch
| | - Bor-Wen Cheng
- Department of Industrial Engineering and Management, National Yunlin University of Science and Technology, Yunlin County, Taiwan
| | - Min-Hsiu Weng
- Graduate School of Applied Chinese Studies, National Yunlin University of Science and Technology,Yunlin County, Taiwan
| | - Chih-Cheng Hsu
- National Center for Geriatrics and Welfare Research, National Health Research Institutes, Miaoli County, Taiwan
| | - Wei-Lieh Huang
- Department of Psychiatry, National Taiwan University Hospital Yunlin Branch, Yunlin County, Taiwan
- Department of Psychiatry, College of Medicine, National Taiwan University, Taipei City, Taiwan
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3
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Contemori G, Saccani MS, Bonato M. Cognitive-Cognitive Dual-task in aging: A cross-sectional online study. PLoS One 2024; 19:e0302152. [PMID: 38848421 PMCID: PMC11161073 DOI: 10.1371/journal.pone.0302152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 03/28/2024] [Indexed: 06/09/2024] Open
Abstract
The prevalence of neurodegenerative disorders, particularly dementia, is on the rise across many countries worldwide. This negative trend calls for improving our understanding of cognitive aging. While motor-cognitive dual-task approaches have already been proven valuable for clinical diagnosis, comparatively less research is available on the application of Cognitive-Cognitive Dual-Tasking (CCDT), across several cognitive domains. Moreover, there is limited understanding about how healthy aging affects performance in such dual-tasks in the general population. CCDT entails engaging individuals in multiple cognitive tasks simultaneously and holds promise for remote e-Health interventions. In this cross-sectional study, our objective was to evaluate the suitability of a newly developed, self-administered, online tool for examining age-related differences in memory performance under dual-tasking. 337 healthy adults aged 50-90 underwent a visual memory test (Memo) under both single and dual-task conditions (attend to auditory letters). Additional measures included questionnaires on subjective memory complaints (MAC-Q), on cognitive reserve (CR), and a cognitive screening (auto-GEMS). As expected, the accuracy of visual memory performance exhibited a negative correlation with age and MAC-Q, and a positive correlation with CR and auto-GEMS scores. Dual-tasking significantly impaired performance, and its detrimental effect decreased with increasing age. Furthermore, the protective effect of cognitive reserve diminished with advancing age. These findings suggest that the commonly observed age-related increase in dual-task costs is not universally applicable across all tasks and cognitive domains. With further refinement, a longitudinal implementation of this approach may assist in identifying individuals with a distinct cognitive trajectory and potentially at a higher risk of developing cognitive decline.
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Affiliation(s)
- Giulio Contemori
- Department of General Psychology, University of Padova, Padova, Italy
| | - Maria Silvia Saccani
- Department of General Psychology, University of Padova, Padova, Italy
- Padova Neuroscience Center, Padova, Italy
| | - Mario Bonato
- Department of General Psychology, University of Padova, Padova, Italy
- Padova Neuroscience Center, Padova, Italy
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4
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Harsi ELMEL, Benksim A, Cherkaoui M. Cognitive complaints in older adults in primary care and associated factors. Dement Neuropsychol 2023; 17:e20220096. [PMID: 37261254 PMCID: PMC10229085 DOI: 10.1590/1980-5764-dn-2022-0096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 02/11/2023] [Accepted: 02/27/2023] [Indexed: 06/02/2023] Open
Abstract
Cognitive complaints are common in older people. They can progress into a more severe cognitive decline and then deterioration of quality of life. They are associated with several factors. Objective This study aimed to determine the factors associated with cognitive complaints in older adults in the city of Marrakech, Morocco. Methods This study was conducted between March and June 2022 among 281 people aged 50 years and older who attended primary health care centers in the city of Marrakech. Cognitive complaints were measured using the McNair-Kahn scale. Data on sociodemographic and clinical characteristics were collected through interviews with the participants and consultation of their medical records. Analysis was done using Statistical Package for Social Sciences (SPSS) version 25, Ink software. Results Of the total participants, 51.6% had cognitive complaints. Multivariate analysis showed that people aged 75 years and over had a sevenfold higher risk of cognitive complaints than people aged 50-64 years (p=0.033; OR=7.64; 95%CI 1.17-49.72), and that illiteracy (p=0.004; OR=3.39; 95%CI 1.48-7.76), cardiovascular disease (p=0.018; OR=4.30; 95%CI 1.29-14.32), diabetes (p=0.001; OR=3.14; 95%CI 1.64-6.04), visual impairment (p=0.017; OR=2.22; 95%CI 1.15-4.19), depression (p= 0.027; OR=2.36; 95%CI 1.10-5.05) and sleepiness (p=0.034; OR=1.96; 95%CI 1.05-3.66) are associated variables. Conclusions Cognitive complaints are frequent in older adults and are associated with several sociodemographic and health factors. Some measures could help maintain stable memory performance in old age and prevent severe cognitive declines, such as regular follow-up of at-risk individuals, and cognitive, physical and leisure activities.
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Affiliation(s)
- EL Mahjoub EL Harsi
- Cadi Ayyad University, Faculty of Sciences Semlalia, Laboratory of Pharmacology, Neurobiology, Anthropobiology and Environment, Marrakech, Morocco
- Regional Health Directorate, Higher Institute of Nursing Professions and Health Techniques, Nursing Care Department, Marrakech, Morocco
| | - Abdelhafid Benksim
- Cadi Ayyad University, Faculty of Sciences Semlalia, Laboratory of Pharmacology, Neurobiology, Anthropobiology and Environment, Marrakech, Morocco
- Regional Health Directorate, Higher Institute of Nursing Professions and Health Techniques, Nursing Care Department, Marrakech, Morocco
| | - Mohamed Cherkaoui
- Cadi Ayyad University, Faculty of Sciences Semlalia, Laboratory of Pharmacology, Neurobiology, Anthropobiology and Environment, Marrakech, Morocco
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Radhoe TA, Agelink van Rentergem JA, Kok AAL, Huisman M, Geurts HM. Subgroups in Late Adulthood Are Associated With Cognition and Wellbeing Later in Life. Front Psychol 2021; 12:780575. [PMID: 34925184 PMCID: PMC8671814 DOI: 10.3389/fpsyg.2021.780575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 11/08/2021] [Indexed: 12/05/2022] Open
Abstract
Objectives: In this study, we aim to discover whether there are valid subgroups in aging that are defined by modifiable factors and are determinant of clinically relevant outcomes regarding healthy aging. Method: Data from interviews were collected in the Longitudinal Aging Study Amsterdam at two measurement occasions with a 3-year interval. Input for the analyses were seven well-known vulnerability and protective factors of healthy aging. By means of community detection, we tested whether we could distinguish subgroups in a sample of 1478 participants (T1-sample, aged 61–101 years). We tested both the external validity (T1) and predictive validity (T2) for wellbeing and subjective cognitive decline. Moreover, replicability and long-term stability were determined in 1186 participants (T2-sample, aged 61–101 years). Results: Three similar subgroups were identified at T1 and T2. Subgroup A was characterized by high levels of education with personal vulnerabilities, subgroup B by being physically active with low support and low levels of education, and subgroup C by high levels of support with low levels of education. Subgroup C showed the lowest wellbeing and memory profile, both at T1 and T2. On most measures of wellbeing and memory, subgroups A and B did not differ from each other. At T2, the same number of subgroups was identified and subgroup profiles at T1 and T2 were practically identical. Per T1 subgroup 47–62% retained their membership at T2. Discussion: We identified valid subgroups that replicate over time and differ on external variables at current and later measurement occasions. Individual change in subgroup membership over time shows that transitions to subgroups with better outcomes are possible.
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Affiliation(s)
- Tulsi A Radhoe
- Dutch Autism and ADHD Research Center (d'Arc), Department of Psychology, Brain and Cognition, University of Amsterdam, Amsterdam, Netherlands
| | - Joost A Agelink van Rentergem
- Dutch Autism and ADHD Research Center (d'Arc), Department of Psychology, Brain and Cognition, University of Amsterdam, Amsterdam, Netherlands
| | - Almar A L Kok
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC - Location VU University Medical Center, Amsterdam, Netherlands.,Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Psychiatry, Amsterdam Public Health, Amsterdam, Netherlands
| | - Martijn Huisman
- Department of Epidemiology and Data Science, Amsterdam Public Health Research Institute, Amsterdam UMC - Location VU University Medical Center, Amsterdam, Netherlands.,Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Sociology, Amsterdam Public Health, Amsterdam, Netherlands
| | - Hilde M Geurts
- Dutch Autism and ADHD Research Center (d'Arc), Department of Psychology, Brain and Cognition, University of Amsterdam, Amsterdam, Netherlands.,Leo Kannerhuis (Youz/Parnassia Groep), Amsterdam, Netherlands
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Tedrus GMDAS, Lange LA. Memory complaints, clinical aspects, and self-esteem in adult people with epilepsy. Dement Neuropsychol 2021; 15:357-360. [PMID: 34630923 PMCID: PMC8485644 DOI: 10.1590/1980-57642021dn15-030007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 03/21/2021] [Indexed: 11/21/2022] Open
Abstract
Memory complaints are common in adult people with epilepsy (PWEs). However, the associated clinical aspects are not yet fully understood. Objective This study aims to relate the occurrence of memory complaints in PWEs with clinical aspects and self-esteem. Methods To relate the data obtained from the Memory Complaint Questionnaire (MAC-Q) with clinical aspects, 71 PWEs were assessed using the Rosenberg Self-Esteem Scale (SES), the Mini Mental State Examination (MMSE), and the Brief Cognitive Battery-Edu. These data were compared with 55 individuals in a control group (CG). Results Memory complaints (MAC-Q≥25) were significantly higher in PWEs, when compared with individuals in the CG [35 (49.3%) vs. 15 (27.2%); Student's t-test; p=0.012]. Objective cognitive performance was lower in PWEs. Memory complaints were associated with a lower educational level, the presence of depression, SES, MMSE, incidental memory, and the clock-drawing test scores in PWEs. Conclusions Memory complaints were more frequent in PWEs than in individuals in the CG, and there was a relationship with cognitive deficit, educational level, depression, and low self-esteem.
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Affiliation(s)
| | - Laura Annoni Lange
- School of Medicine, Pontificia Universidade Católica de Campinas - Campinas, SP, Brazil
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7
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Ferreira-Filho SFD, Borelli WV, Sguario RM, Biscaia GF, Müller VS, Vicentini G, Schilling LP, Silveira DSD. Prevalence of dementia and cognitive impairment with no dementia in a primary care setting in southern Brazil. ARQUIVOS DE NEURO-PSIQUIATRIA 2021; 79:565-570. [PMID: 34468501 DOI: 10.1590/0004-282x-anp-2020-0410] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2020] [Accepted: 10/21/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Cognitive decline is a common condition, but is still underrepresented in studies conducted in developing countries. OBJECTIVE To calculate the prevalence of cognitive decline and depression in an elderly community-dwelling population in a city in southern Brazil. METHODS We calculated the prevalences of dementia, cognitive impairment with no dementia (CIND) and symptoms of depression in an elderly population relying on the public healthcare system. This epidemiological study in Pelotas, Brazil, was conducted within the primary care setting. It included 299 older adults (mean age = 69.75 ± 7.6 years) who presented low levels of education (mean = 4.16 ± 3.17 years of education). They underwent cognitive screening and their medical records were analyzed. RESULTS Among these older adults, 142 (47.5%) presented cognitive decline: 104 (34.8%) matching the cognitive criteria for CIND and 38 (12.7%) matching the cognitive criteria for dementia. Among all the individuals who completed the cognitive screening, 141 (48.4%) were positive for symptoms of depression, of whom 99 (34%) did not have any previous diagnosis in their medical records. CONCLUSION There was high prevalence of cognitive impairment among these older adults in a primary care setting. A large number of older adults were found to have symptoms of depression without any diagnosis.
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Affiliation(s)
| | - Wyllians Vendramini Borelli
- Hospital de Clínicas de Porto Alegre, Porto Alegre RS, Brazil.,Instituto do Cérebro do Rio Grande do Sul (InsCer), Porto Alegre RS, Brazil
| | | | | | | | | | - Lucas Porcello Schilling
- Instituto do Cérebro do Rio Grande do Sul (InsCer), Porto Alegre RS, Brazil.,Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Porto Alegre RS, Brazil.,Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-Graduação em Geriatria e Gerontologia, Porto Alegre RS, Brazil
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8
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Borelli WV, Labrea VN, Leal-Conceicao E, Portuguez MW, Costa JCD. Evaluating subjective cognitive decline: a systematic review of tools available for evaluating cognitive complaints in Portuguese. ARQUIVOS DE NEURO-PSIQUIATRIA 2021; 79:238-247. [PMID: 33886797 DOI: 10.1590/0004-282x-anp-2020-0153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 07/20/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Subjective cognitive decline (SCD) is a perception that is not objectively measured in screening tests. Although many tools are available for evaluating SCD, no single gold standard is available for classifying individuals as presenting SCD, in the Portuguese-speaking population. The aim of this study was to systematically review the literature for tools used to evaluate SCD in the Portuguese-speaking population. METHODS Four databases (Web of Science, SciELO, LILACS and MEDLINE) were primarily utilized in this study (Phase 1). Subsequently, we conducted a manual search of the literature (Phase 2). We then retrieved tools for critical evaluation (Phase 3). Studies that matched the inclusion criteria were analyzed. We summarized the features of each tool in terms of the number of questions, scoring system, benefits and deficiencies, translation and validity. RESULTS A total of 30 studies utilizing four questionnaires and seven different single questions were found. The tools retrieved were the Memory Assessment Questionnaire (MAC-Q; 12/30 studies), single-question methods (7/30 studies), Subjective Memory Complaint Scale (SMC scale; 5/30 studies), Prospective and Retrospective Memory Questionnaire (PRMQ; 3/30 studies) and Memory Complaint Scale (MCS; 3/30 studies). Only two were formally translated and validated for the Portuguese speaking population (PRMQ and MCS). CONCLUSIONS In summary, SCD is still underinvestigated in Portuguese-speaking countries. The MAC-Q was the most commonly used tool in Portuguese, despite its lack of formal translation and validation for the Portuguese-speaking population. Further studies are required in order to develop and validate a screening tool that includes questions for detecting SCD-plus features and affective symptoms, so as to improve its predictive value.
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Affiliation(s)
- Wyllians Vendramini Borelli
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Porto Alegre RS, Brazil.,Instituto do Cérebro do Rio Grande do Sul, Porto Alegre RS, Brazil.,Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-Graduação em Gerontologia Biomédica, Porto Alegre RS, Brazil
| | - Vanessa Nicola Labrea
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Porto Alegre RS, Brazil
| | | | - Mirna Wetters Portuguez
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Porto Alegre RS, Brazil.,Instituto do Cérebro do Rio Grande do Sul, Porto Alegre RS, Brazil.,Pontifícia Universidade Católica do Rio Grande do Sul, Programa de Pós-Graduação em Gerontologia Biomédica, Porto Alegre RS, Brazil
| | - Jaderson Costa da Costa
- Pontifícia Universidade Católica do Rio Grande do Sul, Escola de Medicina, Porto Alegre RS, Brazil.,Instituto do Cérebro do Rio Grande do Sul, Porto Alegre RS, Brazil
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Pereira ML, de Vasconcelos THF, de Oliveira AAR, Campagnolo SB, Figueiredo SDO, Guimarães AFBC, Barbosa MT, de Miranda LFJR, Caramelli P, de Souza LC. Memory complaints at primary care in a middle-income country: clinical and neuropsychological characterization. Dement Neuropsychol 2021; 15:88-97. [PMID: 33907601 PMCID: PMC8049577 DOI: 10.1590/1980-57642021dn15-010009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 10/26/2020] [Indexed: 11/22/2022] Open
Abstract
There are different causes of memory complaints in the elderly, such as subjective cognitive decline (SCD), mild cognitive impairment (MCI) or dementia. OBJECTIVE 1) To characterize individuals with memory complaints in a mid-sized city in Brazil, through clinical, cognitive and functional assessment; 2) to compare SCD individuals with MCI and dementia patients in terms of clinical and cognitive variables. METHODS We consecutively included individuals aged ≥50 years, with memory complaints (spontaneous or inquired). Subjects who scored ≥25 on the Memory Complaint Questionnaire or who had spontaneous memory complaints were selected. Participants underwent a semi-structured interview, the Mini-Mental State Examination, Figure Memory Test for visual episodic memory, Clock Drawing Test, Category Fluency (Animals), Neuropsychiatric Inventory, and functional assessment. Individuals were classified as SCD, MCI or dementia. We did not include individuals with previous diagnosis of dementia. RESULTS The final sample consisted of 91 subjects (73.6% women; mean age 67.6±9.8 years): 14.3% had spontaneous complaints and 85.7% had inquired complaints. The most common comorbidities were hypertension (69.2%), diabetes (36.3%), and dyslipidemia (24.2%). Low levels of vitamin B12 and hypothyroidism were found in 26.4 and 16.5%, respectively. Regarding cognitive diagnosis, 16.5% of the sample were classified as SCD, 49.4% as MCI and 34.1% as dementia. MCI and dementia were identified in five (38.5%) and seven (53.4%) patients with spontaneous complaint, respectively. CONCLUSIONS MCI and dementia are frequently underdiagnosed. Potential reversible causes of cognitive decline are common. The diagnosis of dementia is highly frequent among individuals with spontaneous memory complaints.
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Affiliation(s)
- Marcos Leandro Pereira
- Programa de Pós-Graduação em Neurociências, Universidade Federal
de Minas Gerais – Patos de Minas, MG, Brazil
- Curso de Medicina, Centro Universitário de Patos de Minas –
Patos de Minas, MG, Brazil
| | | | | | | | | | | | - Maira Tonidandel Barbosa
- Departamento de Clínica Médica, Faculdade de Medicina,
Universidade Federal de Minas Gerais – Belo Horizonte, MG, Brazil
| | | | - Paulo Caramelli
- Programa de Pós-Graduação em Neurociências, Universidade Federal
de Minas Gerais – Patos de Minas, MG, Brazil
- Departamento de Clínica Médica, Faculdade de Medicina,
Universidade Federal de Minas Gerais – Belo Horizonte, MG, Brazil
| | - Leonardo Cruz de Souza
- Programa de Pós-Graduação em Neurociências, Universidade Federal
de Minas Gerais – Patos de Minas, MG, Brazil
- Departamento de Clínica Médica, Faculdade de Medicina,
Universidade Federal de Minas Gerais – Belo Horizonte, MG, Brazil
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Schütz H, Caspers S, Moebus S, Lux S. Prevalence and psychosocial correlates of subjectively perceived decline in five cognitive domains: Results from a population-based cohort study in Germany. Int J Geriatr Psychiatry 2020; 35:1219-1227. [PMID: 32510658 DOI: 10.1002/gps.5359] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2019] [Revised: 05/20/2020] [Accepted: 05/30/2020] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Subjective cognitive decline (SCD) was frequently investigated for memory in healthy aging or in relation to diseases like dementia. It was found to be related to sociodemographic and psychological variables as well as cognitive abilities. The prevalence of SCD in other cognitive domains and their relation to these variables is largely unknown to date. The present study aimed to fill this gap. METHODS A total of 807 subjects (18-85 years of age, M = 57.8 years, female: 43%) completed the Juelich Questionnaire on Subjective Cognitive Decline, to investigate SCD in memory, attention, language, motor, and executive functions. Logistic regression analyses were used to estimate association of depressive symptomatology, emotionality, and general cognitive performance as well as age, gender, and educational attainment with domain-specific SCD. RESULTS The highest prevalence rate was obtained for the memory domain (65.9%), followed by the attention (54.6%), motor (52.9%), executive (39.7%), and language domain (31.5%). Of the psychosocial factors, only age, depressive symptomatology and emotionality were consistently and strongly associated with domain-specific SCD prevalence. CONCLUSIONS SCD is prevalent not only in the memory domain, but also in other major cognitive domains. Our results also suggest that the suspicion from previous research, that subjective memory decline might be more strongly associated with depressive symptomatology and emotionality than with actual decline of cognitive performance, might also apply to the attention, motor, executive, and language domain. Further investigations using neuropsychological testing for specific cognitive functions and employing longitudinal designs are required for substantiating this suspicion.
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Affiliation(s)
- Holger Schütz
- Research Center Jülich, Institute of Neuroscience and Medicine, INM-8, Jülich, Germany
| | - Svenja Caspers
- Research Center Jülich, Institute of Neuroscience and Medicine, INM-1, Jülich, Germany.,Institute for Anatomy I, Medical Faculty, University Düsseldorf, Düsseldorf, Germany.,JARA-BRAIN, Jülich-Aachen Research Alliance, Jülich, Germany
| | - Susanne Moebus
- Institute for Urban Public Health, University Hospitals, University Duisburg-Essen, Duisburg, Germany
| | - Silke Lux
- Department of Psychiatry and Psychotherapy, University Clinic Bonn, Bonn, Germany
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Bernardes FR, Machado CK, Souza MC, Machado MJ, Belaunde AMA. Subjective memory complaints and their relation with verbal fluency in active older people. Codas 2017; 29:e20160109. [PMID: 28538830 DOI: 10.1590/2317-1782/20172016109] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 09/20/2016] [Indexed: 11/21/2022] Open
Abstract
Purpose To verify subjective memory complaints and their relation to verbal fluency in older people participating in community groups. Methods An epidemiological quantitative study performed in community groups for older people in Florianópolis, state of Santa Catarina, Brazil. Data were collected by structured interview using the Memory Complaint Questionnaire (MAC-Q) and the Verbal Fluency Test (VFT) by semantic categories "animals/minute". For an inferential descriptive analysis, data with p < 5% were considered. Results Self-reported memory complaints were found in 35.7% of the sample. No association or correlation of VFT with the perception of memory obtained by MAC-Q, nor with its score was found. The VFT analysis of in individuals who reported negative perception of memory presented statistical significance. We found significant association between the perception (MAC-Q score) and presence of memory lapses (reported by the older people in question and added to the questionnaire). Conclusion We found no relation between subjective memory complaints and verbal fluency of active older people. Mnemonic complaints were correlated to the negative perception of memory and to the duration of the complaint. However, subjective memory complaints were an indicator for those individuals with negative perception of memory, being one aspect that must be considered in older people's speech when investigating a possible cognitive deterioration. Such data can assist in formulating public health care policies aimed at older people in the city, which emphasizes the importance of verifying subjective memory complaints in this population.
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Affiliation(s)
| | | | - Monique Coan Souza
- Universidade Federal de Santa Catarina - UFSC - Florianópolis (SC), Brasil
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Lima CMB, Alves HVD, Mograbi DC, Pereira FF, Fernandez JL, Charchat-Fichman H. Performance on cognitive tests, instrumental activities of daily living and depressive symptoms of a community-based sample of elderly adults in Rio de Janeiro, Brazil. Dement Neuropsychol 2017; 11:54-61. [PMID: 29213494 PMCID: PMC5619215 DOI: 10.1590/1980-57642016dn11-010009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective To describe the performance on basic cognitive tasks, instrumental activities
of daily living, and depressive symptoms of a community-based sample of
elderly adults in Rio de Janeiro (Brazil) who participated in multiple
physical, social, and cognitive activities at government-run community
centers. Methods A total of 264 educated older adults (> 60 years of age of both genders)
were evaluated by the Brief Cognitive Screening Battery (BCSB), Lawton's and
Pfeffer's activities of daily living indexes, and the Geriatric Depressive
Scale (GDS). Results The mean age of the sample was 75.7 years. The participants had a mean of 9.3
years of formal education. With the exception of the Clock Drawing Test
(CDT), mean scores on the cognitive tests were consistent with the values in
the literature. Only 6.4% of the sample had some kind of dependence for
activities of daily living. The results of the Geriatric Depression Scale
(GDS-15) indicated mild symptoms of depression in 16.8% of the sample Conclusion This study provided important demographic, cognitive, and functional
characteristics of a specific community-based sample of elderly adults in
Rio de Janeiro, Brazil.
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Affiliation(s)
| | - Heloisa Veiga Dias Alves
- Pontificia Universidade Catolica do Rio de Janeiro - Psicologia, Rio de Janeiro RJ - Brazil.,Bolsista do CNPq
| | - Daniel Correa Mograbi
- Pontificia Universidade Catolica do Rio de Janeiro - Psicologia, Rio de Janeiro RJ - Brazil
| | - Flávia Furtado Pereira
- Secretaria Especial de Envelhecimento e Qualidade de Vida - SESQV, Rio de Janeiro RJ - Brazil
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The determinants of metamemory beliefs: the effect of Self-relevance and Friend-relevance. How important is anxiety? HEALTH PSYCHOLOGY REPORT 2014. [DOI: 10.5114/hpr.2014.43916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
<b>Background</b><br />
Metacognitive beliefs (beliefs about one’s own possibilities) are an object of research in several clinical groups. Personality characteristics determine the contents of such beliefs.<br />
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<b>Participants and procedure</b><br />
In the study of the general population, judgment of learning (JOL) techniques were used. This technique is based on estimating the level of material (words) memorized, then learning and memorizing. There were two types of tasks used: for Self-relevance and Friend-relevance. The task was to express judgments about a friend’s (he/she) beliefs (<i>I think he/she thinks</i>...) and about the friend’s performance (<i>I think he/she will perform</i>...) in the described task.<br />
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<b>Results</b><br />
A higher level of trait anxiety led to negative self-evaluations of one’s capabilities. Higher levels of state anxiety promoted more positive assessment of the friend’s possibilities.<br />
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<b>Conclusions</b><br />
Anxiety analyzed as an isolated variable does not explain the character of metacognitive self-beliefs and beliefs regarding a friend. Both our findings and the results of previous studies (3) suggest that the tendency to under-evaluate one’s abilities is a frequent characteristic of metacognitive beliefs, being independent of anxiety levels. Future research should center around similar analyses of persons diagnosed with specific types of anxiety-related disorders.
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Jacinto AF, Brucki SMD, Porto CS, Arruda Martins MD, Nitrini R. Subjective memory complaints in the elderly: a sign of cognitive impairment? Clinics (Sao Paulo) 2014; 69:194-7. [PMID: 24626946 PMCID: PMC3935127 DOI: 10.6061/clinics/2014(03)09] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2013] [Revised: 07/28/2013] [Accepted: 08/16/2013] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES Cognitive impairment in the elderly is frequently overlooked by general practitioners. The use of subjective memory complaints as a sign of cognitive impairment by the general practice is controversial. METHODS Elderly individuals (N = 248) were asked whether they had memory complaints and underwent a cognitive impairment screening. Subjects classified as exhibiting "probable cognitive impairment" underwent a complete cognitive evaluation, and the final diagnoses were established by expert consensus. RESULTS A total of 147 patients presented with subjective memory complaints, and 43 were further classified as demented or "cognitively impaired not demented". Subjective memory complaints presented a sensitivity of 100% and a negative predictive value of 100%. CONCLUSION Subjective memory complaints are an indicator for cognitive impairment screening.
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Affiliation(s)
- Alessandro Ferrari Jacinto
- Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil
| | - Sonia Maria Dozzi Brucki
- Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil
| | - Claudia Sellitto Porto
- Faculdade de Medicina, Universidade de São Paulo, Department of Neurology, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Department of Neurology, São Paulo/SP, Brazil
| | - Milton de Arruda Martins
- Faculdade de Medicina, Universidade de São Paulo, Internal Medicine, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Internal Medicine, São Paulo/SP, Brazil
| | - Ricardo Nitrini
- Faculdade de Medicina, Universidade de São Paulo, Internal Medicine, São PauloSP, Brazil, Faculdade de Medicina da Universidade de São Paulo, Internal Medicine, São Paulo/SP, Brazil
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de Oliveira EM, Kissaki PT, Ordonez TN, Lima-Silva TB. A systematic review of the neurobiological aspects of memory in the aging process. Dement Neuropsychol 2011; 5:310-321. [PMID: 29213758 PMCID: PMC5619044 DOI: 10.1590/s1980-57642011dn05040009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
A systematic review of the neuroanatomical literature was performed to determine the neuropharmacological aspects most relevant to the study of memory processes. Articles were retrieved using the search terms "biology of memory", "memory and aging", "memory impairment", "elderly and memory," and their equivalents in Portuguese. Of the studies surveyed, five studies dealt with epidemiological and demographic issues, 12 were clinical trials i.e. were based on testing and implementation of instruments in human subjects, 33 studies were basic research involving studies of mice, rats and non-human primates, and biochemical and in vitro trials and finally, 52 studies were literature reviews or book chapters which in our view, fell into this category. Conclusions The work sought to highlight which neural networks are most involved in processing information, as well as their location within brain regions and the way in which neurotransmitters interact with each other for the formation of these memories. Moreover, it was shown how memory changes during the normal human aging process, both positively and negatively, by analyzing the morphological alterations that occur in the brain of aging individuals.
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Affiliation(s)
- Eduardo Moreira de Oliveira
- Bacharel em Gerontologia - Escola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo SP, Brazil. Pesquisadores do Núcleo de Estudos no Envelhecimento Cognitivo e Núcleo de Estudos em Gerontologia, EACH-USP, São Paulo SP, Brazil
| | - Priscilla Tiemi Kissaki
- Bacharel em Gerontologia - Escola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo SP, Brazil. Pesquisadores do Núcleo de Estudos no Envelhecimento Cognitivo e Núcleo de Estudos em Gerontologia, EACH-USP, São Paulo SP, Brazil
| | - Tiago Nascimento Ordonez
- Bacharel em Gerontologia - Escola de Artes, Ciências e Humanidades da Universidade de São Paulo, São Paulo SP, Brazil. Pesquisadores do Núcleo de Estudos no Envelhecimento Cognitivo e Núcleo de Estudos em Gerontologia, EACH-USP, São Paulo SP, Brazil
| | - Thaís Bento Lima-Silva
- Pós-graduada em Neurociências pela Faculdade de Medicina do ABC - Mestranda em Neurologia, pelo Departamento de Neurologia Cognitiva e do Comportamento - Faculdade de Medicina da Universidade de São Paulo, São Paulo SP, Brazil
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