Careful attention should be given to dual-task and turn-to-sit activities when detecting risk of falls among older people with MCI and mild AD.

Dementia is a constant concern for the public health system. Also, it impacts family members who provide informal care, often culminating in overload due to the emotional stress and physical distress of caregivers. Objective: This systematic review aimed to identify the consequences of Burnout Syndrome in informal caregivers of older adults with dementia. Methods: The search was performed spanning the last 10 years, in English, Portuguese or Spanish. The databases used were PubMed, SciELO, Web of Science and LILACS. The descriptors were obtained from MeSH and DeCS, which were, “caregivers”, “burnout”, “aged”, “psychological stress” and “dementia”. The selected articles included studies conducted with informal caregivers of community-dwelling older adults diagnosed with any type of dementia. The excluded articles had the following characteristics: the participants were not informal caregivers, the older adults were not diagnosed with dementia, or the main theme was not related to the Burnout Syndrome. Results: Initially, 1,208 articles were found. One hundred and forty-six were eliminated because they were duplicates. A further 1,033 were excluded because they did not meet the inclusion criteria. Twenty-nine studies were selected for full reading and 22 were excluded, giving 7 studies for inclusion in this review. Conclusion: The results showed that the Burnout Syndrome negatively affected caregivers’ quality of life and was associated with patient depressive and anxious symptoms and abusive behavior by caregiver. There is a need for studies with interventions addressing this issue.

The dual-task predicts falls only in older people with mild cognitive impairment.

HighlightsDual tasks can be applicable to assess elderly with mild Alzheimer's disease.Patients with preserved cognition and mild cognitive impairment presented with similar mobility.Specific local and consequences of falls were identified for each cognitive group.

-We describe clinical and socio-demographic features of patients with dementia attended in a tertiary outpatient clinic during a three years period (56.9% of the total attendance). Most of them were men, white, from the local community, urban district. Nobody had a job at the moment, two thirds of them got social welfare benefit. They lived with their family, the caregiver being the spouse or a daughter. The education level was very low, a quarter of them being illiterate. They were referred mostly from the public health care service, by neurologists or psychiatrists due to cognitive disorders. Family history as well as individual history of previous neurological/psychiatric disorders were frequent, especially alcoholism, stroke, head trauma and dementia. The neurological exam showed abnormalities in two thirds of cases, chiefly extra-pyramidal and pyramidal signs. Alzheimer's disease was the most frequent cause, followed by cerebrovascular disorder; alcoholism and normal pressure hydrocephalus were also frequent causes. Most patients presented concomitant non-etiological neurological/psychiatric disorders, mainly alcoholism and depression, and non-neurological/ psychiatric diseases, predominantly hypertension, cardiopathy and diabetes. Most patients had been referred under medication, frequently politherapy, including psychotropics.KEY WORDS: dementia, Alzheimer's disease, vascular dementia, epidemiology, tertiary outpatient clinic.Características clínicas e demográficas de pacientes com demência atendidos em ambulatório terciário Características clínicas e demográficas de pacientes com demência atendidos em ambulatório terciário Características clínicas e demográficas de pacientes com demência atendidos em ambulatório terciário Características clínicas e demográficas de pacientes com demência atendidos em ambulatório terciário Características clínicas e demográficas de pacientes com demência atendidos em ambulatório terciário RESUMO -São descritas características clínicas e sociodemográficas dos pacientes com demência de um ambulatório terciário, atendidos em período de três anos (56,9% de todos os atendimentos). Eram predominantemente do sexo masculino, cor branca, de procedência local, zona urbana. Nenhum permanecia trabalhando, dois terços recebiam benefício previdenciário. Residiam com familiares, o cuidador sendo cônjuge ou filha. Tinham escolaridade baixa, um quarto sendo analfabetos. Na maioria, eram provenientes da rede pública e referenciados por neurologistas ou psiquiatras, por distúrbios cognitivos. Antecedentes individuais ou familiares de transtornos neurológicos/psiquiátricos eram frequentes, destacando-se alcoolismo, doenças cerebrovascular, trauna crânio-encefalico e demência. Exame neurológico demonstrou anormalidades em dois terços, destacando-se sinais extra-piramidais e piramidais. Doença de Alzheimer era a etiologia mais frequente, seguida de doença cerebrovascular; alcoolismo e hidrocefalo de presão normal também eram frequentes. A maioria apresentava concomitantemente transtorn...