Associação entre declínio cognitivo e qualidade de vida de idosos hipertensos

Abstract

Objective: To evaluate the association between cognitive decline and quality of life in hypertensive elderly persons. Methods: A quantitative, cross-sectional, analytical study involving 125 hypertensive elderly individuals of both genders attending the HIPERDIA Program in São Luís, in the state of Maranhao, was performed. The Mini Mental State Exam (MMSE) was used to evaluate cognitive decline and quality of life was assessed using the Medical Outcomes Study 36 Short-Form Health Survey (SF-36). The normality of the data was verified by the Shapiro-Wilk test. The Mann-Whitney test was also applied (quality of life). The association between cognitive decline and quality of life was evaluated using Spearman's coefficient. Results: The prevalence of cognitive decline was 20.8% and there was a predominance of elderly persons with a low educational level (45.83%). Hypertensive elderly individuals with cognitive decline had a poorer quality of life than those without cognitive decline. A positive association between cognitive function and quality of life was observed for the following domains: functional capacity (r=0.222; p=0.01), pain (r=0.1871; p=0.04), and emotional aspects (r=0.3136; p=0.0005). Conclusion: The results of this study suggest that cognitive decline directly affects the quality of life of the elderly by limiting the capacity to perform activities of daily living, especially if associated with painful medical conditions and emotional disturbances.

Cognitive impairment and associated factors among institutionalized elderly persons in Natal, Rio Grande do Norte, Brazil

“…These findings corroborate those of the study by Chaves 18 which suggests that untreated hypertension could be a predictor for cognitive loss, with the use of antihypertensive drugs an important protector of cognition. However, studies have reached contrasting conclusions regarding the effects of antihypertensive treatment on hypertension and cognitive decline [20][21][22] .…”

“…In our findings, SAH was considered a protective factor for cognitive impairment. This finding can be explained by the use of antihypertensive medication, which can influence the prevention of cognitive decline due to its deleterious effects, which lead to reduced alterations in the small vessels, reducing the risk of injury to the cerebral white matter and cerebrovascular functioning 18 . Duron and Hanon…”

Perda Cognitiva E Dependência Funcional Em Idosos Longevos Residentes Em Instituições De Longa Permanência

“…Todavia, outras habilidades, como o raciocínio conceitual, memória e velocidade de processamento, reduzem gradualmente ao longo do tempo (7) . Nesse sentido, outra pesquisa (22) desenvolvida com idosos no Estado do Maranhão que apresentavam declínio cognitivo, demonstrou que 57 (45,83%) tinham baixa escolaridade, o que ratifica não só os resultados encontrados no presente estudo, como também a relação de escores do rastreio cognitivo proposto pelo MEEM.…”

“…A função cognitiva é um fator importante fator para avaliar a qualidade de vida de idosos, e a sua disfunção está relacionada a aspectos individuais e também sociais (22) . E também "é um dos determinantes da qualidade de vida na velhice, pois perdas nas funções cognitivas podem resultar em prejuízo no funcionamento físico, social e emocional de idosos" (24:157) .…”

Qualidade de vida dos usuários do programa hiperdia de uma unidade básica de saúde do município de Guarapuava/pr.

“…Associa-se às alterações funcionais dos órgãos-alvo como coração, encéfalo, rins e vasos sanguíneos, com propensão de risco de eventos cardiovasculares 1,6 . Representa um dos principais problemas de saúde e causa de morte, elevando o custo médico-social, devido às suas complicações como as doenças cerebrovasculares, insuficiência cardíaca e insuficiência renal 7 .…”