RESUMO
Background: Patients with Chronic Obstructive Pulmonary Disease (COPD) suffer a progressive deterioration of functional status and a decrease in independence in activities of daily living. Locomotor Syndrome (SL) is the involvement of the musculoskeletal system due to the deterioration caused by age. Aim: In patients with COPD, to evaluate the prevalence in LS and assess its impact on functional status and quality of life. Material and Methods: Cross sectional assessment of 259 patients with COPD. LS was evaluated with the Geriatric Locomotive Function Scale (GFLS-25). Those with a score < 16 were classified as having LS. Functional status was evaluated with dynamometry, Five Times Sit-to-Stand test, and the Modified Baecke Physical Activity Questionnaire. Functional impairment was measured with the London Chest Activity of Daily Living, and the quality of life was evaluated with EuroQol-5D. Results: LS was found in 139 patients (53%). Activity levels and muscle strength were lower in these patients. Also, they had a higher frequency of functional impairment and a lower quality of life perception. Conclusions: LS in patients with COPD impacts their functional status and quality of life.
Assuntos
Idoso , Qualidade de Vida , Doença Pulmonar Obstrutiva Crônica/complicações , Doença Pulmonar Obstrutiva Crônica/epidemiologia , Atividades Cotidianas , Prevalência , Estudos Transversais , Inquéritos e QuestionáriosRESUMO
Resumen Introducción. El envejecimiento se ha relacionado con una mayor prevalencia de deterioro cognitivo. Las personas mayores con pérdida de funciones cognitivas presentan elevadas tasas de caídas. El desarrollo de las actividades de la vida diaria engloba dos o más tareas, siendo necesarios componentes cognitivos y motores. Objetivo. Analizar el rendimiento en pruebas sencillas y duales de sujetos en entorno residencial con diferentes grados de deterioro cognitivo. Materiales y métodos. Se realizó un estudio observacional de corte transversal en ancianos institucionalizados >65 años (n=80). Se evaluó el deterioro cognitivo con el Mini-Mental State Examination y se solicitó a los participantes realizar una tarea simple y dual en las pruebas Six-Minute Walk Test (6MWT) y Timed Up and Go (TUG). Resultados. Se distribuyeron los participantes en tres grupos. Se encontraron diferencias significativas entre los grupos con deterioro cognitivo y el grupo sin deterioro cognitivo para las pruebas 6MWT (p<0.05) y TUG (p<0.05), tanto en la tarea simple como en la tarea dual. Un peor rendimiento se asoció con una menor capacidad cognitiva. Conclusión. La severidad del deterioro cognitivo se encuentra relacionada con el desempeño en las tareas duales.
Abstract Introduction: Aging is linked to a higher prevalence of cognitive impairment. Seniors presenting with loss of cognitive functions have high fall rates. The development of activities of daily living encompasses two or more tasks that require cognitive and motor components. Objective: To analyze the performance in simple and dual tasks of subjects living in a residential environment with different degrees of cognitive impairment. Materials and methods: An observational cross-sectional study was performed in a population of institutionalized elderly >65 years (n=80). Cognitive impairment was assessed using the Mini-Mental State Examination and participants were asked to perform simple and dual tasks using the Six-Minute Walk Test (6MWT) and Timed Up and Go (TUG). Results: The participants were divided into three groups. Significant differences were found between the groups with cognitive impairment and the group without cognitive impairment in the 6MWT (p<0.05) and TUG (p<0.05) tests, both in simple task and dual tasks. Poorer performance was associated with lower cognitive capacity. Conclusion: The severity of cognitive impairment is correlated to performance in dual tasks.