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. 2021 Oct-Dec;15(4):464-469.
doi: 10.1590/1980-57642021dn15-040007.

Dementia among older adults living in long-term care facilities: an epidemiological study

Daniel Ferreira Fagundes  1   2 , Marcos Túlio Costa  1 , Bárbara Bispo da Silva Alves  1 , Lara Souza Fernandes Carneiro  3   4 , Osvaldo Jose Moreira Nascimento  2 , Luana Lemos Leão  5 , André Luiz Sena Guimarães  5 , Alfredo Maurício Batista de Paula  5 , Renato Sobral Monteiro-Junior  1   2   5
Affiliations

Dementia among older adults living in long-term care facilities: an epidemiological study

Daniel Ferreira Fagundes et al. Dement Neuropsychol. 2021 Oct-Dec.

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Dement Neuropsychol. 2022 Jan-Mar;16(1):127. doi: 10.1590/1980-57642021dn15-040007erratum. Epub 2022 Jan 10. Dement Neuropsychol. 2022. PMID: 35719258 Free PMC article.

Abstract
in English, Portuguese

Institutionalization has been associated with social isolation, psychological and cognitive changes, and decreased levels of physical activity in older adults.

Objectives: The aim of this study was to estimate the prevalence of dementia, mild cognitive impairment (MCI), and functional dependence in older adults dwelling in two different Brazilian long-term care facilities (LTCFs).

Methods: This is a cross-sectional study with 185 older people of both sexes, aged 60 years or over, residing in two LTCFs in the city of Montes Claros-MG, Brazil. The diagnosis of MCI and dementia was performed using the Diagnostic and Statistical Manual of Mental Disorders.

Results: Prevalence rates of dementia, MCI, and functional dependence in institutionalized older participants were 62.3, 15.1, and 78.9%, respectively. There was a significant reduction of the Mini-Mental State Examination scores according to the increase of the institutionalization period in LCTFs and the age of older adults (p<0.001).

Conclusions: Prevalence of dementia and functional dependence of older adults residing in LTCFs exhibited higher rates compared to the other older population worldwide. A higher institutionalization period is related to a greater cognitive decline.

A institucionalização tem sido associada ao isolamento social, a alterações psicológicas e cognitivas e à diminuição dos níveis de atividade física em idosos.

Objetivos: Estimar a prevalência de demência, declínio cognitivo leve (DCL) e dependência funcional em idosos residentes em duas instituições de longa permanência (ILPI) brasileiras.

Métodos: Estudo transversal com 185 idosos de ambos os sexos, com 60 anos ou mais, residentes em duas ILPI. O diagnóstico de DCL e demência foi realizado por meio do Manual Diagnóstico e Estatístico de Transtornos Mentais.

Resultados: As taxas de prevalência de demência, DCL e dependência funcional em participantes idosos institucionalizados foram 62,3, 15,1 e 78,9%, respectivamente. Houve redução significativa dos escores do miniexame do estado mental de acordo com o aumento do período de institucionalização nas ILPI e a idade dos idosos (p<0,001).

Conclusões: A prevalência de demência e dependência funcional de idosos residentes em ILPI foi mais elevada em comparação com outras populações idosas em todo o mundo. Um período maior de institucionalização está relacionado a maior declínio cognitivo.

Keywords: dementia; elderly; homes for the aged; mild cognitive impairment.

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Conflict of interest statement

Disclosure: The authors report no conflicts of interest.

Figures

Figure 1.
Figure 1.. Flowchart displaying the recruitment of participants.
See this image and copyright information in PMC

References

    1. Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP. The global prevalence of dementia: A systematic review and metaanalysis. Alzheimers Dement. 2013;9(1):63–75.e2. doi: 10.1016/j.jalz.2012.11.007. - DOI - PubMed
    1. Fagundes SD, Silva MT, Thees MFRS, Pereira MG. Prevalence of dementia among elderly Brazilians: a systematic review. Sao Paulo Med J. 2011;129(1):46–50. doi: 10.1590/s1516-31802011000100009. - DOI - PMC - PubMed
    1. Lini EV, Portella MR, Doring M. Factors associated with the institutionalization of the elderly: a case-control study. Rev Bras Geriatr Gerontol. 2016;19(6):1004–14. doi: 10.1590/1981-22562016019.160043. - DOI
    1. Hajek A, Brettschneider C, Lange C, Posselt T, Wiese B, Steinmann S, et al. Longitudinal Predictors of Institutionalization in Old Age. PLoS One. 2015;10(12):e0144203. doi: 10.1371/journal.pone.0144203. - DOI - PMC - PubMed
    1. Wergeland JN, Selbæk G, Bergh S, Soederhamn U, Kirkevold Ø. Predictors for nursing home admission and death among community-dwelling people 70 years and older who receive domiciliary care. Dement Geriatr Cogn Dis Extra. 2015;5(3):320–9. doi: 10.1159/000437382. - DOI - PMC - PubMed