Relación entre los índices de funcionalidad cardíaca y cognitiva en personas mayores institucionalizadas

  1. Carmen Requena Hernández 1
  2. Vicente González Fernández 2
  3. Enrique Vila Abad 3
  1. 1 Univesidad de León
  2. 2 Complejo asistencial de León
  3. 3 Departamento de Psicometría de la UNED
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Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2014

Volume: 25

Issue: 4

Pages: 144-147

Type: Article

DOI: 10.4321/S1134-928X2014000400003 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

Most recent data suggest that cardiac disfunction as quantified by cardiac output is related to cognitive performance. Objective: determine if cardiac functionality acts as predictor of cognitive function in old institutionalized persons with normal cardiac index. Method: Observational design with a sample of 30 subjects over 80 years old with medical history without cardiopathies. Results: Multiple regression analysis confirms the hypothesis with respect to the effect of cardiovascular risk and cardiac insufficiency variables, which together account for 95.1% of variance. However, there is a remarkable lack of correspondence between clinical cardiaccognitive measures and the biological measure of cardiac index. Conclusions: Even if empirical data do not stablish a causal link, our results show that cardiac function with a normal cardiac index is associated with cognitive impairment.

Bibliographic References

  • Wright CB, Sacco RL. cardiac index as a correlate of brain volume. Circulation. 2010;122:676-8.
  • Jefferson AL, Himali JJ, Beiser AS, Au R, Massaro JM, Seshadri S, et al. cardiac index is associated with brain aging: The Framingham Heart Study. Circulation. 2010;122:690-7.
  • Díaz A. Determinación del estado mental y capacidad funcional del paciente geriátrico hospitalizado y su relación con las patologías más frecuentes. Servicio de Medicina Interna. Hospital Central Universitario "Antonio Maria Pineda". Barquisimeto. Estado Lara. Boletín Médico de Postgrado. 2007;XXIII(1):1-4.
  • Santamaría EM, Fernández ML, Lorenzo MG, Castro YR. Alteraciones emocionales en personas mayores con enfermedades cardíacas. Aten Primaria. 2006;8:90-5.
  • Vázquez López A, Hernández Suárez D, Almerás García JR. Factores asociados a la hipertensión arterial en ancianos del Policlínico Milanés. 2003-2006. Rev Méd Electrón. 2013;34:121-30.
  • Olave-Sepúlveda C, Ubilla-Bustamante P. Programa de activación psicomotriz en adultos mayores institucionalizados con deterioro cognitivo y depresión. Psicogeriatría. 2011;3(4):173-6.
  • Lobo A, Ezquerra J, Gómez BF, Sala JM, Seva DA. Cognocitive mini-test (a simple practical test to detect intellectual changes in medical patients). Actas Luso-Españolas de Neurología, Psiquiatría y Ciencias Afines. 1979;7:189.
  • Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98.
  • Mahoney FI, Barthel DW. Functional evaluation: The Barthel index. Md State Med J. 1965;14:61-5.
  • Rostagno C, Galanti G, Comeglio M, Boddi V, Olivo G, Gastone Neri Serneri G. Comparison of different methods of functional evaluation in patients with chronic heart failure. Eur J Heart Fail. 2000;2:273-80.
  • Grundy SM. Metabolic syndrome: therapeutic considerations. Handb Exp Pharmacol. 2005;(170):107-33.
  • Williams JR. The Declaration of Helsinki and public health. Bull WHO. 2008;86:650-2.
  • Toothmaker LE. Multiple-regression - testing and interpreting interactions- Aiken, LS, West, SG. J Oper Res Soc. 1994;45:119-20.
  • Bhattacharyya HT. Applied regression-analysis and other multivariable methods- Kleinbaum, DG, Kupper, LL. J Am Stat Assoc. 1979;74.
  • Cohen-Mansfield J, Wirtz PW. Characteristics of adult day care participants who enter a nursing home. Psychol Aging. 2007;22:354-60.
  • Jefferson AL. Cardiac output as a potential risk factor for abnormal brain aging. J Alzheimer's Dis. 2010;20:813-21.
  • Calero D, Navarro E. Differences in cognitive performance, level of dependency and quality of life (QoL), related to age and cognitive status in a sample of Spanish old adults under and over 80 years of age. Arch Gerontol Geriatr. 2011;53:292-7.
  • Ball K, Berch DB, Helmers KF, Jobe JB, Leveck MD, Marsiske M, et al. Effects of cognitive training interventions with older adults. A randomized controlled trial. JAMA. 2002;288:2271-81.
  • Hebert LE, Scherr PA, Bienias JL, Bennett DA, Evans DA. Alzheimer disease in the US population: prevalence estimates using the 2000 census. Arch Neurol. 2003;60:1119-22.
  • Muller M, Grobbee DE, Aleman A, Bots M, Van Der Schouw YT. Cardiovascular disease and cognitive performance in middle-aged and elderly men. Atherosclerosis. 2007;190:143-9.
  • Borenstein AR, Wu Y, Mortimer JA, Schellenberg GD, McCormick WC, Bowen JD, et al. Developmental and vascular risk factors for Alzheimer's disease. Neurobiol Aging. 2005;26:325-34.
  • Kivipelto M, Ngandu T, Fratiglioni L, Viitanen M, Kåreholt I, Winblad B, et al. Obesity and vascular risk factors at midlife and the risk of dementia and Alzheimer disease. Arch Neurol. 2005;62:1556-60.
  • Gruhn N, Larsen FS, Boesgaard S, Knudsen GM, Mortensen SA, Thomsen G, et al. Cerebral blood flow in patients with chronic heart failure before and after heart transplantation. Stroke. 2001;32:2530-3.
  • Seshadri S, Wolf PA, Beiser AS, Selhub J, Au R, Jacques PF, et al. Association of plasma total homocysteine levels with subclinical brain injury. Arch Neurol. 2008;65:642-9.
  • Jefferson AL, Holland CM, Tate DF, Csapo I, Poppas A, Cohen RA, et al. Atlas-derived perfusion correlates of white matter hyperintensities in patients with reduced cardiac output. Neurobio Aging 2011;32:133-9.
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