神经典型和高认知表现老年人的神经心理和生理轨迹

A. Aita, C. Satler, Henrique Salmazo Da silva, Isabelle Patriciá Freitas Soares Chariglione
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摘要

由于认知、健康、寿命和自主性之间的联系,老年人保持高认知表现已日益成为一项公共卫生利益。本研究的目的是探讨神经型老年人(NOAs)和高性能老年人(HPOAs)的认知、身体和心理轨迹。探索性研究21例noa和6例hpoa(平均年龄71岁,SD =±3.59),随访1年。老年人接受体能、生活质量、焦虑、抑郁、RAVLT、ACE-R和Stroop测试,在三个时刻进行评估:基线、认知(MEMO)或刺激(刺激物)干预后6个月,以及多模式干预后6个月,多模式干预可能是身体或心理干预(健康教育讲座)。进行非参数统计检验(Mann-Whitney and Wilcoxon), p≤0.05。结果表明,认知测量是认知表现的良好预测指标,我们观察到认知和情绪测量之间存在正相关。表现优异的老年人抑郁症状的患病率较低。在神经正常组中,与多模态干预相关的整体认知表现、情绪和身体健康变量有所增加
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Neuropsychological and Physical Trajectories in Neurotypical and High-cognitive Performing Older Adults
The maintenance of high cognitive performance in old age has increasinglybecome a public health interest due to associations between cognition,well-being, longevity, and autonomy. The objective of the researchis to investigate cognitive, physical, and psychological trajectories ofneurotypical older adults (NOAs) and high performing older adults(HPOAs). An exploratory study to investigate 21 NOAs and six HPOAs(mean age 71, SD = ± 3.59), followed up for one year. The older adultswere submitted to physical fitness, quality of life, anxiety, depression,RAVLT, ACE-R, and Stroop tests, being assessed at three moments:baseline, six months after the cognitive (MEMO) or stimulation (Stimullus)interventions, and six months after the multimodal interventions, whichcould be physical or psychopedagogical interventions (health educationlectures). Nonparametric statistical tests (Mann-Whitney and Wilcoxon)were performed with p≤0.05. The results demonstrated that the cognitivemeasures were good predictors of cognitive performance and we observedpositive correlations between cognitive and mood measures. The olderadults with high performance had a lower prevalence of depressivesymptoms. There were gains in global cognitive performance, mood, and inphysical fitness variables associated with multimodal interventions, evidentin the neurotypical group
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