INTRODUCTION: Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context. OBJECTIVE: To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities. METHOD: In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination - Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed. RESULTS: Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance. CONCLUSION: A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers.
INTRODUCTION: Older caregivers living in rural areas may be exposed to three vulnerable conditions, i.e., those related to care, their own aging, and their residence context. OBJECTIVE: To analyze the association of burden and frailty with cognition performance in older caregivers in rural communities. METHOD: In this cross-sectional survey, 85 older caregivers who cared for dependent elders were included in this study. Global cognition (Addenbrooke's Cognitive Examination - Revised; Mini Mental State Examination), burden (Zarit Burden Interview) and frailty (Fried's frailty phenotype) were assessed. All ethical principles were observed. RESULTS: Older caregivers were mostly women (76.7%); mean age was 69 years. Cognitive impairment was present in 15.3%, severe burden in 8.2%, frailty in 9.4%, and pre-frailty in 52.9% of the older caregivers. More severely burdened or frail caregivers had worse cognitive performance than those who were not, respectively (ANOVA test). Caregivers presenting a high burden level and some frailty degree (pre-frail or frail) simultaneously were more likely to have a reduced global cognition performance. CONCLUSION: A significant number of older caregivers had low cognitive performance. Actions and resources to decrease burden and physical frailty may provide better cognition and well-being, leading to an improved quality of life and quality of the care provided by the caregivers.
Authors: Élen Dos Santos Alves; Sofia Cristina Iost Pavarini; Bruna Moretti Luchesi; Ana Carolina Ottaviani; Juliana de Fátima Zacarin Cardoso; Keika Inouye Journal: Rev Lat Am Enfermagem Date: 2021-06-28
Authors: Emily W Paolillo; Ni Sun-Suslow; Elizabeth C Pasipanodya; Erin E Morgan; Ronald J Ellis; Dilip V Jeste; David J Moore Journal: J Neurovirol Date: 2019-12-19 Impact factor: 3.739
Authors: Agustin Ibáñez; Stefanie Danielle Pina-Escudero; Katherine L Possin; Yakeel T Quiroz; Fernando Aguzzoli Peres; Andrea Slachevsky; Ana Luisa Sosa; Sonia M D Brucki; Bruce L Miller Journal: Lancet Healthy Longev Date: 2021-03-31