Cognitive screening and depressive symptoms in hypertensive and diabetic women

Abstract Aim: The objective of this study was to compare the global cognitive function and depressive symptoms in hypertensive and/or diabetic middle-aged and elderly women (52-76 years old). Methods: Sixteen participants with hypertension (HT) and 12 with hypertension and type 2 diabetes mellitus (HT+DM) were included; sociodemographic data, anthropometric measurements, and blood pressure were analyzed, and questionnaires for cognitive screening (Mini-Mental State Examination - MMSE) and depressive symptoms (Geriatric Depression Scale - GDS-30) were administered. For statistical analysis, independent Student's t-test, chi-square test (dichotomous variables), and the Mann-Whitney test (ordinal variables) were used and p < 0.05 was adopted. Results: Results indicate that there were no significant differences pertaining to depressive symptoms (HT = 7.4 ± 5.5; HT+DM = 10.2 ± 4.6 points; p = 0.1658) and global cognitive function (HT = 22.3 ± 4.2; HT+DM = 21.0 ± 3.2 points; p = 0.4015) between hypertensive women and hypertensive and diabetic women, contradicting the hypothesis that the presence of two comorbidities would intensify cognitive impairment and mental health. However, clinically relevant cognitive decline (HT = 63%; HT+DM = 75%; χ2 = 0.4834) and depressive symptoms (HT = 38%; HT+DM = 33%; χ2 = 0.8199) were found in both groups. Conclusion: It has been shown that the presence of two comorbidities: type 2 diabetes mellitus and hypertension, does not intensify cognitive impairment and mental health when compared to hypertension alone in middle-aged and elderly women.

Adaptação cultural e validação do Questionário KINDL no Brasil para adolescentes entre 12 e 16 anos / Cultural adaptation and validation of the KINDL questionnaire in Brazil for adolescents between 12 and 16 years of age

OBJETIVO: Obter uma versão em português do questionário Kiddo-KINDL que seja semântica e culturalmente equivalente à versão original. MÉTODOS: Para a adaptação, utilizou-se a metodologia de tradução direta e inversa. O questionário foi aplicado nas salas de aula em três escolas de Uberlândia, MG, em 378 crianças/adolescentes com idade entre 12 e 16 anos completos, dentre os quais 16% foram selecionados aleatoriamente para fazer o reteste. Na análise estatística foram avaliados os dados perdidos, efeito piso e teto, consistência interna do item e confiabilidade da consistência interna das escalas. RESULTADOS: A porcentagem de dados perdidos nas escalas foi baixa, variando de 1,6% a 2,57%, indicando uma boa aceitabilidade do questionário. As taxas de efeito piso e teto encontradas sugerem a possibilidade de o instrumento ser sensível para detectar diferenças na qualidade de vida relacionada à saúde entre as crianças/adolescentes situadas nos extremos. A confiabilidade do Kiddo-KINDL mostrou-se adequada em geral, exceto na escala bem-estar físico. CONCLUSÃO: O Kiddo-KINDL é um instrumento confiável para ser utilizado em crianças e adolescentes no Brasil, fornecendo dados importantes de natureza multidimensional.

OBJECTIVE: Obtain a Portuguese version of the Kiddo-KINDL questionnaire that is semantic and culturally equivalent to the original version. METHODS: For the adaptation, the methodology of direct and inverse translation was used. The questionnaire was applied to groups from three schools in Uberlândia, MG - Brazil, and comprised of 378 children and adolescents aged between 12 and 16. 16% of the students were randomly selected to repeat the test. In the statistical analysis, the following aspects were appraised and analyzed such as: lost data, floor and ceiling effect, internal consistence of the item and reliability of the internal consistence of the scales. RESULTS: The percentage of lost data in the scales was low varying between 1.6% to 2.57%, which indicates good acceptability of the questionnaire. The rates of floor and ceiling effect were lower than 12% suggesting that the instrument is sensitive to detect differences in quality of life related to the health of the children and adolescents ranked within the extreme ends. The Kiddo-KINDL as a whole has shown high reliability (Alpha Cronbach = 0.79). CONCLUSION: The Kiddo-KINDL is a reliable tool to be used with children and adolescents in Brazil, and has provided important data of multidimensional nature.

Desempenho cognitivo em diferentes níveis de escolaridade de adultos e idosos ativos / Cognitive performance in different levels of education of adults and active elderly

Comparar o desempenho cognitivo em diferentes níveis de escolaridade de indivíduos adultos e idosos praticantes de atividade física. Métodos: Foram avaliados 122 indivíduos sem comprometimento cognitivo, idade entre 46 a 85 anos e escolaridade entre 1 a 15 anos, praticantes de atividade física há mais de 6 meses no Programa de Atividades Físicas e Recreativas para a Terceira Idade. Foi aplicada uma bateria de testes cognitivos para verificar as seguintes variáveis: memória de curto prazo, linguagem, aprendizagem, taxa de esquecimento e funções executivas. Resultados: O teste de Kruskal-Wallis apontou diferenças entre os grupos, com diferentes níveis de escolaridade, apenas para a memória de curto prazo, sendo que o teste de U Mann Whitney demonstra diferença entre o grupo de menor escolaridade (1-4 anos) com o grupo de maior escolaridade ( 12 anos). Conclusão: Diante disso, sugere-se que adultos e idosos ativos, em diferentes níveis...

Cultural adaptation and validation of the KINDL questionnaire in Brazil for adolescents between 12 and 16 years of age.

OBJECTIVE: Obtain a Portuguese version of the Kiddo-KINDL questionnaire that is semantic and culturally equivalent to the original version. METHODS: For the adaptation, the methodology of direct and inverse translation was used. The questionnaire was applied to groups from three schools in Uberlândia, MG - Brazil, and comprised of 378 children and adolescents aged between 12 and 16. 16% of the students were randomly selected to repeat the test. In the statistical analysis, the following aspects were appraised and analyzed such as: lost data, floor and ceiling effect, internal consistence of the item and reliability of the internal consistence of the scales. RESULTS: The percentage of lost data in the scales was low varying between 1.6% to 2.57%, which indicates good acceptability of the questionnaire. The rates of floor and ceiling effect were lower than 12% suggesting that the instrument is sensitive to detect differences in quality of life related to the health of the children and adolescents ranked within the extreme ends. The Kiddo-KINDL as a whole has shown high reliability (Alpha Cronbach = 0.79). CONCLUSION: The Kiddo-KINDL is a reliable tool to be used with children and adolescents in Brazil, and has provided important data of multidimensional nature.