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2020, Number 4

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Salud Mental 2020; 43 (4)

Levels of nicotine dependence in the elderly and cognitive impairment

de Aguiar ARL, Terra JB, Ribeiro CV

Language: English
References: 36
Page: 159-166
PDF size: 370.84 Kb.


ABSTRACT

Introduction. Health problems in elderly individuals are diverse. The use of cigarettes, a potentially addictive substance, has been increasing in the elderly population age group, affecting the cognitive and elderly domains, and becoming an important global public health problem. Objective. This study aimed to investigate the relationship between tobacco consumption by the elderly, as well as different levels of nicotine dependence and cognitive domains of executive functions. Method. It is a case-control study composed by 58 individuals aged ≥ 60 years, with 29 participants in the clinical group and 29 in the control group. The case-control sample was paired in subgroups by sex, socioeconomic status, schooling, and sample isonomy with the clinical group. We used the Shapiro-Wilk normality test, the Mann-Whitney test, the student T-test, and the Cohen d-estimator. Results. The control group performed better compared to the clinical group with the median grade in the inhibitory control of the executive domain with Cohen’s d 1.00 in the five-digit test and Cohen’s 1.5 in the Stroop test. The control group compared with the high-grade clinical group presented better performance with Cohen’s working memory of 1.56 d, Cohen’s inhibition of 1.06 d in the five-digit test, and Cohen’s of 1.17 d in the Stroop test. Discussion and conclusion. The detection of the level of nicotine dependence is associated with the degree of cognitive impairment in the specific executive domain, which provides a possibility of differential diagnosis, both in the clinical and population contexts, directed at the rehabilitation of executive domains most affected by smoking in the elderly.


REFERENCES

  1. Aguilar-Navarro, S. G., Reyes-Guerrero, J., & Borgues, G. (2007). Alcohol, tabaco y deterioro cognoscitivo en adultos mexicanos mayores de 65 años. Salud Pública de México, 49(S4), 467-474. doi: 10.1590/S0036-36342007001000005

  2. Almeida, O. P., Hankey, G. J., Yeap, B. B., Golledge, J., & Flicker, L. (2014). Alcohol consumption and cognitive impairment in older men: A mendelian randomization study. Neurology, 82(12), 1038-1044. doi: 10.1212/WNL.0000000000000255

  3. de Araujo, C. D. C. R., da Silveira, C., Simas, J. P. N., Zappelini, A., Parcias, S. R., & de Azevedo Guimarães, A. C. (2015). Aspectos cognitivos e nível de atividade física de idosos. Revista Saúde (Santa Maria), 41(2), 193-202. doi: 10.5902/2236583415705

  4. Barbosa, M. B., Pereira, C. V., Cruz, D. T. D., & Leite, I. C. G. (2018). Prevalence and factors associated with alcohol and tobacco use among non-institutionalized elderly persons. Revista Brasileira de Geriatria e Gerontologia, 21(2), 123-133. doi: 10.1590/1981-22562018021.170185

  5. Best, E. A., Juarez-Colunga, E., James, K., LeBlanc, W. G., & Serdar, B. (2016). Biomarkers of exposure to polycyclic aromatic hydrocarbons and cognitive function among elderly in the United States (National Health and Nutrition Examination Survey: 2001-2002). PloS One, 11(2). doi: 10.1371/journal. pone.0147632

  6. Borges, R. A., Rech, C. R., Meurer, S. T., & Benedetti, T. R. B. (2015). Validade e fidedignidade de uma escala para avaliar autoeficácia para a atividade física do idoso. Cadernos de Saúde Pública, 31(4), 701-708. doi: 10.1590/0102- 311X00081414

  7. Campos, C., Lisboa, L. M., & Westin, R. F. F. (2014). Avaliação clínica do idoso. Brasil: Fundação Hospitalar do Estado de Minas Gerais. Retrieved from http:// www.fhemig.mg.gov.br/acesso-rapido/protocolos-clinicos (Access date: July 2018)

  8. Campos, M. C., Silva, M. L. D., Florêncio, N. C., & Paula, J. J. D. (2016). Confiabilidade do Teste dos Cinco Dígitos em adultos brasileiros. Jornal Brasileiro de Psiquiatria, 65(2), 135-139. doi: 10.1590/0047-2085000000114

  9. Cantão, L., Fonseca, L. L. K., Silva, T. I. M., Oliveira, M. D., Oliveira, V. D. C. D., & Machado, R. M. (2015). Socio-demographic and clinical profile of elderly people with depression and the use of psychoactive drugs. Revista da Rede de Enfermagem do Nordeste, 16(3), 355-362. doi: 10.15253/2175- 6783.2015000300008

  10. Collins, N., Sachs-Ericsson, N., Preacher, K. J., Sheffield, K. M., & Markides, K. (2009). Smoking increases risk for cognitive decline among communitydwelling older Mexican Americans. The American Journal of Geriatric Psychiatry, 17(11), 934-942. doi: 10.1097/JGP.0b013e3181b0f8df

  11. Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64(1), 135- 168. doi: 10.1146/annurev-psych-113011-143750

  12. Duncan, M. T. (2006). Obtenção de dados normativos para desempenho no teste de Stroop num grupo de estudantes do ensino fundamental em Niterói. Jornal Brasileiro de Psiquiatria, 55(1), 42-48. doi: 10.1590/S0047- 20852006000100006

  13. Farhadian, M., Akbarfahimi, M., Hassani Abharian, P., Hosseini, S. G., & Shokri, S. (2017). Assessment of executive functions in methamphetamine-addicted individuals: Emphasis on duration of addiction and abstinence. Basic and Clinical Neuroscience, 8(2), 147-154. doi: 10.18869/nirp.bcn.8.2.147

  14. Field, A. P. (2013). Discovering statistics using IBM SPSS statistics, (3th Edition), London, England: SAGE Publications.

  15. Gandelman, J. A., Newhouse, P., & Taylor, W. D. (2018). Nicotine and networks: Potential for enhancement of mood and cognition in late-life depression. Neuroscience & Biobehavioral Reviews, 84, 289-298. doi: 10.1016/j. neubiorev.2017.08.018

  16. Gillum, R. F., Kwagyan, J., & Obisesan, T. O. (2011). Smoking, cognitive function and mortality in a US national cohort study. International Journal of Environmental Research and Public Health, 8(9), 3628-3636. doi: 10.3390/ijerph8093628

  17. Guimaraes Borges, G. L., Mendoza Meléndez, M. Á., López Brambila, M. Á., García Pacheco, J. Á., Velasco-Ángeles, L. R., Beltrán Silva, M. A., ... Camacho Solís, R. (2014). Prevalencia y factores asociados al consumo de tabaco, alcohol y drogas en una muestra poblacional de adultos mayores del Distrito Federal. Salud Mental, 37(1), 15-25. doi: 10.17711/SM.0185-3325.2014.003

  18. Hengstermann, S., Nieczaj, R., Steinhagen-Thiessen, E., & Schulz, R. J. (2008). Which are the most efficient items of mini nutritional assessment in multimorbid patients?. The Journal of Nutrition Health and Aging, 12(2), 117-122. doi: 10.1007/BF02982563

  19. Machado, T. H., Fichman, H. C., Santos, E. L., Carvalho, V. A., Fialho, P. P., Koenig, A. M., ... Caramelli, P. (2009). Normative data for healthy elderly on the phonemic verbal fluency task-FAS. Dementia & Neuropsychologia, 3(1), 55- 60. doi: 10.1590/S1980-57642009DN30100011

  20. Mazo, G. Z., & Benedetti, T. R. B. (2010). Adaptação do questionário internacional de atividade física para idosos. Revista Brasileira de Cineantropometria & Desempenho Humano, 12(6), 480-484. doi: 10.1590/S1980- 00372010000600013

  21. Melo, D. M. D., & Barbosa, A. J. G. (2015). O uso do Mini-Exame do Estado Mental em pesquisas com idosos no Brasil: uma revisão sistemática. Ciência & Saúde Coletiva, 20(12), 3865-3876. doi: 10.1590/1413-812320152012.06032015

  22. North, T. L., Palmer, T. M., Lewis, S. J., Cooper, R., Power, C., Pattie, A., ... Day, I. N. M. (2015). Effect of smoking on physical and cognitive capability in later life: a multicohort study using observational and genetic approaches. BMJ Open, 5(12), e008393. doi: 10.1136/bmjopen-2015-008393

  23. Organização Mundial de Sáude. (2015). Relatório Mundial de Envelhecimento e Saúde. Estados Unidos, 30, 12. Retrieved from http://apps.who.int/iris/ bitstream/handle/10665/186468/who_fwc_alc_15.01_por.pdf;jsessionid=912E F67180E16DC1FAAA783E495E8086?sequence=6. Data de acesso 23/09/2017

  24. Patil, S., Suryanarayana, S., Dinesh, R., Shivraj, N., & Murthy, N. (2015). Risk factors for falls among elderly: A community-based study. International Journal of Health & Allied Sciences, 4(3), 135. doi: 10.4103/2278-344x.160867

  25. Pereira, I. F. D. S., Spyrides, M. H. C., & Andrade, L. D. M. B. (2016). Estado nutricional de idosos no Brasil: uma abordagem multinível. Cadernos de Saúde Pública, 32(5), doi: 10.1590/0102-311x00178814

  26. Pinto Gomide, H., Rodrigues Teixeira de Carvalho, C., Lovisi Menezes, M., Gazolla de Oliveira, I., Furtado de Mendonça, G., Duque de Albuquerque Júnior, R., ... Mota Ronzani, T. (2017). Depression among smokers of a web-based intervention to quit smoking: a cross-sectional study. Salud Mental, 40(6), 271- 277. doi: 10.17711/SM.0185-3325.2017.035

  27. Requejo, A. M., Ortega, R. M., Robles, F., Navia, B., Faci, M., & Aparicio, A. (2003). Influence of nutrition on cognitive function in a group of elderly, independently living people. European Journal of Clinical Nutrition, 57(1), S54-S57. doi: 10.1038/sj.ejcn.1601816

  28. Reséndiz Escobar, E., Bustos Gamino, M. N., Mujica Salazar, R., Soto Hernández, I. S., Cañas Martínez, V., Fleiz Bautista, C., ... Villatoro Velázquez, J. A. (2018). National trends in alcohol consumption in Mexico: results of the National Survey on Drug, Alcohol and Tobacco Consumption 2016-2017. Salud Mental, 41(1), 7-15. doi:10.17711/SM.0185-3325.2018.003

  29. Salgado, J. V., Malloy-Diniz, L. F., Campos, V. R., Abrantes, S. S. C., Fuentes, D., Bechara, A., & Correa, H. (2009). Neuropsychological assessment of impulsive behavior in abstinent alcohol-dependent subjects. Revista Brasileira de Psiquiatria, 31(1), 4-9. doi: 10.1590/S1516-44462009000100003

  30. Scherder, E. J., Van Paasschen, J., Deijen, J. B., Van Der Knokke, S., Orlebeke, J. F. K., Burgers, I., ... Sergeant, J. A. (2005). Physical activity and executive functions in the elderly with mild cognitive impairment. Aging & Mental Health, 9(3), 272-280. doi: 10.1080/13607860500089930

  31. Swan, G. E., & Lessov-Schlaggar, C. N. (2007). The effects of tobacco smoke and nicotine on cognition and the brain. Neuropsychology Review, 17(3), 259-273. doi: 10.1007/s11065-007-9035-9

  32. Tabachnick, B. G., & Fidell, L. S. (2013). Using Multivariate Statistics, (6th ed). Boston, MA: Pearson.

  33. Van Dyk, K., & Sano, M. (2007). The impact of nutrition on cognition in the elderly. Neurochemical Research, 32(4-5), 893-904. doi: 10.1007/s11064-006-9241-5

  34. Vardavas, C. I., Agaku, I., Filippidis, F., Kousoulis, A. A., Girvalaki, C., Symvoulakis, E., ... Lionis, C. (2017). The Secondhand Smoke Exposure Scale (SHSES): A hair nicotine validated tool for assessing exposure to secondhand smoke among elderly adults in primary care. Tobacco Prevention & Cessation, 3, 9. doi: 10.18332/tpc/69850

  35. Wang, Y., & Andrade, L. H. (2013). Epidemiology of alcohol and drug use in the elderly. Current Opinion in Psychiatry, 26(4), 343-348. doi: 10.1097/ YCO.0b013e328360eafd

  36. Wolf, I. K., Du, Y., & Knopf, H. (2017). Changes in prevalence of psychotropic drug use and alcohol consumption among the elderly in Germany: Results of two National Health Interview and Examination Surveys 1997-99 and 2008-11. BMC Psychiatry, 17(1), 90. doi: 10.1186/s12888-017-1254-x




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