Associação entre o custo da dupla tarefa e a função cognitiva em pessoas idosas com Síndrome do Risco Cognitivo Motor: um estudo transversal

Autores

DOI:

https://doi.org/10.17267/2238-2704rpf.2025.e6367

Palavras-chave:

Cognição, Demência, Fragilidade, Fatores de Risco

Resumo

INTRODUÇÃO: Testes de mobilidade com dupla tarefa são considerados mais sensíveis do que avaliações com tarefa única para a detecção precoce de comprometimento cognitivo em idosos. No entanto, sua associação com o desempenho cognitivo em pessoas com Síndrome do Risco Cognitivo Motor (SRCM) ainda não está bem estabelecida. OBJETIVO: Investigar a relação entre o custo da tarefa dupla no teste Timed Up and Go (TUG), com diferentes demandas cognitivas, e a função cognitiva em idosos com SRCM. METODOLOGIA: Cinquenta e nove idosos com SRCM foram incluídos (89,8% mulheres; idade média: 70 anos). O custo da tarefa dupla foi avaliado em duas condições: TUG com contagem regressiva e TUG com nomeação de animais. A função cognitiva foi avaliada por meio do Montreal Cognitive Assessment (MoCA), Teste de Trilhas Parte A (TMT-A), Dígitos Diretos e Inversos e Fluência Verbal. Regressões lineares múltiplas, ajustadas por idade, sexo e escolaridade, foram realizadas. RESULTADOS: O custo da tarefa dupla no TUG com contagem regressiva correlacionou-se positivamente com atenção e velocidade de processamento (TMT-A; r = 0,52; β = 0,17 [0,05 a 0,29]) e negativamente com o desempenho cognitivo global (MoCA; r = -0,48; β = -1,18 [-2,22 a -0,11]). O TUG com nomeação de animais não apresentou associações significativas com os testes cognitivos. CONCLUSÃO: O custo da tarefa dupla no TUG com contagem regressiva associou-se moderadamente com atenção, velocidade de processamento e cognição global em idosos com SRCM. Esses achados destacam que o tipo de demanda cognitiva utilizada durante testes de dupla tarefa pode influenciar o grau de interferência entre desempenho motor e cognitivo.

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Publicado

15.12.2025

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1.
Batista G de A, Calixtre LB, Cavalcante BR, Silva JD de A, Amaral KMS, Gonçalves RL da S, et al. Associação entre o custo da dupla tarefa e a função cognitiva em pessoas idosas com Síndrome do Risco Cognitivo Motor: um estudo transversal. Rev Pesq Fisio [Internet]. 15º de dezembro de 2025 [citado 15º de dezembro de 2025];15:e6367. Disponível em: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/6367