Association between executive and food functions in the acute phase after stroke

Aline Mansueto Mourão; Laélia Cristina Caseiro Vicente; Mery Natali Silva Abreu; Tatiana Simões Chaves; Romeu Vale Sant'Anna; Marcela Aline Fernandes Braga; Fidel Castro Alves de Meira; Leonardo Cruz de Souza; Aline Silva de Miranda; Milene Alvarenga Rachid; Antçnio Lucio Teixeira

doi:10.1590/0004-282X20180005

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(03): 158-162
DOI: 10.1590/0004-282X20180005

Article

Association between executive and food functions in the acute phase after stroke

Associações entre função executiva e habilidade de alimentação pós-AVC na fase aguda

Aline Mansueto Mourão

¹Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Setor da Unidade de Acidente Vascular Cerebral, Belo Horizonte MG, Brasil

²Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Fonoaudiologia, Belo Horizonte MG, Brasil

,

Laélia Cristina Caseiro Vicente

²Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Fonoaudiologia, Belo Horizonte MG, Brasil

,

Mery Natali Silva Abreu

³Universidade Federal de Minas Gerais, Departamento de Enfermagem Aplicada, Belo Horizonte MG, Brasil

,

Tatiana Simões Chaves

¹Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Setor da Unidade de Acidente Vascular Cerebral, Belo Horizonte MG, Brasil

,

Romeu Vale Sant'Anna

⁴Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Departamento de Neurologia, Unidade de Acidente Vascular Encefálico, Belo Horizonte MG, Brasil

,

Marcela Aline Fernandes Braga

¹Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Setor da Unidade de Acidente Vascular Cerebral, Belo Horizonte MG, Brasil

,

Fidel Castro Alves de Meira

⁴Universidade Federal de Minas Gerais, Hospital Risoleta Tolentino Neves, Departamento de Neurologia, Unidade de Acidente Vascular Encefálico, Belo Horizonte MG, Brasil

,

Leonardo Cruz de Souza

⁵Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Clínica Médica, Belo Horizonte MG, Brasil

,

Aline Silva de Miranda

⁶Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Morfologia, Belo Horizonte MG, Brasil

,

Milene Alvarenga Rachid

⁷Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Patologia Geral, Belo Horizonte MG, Brasil

,

Antçnio Lucio Teixeira

⁵Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Clínica Médica, Belo Horizonte MG, Brasil

› Author Affiliations

Abstract

ABSTRACT

Purpose To investigate potential associations among executive, physical and food functions in the acute phase after stroke.

Methods This is a cross-sectional study that evaluated 63 patients admitted to the stroke unit of a public hospital. The exclusion criteria were other neurological and/or psychiatric diagnoses. The tools for evaluation were: Mini-Mental State Examination and Frontal Assessment Battery for cognitive functions; Alberta Stroke Program Early CT Score for quantification of brain injury; National Institutes of Health Stroke Scale for neurological impairment; Modified Rankin Scale for functionality, and the Functional Oral Intake Scale for food function.

Results The sample comprised 34 men (54%) and 29 women with a mean age of 63.6 years. The Frontal Assessment Battery was significantly associated with the other scales. In multivariate analysis, executive function was independently associated with the Functional Oral Intake Scale.

Conclusion Most patients exhibited executive dysfunction that significantly compromised oral intake.

RESUMO

Objetivo Investigar potenciais associações entre funções executiva, física global e de alimentação na fase aguda do acidente vascular cerebral (AVC).

Métodos Trata-se de estudo transversal envolvendo 63 pacientes admitidos em unidade de AVC de um hospital público. Os critérios de exclusão foram outros diagnósticos neurológicos e/ou psiquiátricos. Os instrumentos utilizados foram: Mini-Exame do Estado Mental e Bateria de Avaliação Frontal para avaliar funções cognitivas; Alberta Stroke Program Early CT Score para quantificação da lesão cerebral; National Institutes of Health Stroke Scale para comprometimento neurológico; Escala Modificada de Rankin para funcionalidade e Functional Oral Intake Scale para função alimentar.

Resultados A amostra compreendeu 34 homens e 29 mulheres, sendo a idade média de 63,6 anos. A Bateria de Avaliação Frontal correlacionou significativamente com as demais escalas. Na análise multivariada, a variável independentemente associada com a função executiva foi a Functional Oral Intake Scale.

Conclusão A maioria dos pacientes com AVC apresenta alterações das funções executivas que comprometem significativamente a alimentação oral.

Keywords

stroke - cognitive dysfunction - cognition

Palavras-chave

acidente vascular cerebral - disfunção cognitiva - cognição

Full Text

References

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