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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
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Salud Pública

Henrique Werner Balbinot1

  • 1Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

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Resumen

Los antecedentes familiares de demencia (FHD) se relacionan con un mayor deterioro cognitivo en pacientes que se presentan en clínicas. Sin embargo, el FHD no se correlacionó con un inicio más temprano ni una duración más prolongada de la enfermedad.

Palabras clave:
Salud PúblicaDemenciaAntecedentes FamiliaresDeterioro CognitivoEstudios TransversalesFactores de RiesgoBrasil

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Área de la Ciencia:

  • Neurología
  • Genética
  • Salud Pública

Sus antecedentes:

  • Los antecedentes familiares de demencia (FHD) son un factor de riesgo establecido para la demencia.
  • Comprender las implicaciones clínicas del FHD es crucial para el manejo del paciente y la estratificación del riesgo.

Objetivo del estudio:

  • Investigar la asociación entre los antecedentes familiares de demencia (FHD) y la presentación clínica de pacientes con demencia.
  • Analizar cómo el FHD se correlaciona con la edad de inicio, la duración de la enfermedad, la función cognitiva (MMSE) y los factores de riesgo modificables en un entorno ambulatorio brasileño.

Principales métodos:

  • Se realizó un estudio transversal de 137 pacientes con demencia.
  • Los pacientes se clasificaron en grupos con y sin FHD.
  • Se analizaron datos clínicos, incluidas las puntuaciones del Mini-Examen del Estado Mental (MMSE) y los factores de riesgo modificables, utilizando las pruebas de Mann-Whitney y Chi-cuadrado.

Principales resultados:

  • El 25,54% de los pacientes refirieron antecedentes familiares de demencia (FHD).
  • Los pacientes con FHD exhibieron puntuaciones significativamente más bajas en el MMSE, lo que indica un mayor deterioro cognitivo en la presentación (p=0,0437).
  • No se observaron diferencias significativas en la duración de la enfermedad, la edad de inicio o la proporción general de factores de riesgo modificables, excepto por una mayor prevalencia de traumatismo craneoencefálico en el grupo FHD (p=0,0107).

Conclusiones:

  • Los antecedentes familiares de demencia (FHD) se asocian con un deterioro cognitivo más pronunciado en la evaluación clínica inicial.
  • No se encontró que el FHD estuviera asociado con un inicio más temprano de la enfermedad, una mayor duración de la enfermedad o un mayor número de factores de riesgo modificables en esta cohorte.