MELHORIAS NA MOBILIDADE E COGNIÇÃO DE IDOSAS COM COMPROMETIMENTO COGNITIVO LEVE APÓS 36 SEMANAS DE TREINAMENTO FÍSICO MULTIMODAL

Abstract

Objective: To verify the effects of a 36 (thirty-six) week multimodal physical exercise program on mobility and cognition in elderly women with mild cognitive impairment. Materials and Methods: This is a pre-experimental, longitudinal, quantitative design, with a sample of 10 elderly women with mild cognitive impairment who did not participate in a regular physical exercise program. To study the effect of the multimodal physical exercise program in elderly women with mild cognitive impairment, the participants were evaluated at three moments, pre training (Week 0), during (Week 18) and after (Week 36). To assess mobility, the tests to walk 10 meters (C10m), get up from a sitting position (LPS) and walk for 6 minutes (C6min) were used; and for cognition the Mine Mental State Examination (MMSE) questionnaire. For data analysis, normality was initially verified (Kolmogorov-Smirnov), later an analysis of variance (ANOVA) was performed with Tukey's post hoc for parametric data and the Friedman and Wilcoxon test for non parametric data. Results: We observed that after 18 weeks of training, improvements were found in the tests C10m, (p=0.001), LPS (p=0.002) e C6min (p=0.012), which was not observed in the general MEEM scores. In the comparisons between time 18 and week 36, no improvements were observed in the tests C10m (p=0.719), LPS (p=0.501) e C6min (p=0.544), but significant improvements were observed in the MEEM scores (p=0.049). In comparisons between pre-training and at the end of 36 weeks, improvements were found in all studied variables C10m (p=0.001), LPS (p=0.001), C6min (p=0.001) e MEEM (p=0.002). Discussion: The main findings of this work were improvements in mobility and cognition in elderly women with mild cognitive impairment. These improvements were manifested in a shorter time to carry out the C10m test, thus providing an improvement in gait; in the LPS test, which may show improvement in lower limb strength; and in the distance covered in the C6min test, which represents a better aerobic capacity in this population. As well as improvements in the domains of orientation, attention and calculation, evocation and global cognition through the MEEM. Conclusion: A multimodal training program improved the mobility and cognition of older women with mild cognitive impairment, thus making them more independent and autonomous in activities of daily living. Thus, physical training presents itself as one of the strategies for maintaining the functional capacity of this population. Thus, physical training presents itself as one of the strategies for maintaining the functional capacity of this population.