Introduction: Dementia is a degenerative neurological syndrome characterized by cognitive decline and/or behavioral changes impacting an individual's functionality. Throughout the dementia process, challenges related to feeding and swallowing commonly manifest, varying with the stage and specific type of dementia. Purpose: To analyze the swallowing function in elderly individuals with dementia using clinical evaluation data obtained from a Reference Center for Elderly Health Care (RCEHC) at a university hospital. Methods: Conducted as a retrospective cross-sectional observational study, the sample included neurotypical and dementia-affected elderly individuals who underwent speech-language pathology screening at a RCEHC in the Federal District between September 2017 and December 2019. Inclusion criteria involved age ≥ 60 years and assessment using the Clinical Dementia Rating (CDR) scale. Data extracted from medical records included functional, cognitive, and mood evaluations, in addition to speech-language pathology screening. Results: Of the initial 230 participants, 81 were excluded. The analysis revealed a significant prevalence of swallowing alterations in the later stages of dementia. The most affected variables were chewing, wet voice for liquids, and oral manipulation
of solids. There were significant differences between CDR groups, indicating worse performance with increased
dementia severity. Conclusion: The research highlights associations between dementia severity and swallowing
impairments, emphasizing the need for specific interventions in this population. Functional analysis of swallowing proved valuable for risk stratification, suggesting the importance of speech-language pathology screening in elderly individuals with dementia for proper management of swallowing disorders.

Introduction: Sarcopenia can be more significant and severe in the presence of cardiovascular diseases. In hospitalized older adults with acute cardiac disease, assessing strength parameters, muscle mass and physical performance is difficult largely because of bed rest restrictions. In this context, SARC-F emerges as a feasible screening tool to identifysarcopenia in an emergency room setting. Objectives:Assess the association between SARC-F,length of stay, mechanical ventilation and in-hospital mortality in older adults admitted to the emergency room with cardiovascular diseases. Methodology:An observational longitudinal study with 160 older adults admitted to the emergency room of a referral hospital in the Brazilian Federal District with cardiovascular diseases. The risk of sarcopenia was assessed by the SARC-F tool (independent variable). Length of stay, use of mechanical ventilation and in-hospital mortality were the dependent variables, collected via an electronic medical chart. Data were analyzed by simple and multiple linear and logistic regression.Results:SARC-F explained 62% of length of stay, adjusted for the confounding variables age, male sex, and use of continuous medication, mechanical ventilation and corticosteroids. Risk of sarcopenia was also associated with mechanical ventilation during hospitalization (OR=1.398 [95%CI 1.018 to 1.919]). SARC-F was not related to mortality. Conclusion:Older adults hospitalized with cardiovascular diseases at greater risk of sarcopenia were more likely to need invasive mechanical ventilation and more prone to prolonged hospital stays.

The assessment of muscle strength is of fundamental importance for physiotherapeutic care. Therefore, it is necessary to standardize the methodology of the instrument and the evaluator, providing better control of the variables, providing greater reliability. Studies using the hand-held dynamometer, aiming at the assessment of cervical strength, are recent and many are not compatible with clinical environments. Objectives: The objective of the present study will be to determine the reliability of the portable E-lastic® traction dynamometer in measuring the strength of cervical movements. Methods: Participants will be recruited through an electronic invitation letter. The sample will consist of healthy volunteers of both sexes, between 18 and 55 years of age. Data collection will be carried out at the Human Functional Performance Laboratory at the Faculty of Ceilândia – FCE/UnB. Participants will attend the laboratory in 2 meetings to assess the strength of the cervical muscles. Subjects will be positioned in a chair with trunk fixators in order to stabilize. A manual traction dynamometer will be used to quantify cervical muscle strength. Expected results: The expectation is that the present study will provide, after collection, data that allow the use of the E-lastic® manual traction dynamometer in clinical practice, at a preventive and rehabilitation level.

Objective: To describe the swallowing, language and cognition performance and the sociodemographic data of predominantly elderly people, in addition to verifying the association between swallowing and other factors. Methodology: Analytical crosssectional study, with non-probabilistic sample for convenience and data collection by telecall. The aspiration screening test (Yale Swallow Protocol) was used to identify and exclude elderly people at risk of aspiration. Then, sociodemographic data were collected and instruments were applied: activities of daily living (IADLs), risk of dysphagia (EAT-10), cognitive screening (Mini Mental State Examination - MMSE) and language (Montreal-Battery Battery). Language Toulouse – MTL-Brazil). Results: The sample consisted of 32 elderly people from the Federal District, with a mean age of 69.00+7.73 years and a study time of 10.00+5.60 years. The scores on the EAT-10, MMSE and MTL Battery instruments were altered and indicated risk of dysphagia, cognitive and language alteration in four, 22 and 26 elderly, respectively. Regarding food, 13 elderly people (40%) complained of the need for modified food, 10 of them with MMSE scores suggestive of cognitive impairment and six with partial dependence for some activity of daily living. When comparing the groups with and without complaints or risk of dysphagia, there was no statistically significant difference in relation to sociodemographic, cognitive and language variables. Binary logistic regression models also showed non-significant results. Conclusion: Despite the statistically non-significant results, the elderly with swallowing complaints showed results suggestive of cognitive and language alterations

Introduction: Cerebral Palsy (CP) occurs due to a nonprogressive lesion in the nervous system in childhood, causing changes in several systems and continuous demands for health care. The aim of the study was describe the costs of health care with CP in the hospital and outpatient setting by the Brazilian Unified Health System between the years 2015 and 2019. Methods: Descriptive study, a cost of illness study from the perspective of the public health system of Brazil (SUS). Data was obtained from the government’s information systems of hospital admissions and outpatient procedures on a national level. The patient's gender and age, amounts of inpatient admissions and outpatient procedures, ICD code for main diagnosis and total hospital and outpatient values were obtained. Costs were corrected for inflation considering the IPCA index. Results: Between 2015 and 2019, SUS spending on health care for CP patients was approximately BRL 400 million; with outpatient procedures accounting for 78% of the total. In the hospital system, 43,454 AIH were registered, of which 58.37% were male; with an average cost of R$1,857.09. Most were related to non-specific ICD classifications [G808 – 39.83% and G809 – 14.29%]. The amounts of daily’s, ICU daily’s, companion daily’s and permanence daily’s were 868,911, 11,918, 77,471 and 878,347; respectively. Adults [30-59 years] represent the majority of hospital records (35.83%), totaling approximately R$ 35 million. In the outpatient system, 5,677,939 APAC were registered, of which 55.72% were male, and an average cost of R$52.41. The number of approved procedures was 12,246,776; 41.69% referred to the G800 code, but with many records for non-specific codes [G808 – 15.16% and G809 – 23.73%]. Children [0-12 years old] accounted for the majority (63.94%), totaling around BRL 168 million. Conclusion: There was a large number of records of non-specific ICDs and a considerable cost arising from health care with CP in Brazil, most of which refer to outpatient care, reinforcing the need for public prevention policies. And finally, the variables age, race/color, type of CP and use of the ICU, in the SIH, are able to explain the public costs with CP in the SIH and SIA.

Introduction: Low back pain is the main cause of disability in the world, causing serious socioeconomic and health systems impact. Individuals with chronic conditions have been widely affected by the COVID-19 pandemic. In this context, mobile health (m-Health) has become popular, mostly due to the wide use of smartphones. Despite the considerable number of applications for low back pain available in the app store, the effectiveness of these technologies is not established and there is a lack of evidence regarding the effectiveness of the isolated use of mobile applications in the selfmanagement of low back pain. Objetivos: Investigate the effectiveness of interventions through the use of mobile health (mhealth) in improving pain and disability of individuals with chronic low back pain, compared to usual healthcare strategies. Methods: A systematic review with metaanalysis comparing m-health technology to usual care or no intervention was performed. Pain intensity and disability were included as primary outcomes, and quality of life as a secondary outcome. Results: Five RCTs totaling 894 participants were included. The studies showed effects of moderate quality for pain intensity (MD -0.86; 95% CI -2.29;0.58) and disability (SMD -0.24; 95% CI - 0.69;0,20) in favor of m-Health, however there was no significant differences between interventions. Most of the studies presented methodological biases such as non-concealed allocation and non-blinding of subjects, participants, or therapists. Conclusion: Our review suggests positive clinical effects from the use of m-Health in improving pain intensity and disability in individuals with low back pain compared to usual care. However, due to the biases found, the evidence remains inconclusive and future clinical trials are needed

BACKGROUND: Among the impairments that elderly individuals are subject to and that compromise their walking, femoral neck fractures, which are treated with hip arthroplasty, stand out. Several factors have been associated with physical-functional outcomes after hip arthroplasty; however, most studies have investigated delayed ambulation only in females or in patients without cognitive impairment. OBJECTIVES : determine whether age, cognitive status, body mass index (BMI), muscle strength and functional capacity are associated with ambulation in the immediate postoperative period of hip arthroplasty in older adults with femoral neck fractures, and if the assessment tools for these factors can predict early ambulation. METHODS: This prospective observational longitudinal study analyzed 62 older adults with femoral neck fractures who underwent hip arthroplasty at a tertiary referral hospital in Brazil between June 2021 and December 2022. Age, BMI, cognitive status (Mini-Mental State Examination - MMSE), functional capacity (modified Barthel index) and muscle strength (handgrip dynamometry) were assessed before surgery and ambulation capacity (≥10 steps) was evaluated up to three days after the procedure. Comparative analyses and logistic regression were performed. RESULTS: Younger age, greater muscle strength and better cognitive status and functional capacity were associated with immediate postoperative walking ability. In multiple regression, better cognitive status and muscle strength remained predictors of early ambulation. The MMSE and handgrip dynamometry were accurate at predicting walking ability. CONCLUSION: Older adults with femoral neck fracture, greater grip strength and better cognitive status have a higher chance of walking by the third day after hip arthroplasty. The MMSE and handgrip dynamometry can be used in preoperative screening to assess the risk of unsuccessful early ambulation and devise effective interventions.

This study aimed to present techniques for the development of an equipment to be used in female pelvic rehabilitation, which needs to be evaluated to apply the most appropriate rehabilitation therapies. The goal was to contemplate from the confection of the sensors (array), which are responsible for capturing the force stimulus, to the development of the processing circuitry and the development of the console to accommodate these circuits. Equipment development details were exposed, covering the constructive aspects of the project’s mechanical design and details of the electronics involved. Experiments were performed on a dynamometer adapted to apply forces to the sensors and to validate them to prove the system efficiency, which should be included to minimize the electronic circuits instability. In the end, satisfactory results were obtained with that. The correlation between the applied force and the sensors’, response did not undergo great variations, which satisfies the system performance and control, which is intended to be inserted in clinical and ambulatory care.

 In 2019, a highly contagious pandemic virus called SARS-CoV-2 emerged in China. Among the symptoms of tiredness, fever, dry cough and respiratory failure, some have stood out and attracted researchers: anosmia and dysgeusia. This study proposed a broader assessment of the sensory-motor-oral system, enabling a better understanding of these aspects in this population. Based on the findings after assessing these functions, it is believed that it will be possible to establish continuity in the therapeutic process in a more effective, comprehensive, and direct way. Objective: The aim of this study was to evaluate and compare the functions of smell, taste, oral stereognosy and swallowing in patients who have had COVID-19 with those who have not had the disease. This research investigated the possible sequelae in these functions. Methods: Participants recovered from COVID-19 were recruited to the study to make up the Research Group (RG), through a public invitation on social networks. The Control Group (CG) included those who did not have the disease, considering the inclusion and exclusion criteria for both groups. The CG was matched for gender and age to the SG, and they were also invited to take part by public invitation. Specific tests to assess the functions of smell, taste, oral stereognosy and swallowing, standardized in the specific literature, were selected according to feasibility, and applied by two previously trained assessors. Results: 60 individuals aged between 21 and 59 took part in this study, divided into GP, made up of 30 individuals who had COVID-19, and CG, with 30 individuals who did not have COVID-19. Regarding the function of smell, the overall median number of correct answers on the instrument used between the two groups was similar, with the CG achieving the best median. In the function of taste, there was an equivalence in the median absolute frequency of correct answers in the instrument used in the general sample and in the groups. In oral stereognosy, the median absolute frequency of correct answers on the instrument used was also similar in both groups, with the CG again achieving a slightly better median. Regarding the performance of the orofacial myofunctional system, a statistically significant difference could only be observed in the maxillo-mandibular relationship and breathing function variables, with better performance values for the CG. The performance of the swallowing function was the same between the participants. In all the tests/instruments, in general and considering the objectives of the study, the results of the comparison between the groups do not indicate a statistically significant difference. Discussion: The results showed a difference between the GP and CG, with statistical significance only in the variables relating to the aspects of posture/appearance of the maxillo-mandibular relationship and the breathing function, with better performance values for the GP. In the assessments of the functions of smell, taste and oral stereognosy, the variables related to the essences/shapes least affected in each function were coffee, sweet, and square and ellipse, respectively. Conclusion: There were no statistically significant differences between the groups in terms of frequencies and percentages of correct answers for smell, taste, oral stereognosis and swallowing, which could be directly related to COVID-19. This finding may indicate that, despite the COVID-19 infection, the individuals in the GP did not have any alterations in the functions studied, or that they had already shown total or partial recovery of these functions.

Introduction: Parkinson's Disease (PD) is a neurodegenerative, chronic and progressive disease that produces signs such as tremor at rest, changes in upper limb functionality (UL) and cognitive decline, which impact the performance of daily activities. Eccentric exercises have already demonstrated the ability to reduce tremors in people with PD. Exergames have also been used in the rehabilitation of people with PD, promoting improvements in gait, balance and cognition. Objective: To evaluate the effects of training using Nintendo Wii games when combined with upper limb eccentric exercises (ULMS) on upper limb tremor and functionality compared to training exclusively consisting of upper limb eccentric exercises. Method: This is a randomized, controlled and blind clinical trial, with a sample of 25 people with PD randomly allocated into two groups: Nintendo Wii Group combined with eccentric exercises (n=11), which will perform 30 minutes of eccentric exercises and 25 minutes of training with Nintendo Wii, and exclusive eccentric exercises group (n=14), which will only do eccentric exercises for 30 minutes. Both groups will receive intervention for 8 consecutive weeks, twice a week, totaling 16 sessions. The groups will be evaluated before training, within 7 and 30 days after the end of training. Preliminary results and conclusions: There were promising results such as: increased hand grip strength; reduction of upper limb tremor; improvement in the functional performance of the upper limbs. These results were most present in the assessments carried out within 7 days after the end of the intervention protocol.

INTRODUCTION: One of the approaches of Early Intervention (EI) is called Family-Centered Care (FCC). In this approach, healthcare professionals guide the programs and work in partnership with caregivers to support and guide the motor and neurobehavioral development of children, to enhance their capabilities. In FCC, the strengths and needs of all caregivers are considered. However, there is a need to understand the involvement and perception of caregivers and healthcare professionals regarding early intervention services (EI) in Brazil. RATIONALE: Two studies were conducted. In Study 1, we proposed a scoping review protocol to identify evidence regarding family perceptions of early intervention services with a focus on FCC, with an emphasis on those receiving physical therapy and occupational therapy. As for the rationale of Study 2, we recognized the need to characterize the services provided in Brazil from the perspective of caregivers of children with motor developmental delays and healthcare professionals, in order to seek the highest level of support for caregivers and improved working conditions for professionals. OBJECTIVES: Study 1) To identify evidence regarding the perception of families of children at risk of motor developmental delay in relation to early intervention services with a focus on the FCC approach. Study 2) To assess caregivers' perception of the early intervention services received and healthcare professionals' perception of the early intervention services provided through structured questionnaires. METHODS: Study 1) This study will employ the methodology for scoping reviews, as stated by JBI. This scoping review protocol will use the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMAScR) checklist for reporting this study. This scoping review protocol will be registered on the Open Science Framework Register. Studies based on the PECOT strategy (P: population/patient; E: exposure; C: comparison of exposure; O: outcome; T: time) will be included. Specifically, P: children of both sexes at risk of motor developmental delay; E: children receiving care with the FCC approach; C: compared or not compared with another type of intervention; O: family perception of FCC care; T: children aged 3 months to 4 years. Studies that only evaluated the effect of interventions and sought the opinion of families regarding the outcome achieved, as well as studies that sought family perception in areas other than motor development, systematic reviews, abstracts from scientific events, and unpublished documents on scientific evidence platforms will be excluded. Study 2) The study design is cross-sectional, using a survey approach (online questionnaire), and it was approved by the Ethics Committee of the University of Brasília (Approval Number: 63169122.0.0000.8093). This study included the participation of caregivers of children enrolled in EI programs (children aged between 3 months and 4 years) and healthcare professionals who have been working in EI programs in Brazil for at least 3 months. Both caregivers and professionals responded to an online questionnaire developed using Qualtrics software. Both questionnaires, for caregivers and professionals, consisted of multiple-choice questions. The caregiver questionnaire included questions related to the characteristics of the child and caregivers, caregivers' perceptions of the services received, and guidance on activities in the home environment. The questionnaire available to professionals contained questions about their professional background, professionals' perceptions of family involvement in EI and the services provided, as well as sociodemographic information. Descriptive analysis was used for data analysis. PRELIMINARY RESULTS: Study 1) This scoping review protocol aims to identify available evidence regarding family perceptions of early intervention services with a focus on FCC and synthesize knowledge on the topic. Study 2) Regarding the caregivers' questionnaire, 22 valid questionnaires were considered (61.0%). Mothers (n=19; 86.4%) were the majority of respondents, and most of them were the primary caregivers (n=18; 81.8%). In general, the children are being cared for by a multidisciplinary team (n=17; 77.3%), with the majority of caregivers reporting physiotherapists. Caregivers reported having the opportunity to mention the child's developmental needs (n=19; 86.36%), participate with professionals in setting goals (n=16; 72.70%), and expressed satisfaction with the services received (n=19; 86.40%). They received guidance for athome activities (n=18; 81.81%) and carried them out (n=15; 68.2%). Professionals were supportive when caregivers reported difficulties in performing at-home activities (n=20; 90.90%).As for the healthcare professionals' questionnaire, 22 healthcare professionals participated in the study (female: n=20; 90.9%). Most of them were physiotherapists (n=14; 63.6%), while others were speech therapists (n=3; 13.6%), occupational therapists (n=2; 9.1%), psychologists/educational psychologists (n=2, 9.1%), and one nurse (n=1; 4.5%). The majority worked in a multiprofessional team (n=19; 86.4%). Twelve participants (54.5%) had less than 10 years of experience, and nine (40.9%) had more than 10 years of experience in EI. Most respondents stated that they discuss therapeutic goals with the family (n=21; 95.5%) and consider the family's needs when establishing intervention goals ("always": n=16; 72.7%; and "most of the time": n=5; 22.7%). Concerning family involvement, some professionals responded that most families wait in the waiting room until the end of the session (n=8; 36.4%) during EI care; others reported that families observe the session from the side (n=8; 36.4%), or actively participate in the session (n=6, 27.3%). More than half of the professionals reported that only half of the families they serve (n=12; 54.5%) are interested in receiving and following guidance in the home environment. Additionally, professionals reported having favorable conditions to provide appropriate care to children and their families (n=18; 81.8%) and being satisfied with their work environment (n=20; 90.9%).

Introduction: Parkinson's disease (PD) is a neurodegenerative disease, chronic and progressive that produces signs such as tremor at rest, alteration in the functionality of upper limbs (MMSS) and cognitive decline, which impact on the performance of activities of daily life. Eccentric exercises have been shown to reduce tremors in people with PD. Nintendo Wii exergames have been used in the rehabilitation of people with PD, promoting improvement in gait, balance and cognition. Objective: To evaluate the effects of a training using Nintendo Wii games in combination with exercises upper limb eccentrics on tremor, upper limb functionality and the cognition of patients with Parkinson's Disease (PD), compared to a training exclusively composed of eccentric upper limb exercises. Method: This is a randomized, controlled, blinded clinical trial with a sample of 30 people with PD randomly allocated into two groups: Nintendo Wii group combined with eccentric exercises (n=15), who will do 20 minutes of eccentric exercises and 25 minutes training with Nintendo wii, and Exclusive eccentric exercises group (n=15), which will do only eccentric exercises for 45 minutes. Both groups will be trained for 8 consecutive weeks, twice a week, totaling 16 sessions. The groups will be evaluated before training, within 7 and 30 days after the end of training. Preliminary results and conclusions: There were promising results such as: increased hand grip strength; reduction of Upper limb tremor; improvement in the functional performance of the upper limbs.

This research sought to analyze the linguistic and communicative results in ten children with autism after ten sessions of horseback riding therapy, and from the results obtained, an Intervention Program named " Therapeutic Horseback Riding and Speech Therapy: Step by Step in Communication"was elaborated, with 24 sessions. The dissertation was composed of three products that together make up the answers to the research objectives. Product 1: a preliminary scientific article about the analysis of the communicative and linguistic reorganization of children with autism after intervention. To carry out such an analysis, findings of protocols validated for Brazilian children were used to analyze language use, form and content, and a descriptive analysis was carried out by means of the Systemic-Functional Linguistic theory (Halliday, 1978). Product 2: final elaboration of an Intervention Program named "Therapeutic Horseback Riding and Speech Therapy: step by step in communication" with 24 sessions. The elaboration of the activities was started together with the practice of horseback riding held during Product 1. After analyzing the results, improvements were made in the initial proposal and the final version was created. Product 2 is exposed in a scientific article and for a better exposition of its final version it is completed with supplementary material. Product 3: demonstrates the scientific dissemination carried out through the presentation of the results related to the project in scientific events. Given this, from Products 1,2,3 it is possible to state that the proposal of speech therapy rehabilitation in context of equotherapy for children with autism produces positive results for the domains of communication and language

A set of signs and symptoms that can be listed according to their etiology, through chromosomal, genetic and multifactorial anomalies or mutations, are related to the definition of a syndrome. Individuals with genetic syndrome may have food complaints and/or changes in swallowing, caused by the interaction of several factors, such as anatomical, physiological and environmental. The stomatognathic system (SS) is responsible for the functions of sucking, chewing, swallowing, phoning and breathing, which include orofacial myofunctional aspects. Objective: To characterize the orofacial myofunctional aspects of individuals with genetic syndromes through the analysis of the refereed literature and the clinical evaluation of patients referred to the speech therapy team of hospitals in the Federal District. Methodology: This study was carried out in two stages. The first applies to the critical literature review of published studies that address the orofacial myofunctional aspects of individuals with genetic syndromes. The second is an observational, crosssectional and descriptive study. Thirty-eight patients, both sexes, aged between three months and thirteen years, were evaluated using the Orofacial Myofunctional Assessment Protocol with Expanded Scores, Clinical Assessment Protocol for Pediatric Dysphagia and Risk Assessment Protocol for Dysphagia, in order to characterize the orofacial myofunctional aspects in an applied way. Result/Discussion: In the literature review, it was analyzed that there is a reduced number of publications on the subject, prevalence of alteration in relation to the SE structures in the myofunctional aspects of lips, tongue, cheeks and jaw; changes in relation to symmetry and sensitivity of the face; change in relation to the mobility and functionality of the SE structures. In the practical/applied study, the presence of alterations was observed with a higher incidence in orofacial myofunctional aspects related to lips, tongue, facial asymmetry, hard palate and cheeks; involving sorption movements, oral transit time, lip sealing and swallowing; associated with a high rate of dysphagia. Conclusion: According to the data presented, the characterization of orofacial myofunctional aspects of individuals with genetic syndromes is an important step to define the best conduct in relation to speech therapy. Therefore, this study had this objective, directing the professional's gaze to the speech-language pathology work with this population, with the application of scientific evidence techniques, confirmed by clinical application. It is believed that with this characterization it is possible to better propose specific programs for individuals with genetic syndromes.

aging is a multifactorial process that results in a physiological decline in all the body’s systems, leading to adverse health conditions and the need for hospitalization. Hospitalization involves long periods of bedrest, which exacerbates the effects on the body’s systems and contributes to functional capacity decline. Physical performance at admission seems to be associated with functional capacity at discharge. Assessing physical performance at admission and the resulting changes in functional capacity in Brazilian older adults who use public health services would contribute to identifying older adults at risk of functional decline and managing these effects. Objectives: this study aimed to assess the effects of hospitalization on the functional capacity of older adults, the influence of physical performance at admission on functional capacity at discharge, and the tools capable of screening for functional capacity decline. Methods: a prospective longitudinal study with older adults (≥60 years) admitted to a public hospital in the Brazilian Federal District (DF) between July 2021 and February 2022. The independent variable was physical performance, evaluated by handgrip strength (HGS) and the Short Physical Performance Battery (SPPB). The dependent variables were functional capacity for basic (BADLs) and instrumental activities of daily living (IADLs), with their decline assessed by the Katz index and Lawton & Brody questionnaire. Statistical analyses were performed using descriptive measures to characterize the sample. The Wilcoxon test was used to compare functional capacity on admission and at discharge. Linear and logistic regression were performed to assess the relationship between physical performance on admission and functional capacity decline at discharge, and receiver operating characteristic (ROC) curves were constructed to assess the ability of physical performance on admission in the HGS and SPPB to differentiate between patients who exhibited or not functional capacity decline at discharge. Results: the study included 75 participants with a median age of 71 years. After hospitalization, functional capacity for BADLs and IADLs declined in 38.66 and 78.66% of the sample, respectively. Performance in HGS and the SPPB explained 19.2 to 25.2% of functional capacity at discharge. One additional point in the SPPB decreased the chances of reduced functional capacity for BADLs by 15.5%. The alternative cutoff points of 21 KgF for HGS and 5 points in the SPPB were predictors of patients at risk of functional decline for BADLs. No investigative tool was capable of predicting reduced IADL capacity. Conclusion: hospitalization contributes to a significant decline in functional capacity in Brazilian older adults. The negative effects of hospitalization on functional capacity can be screened early by assessing physical performance. Early screening would allow the implementation of interventions by multidisciplinary teams to reduce the risk of functional decline at discharge.

Introduction: Sarcopenia and cognitive impairment are worrisome age and public health-related problems due to the high risk of functional decline, hospitalization and death. Sarcopenia is a muscle disease identified by clinical parameters of low muscle strength and muscle mass which, when added to poor physical performance, characterize severe sarcopenia. Cognitive impairment is the decline in normal functioning of one or more brain functions, affecting the activities of daily living (ADLs) of individuals, and may present as a mild or major cognitive disorder. Objectives: Investigate the association between the clinical parameters of sarcopenia (poor muscle strength, muscle mass and physical performance) and cognitive impairment in older specialized care users and compare the frequency of these parameters between adults with and without cognitive impairment. Methods: Cross-sectional study of 263 older users (≥60 years) of a public specialized care service. The sample was characterized based on sociodemographic and clinical variables and the clinical parameters of sarcopenia (muscle strength, muscle mass and physical performance) were assessed by handgrip strength (HGS), calf circumference (CC) and the Timed Up and Go (TUG) test. The Mini-Mental State Examination (MMSE) was used to assess cognitive state and categorize the individuals as with or without cognitive impairment. HGS < 16KgF was considered low for women and <27KgF for men, low muscle mass CC<31cm and low physical performance TUG>20s. Analyses: The sociodemographic, anthropometric, clinical and functional capacity variables were compared between groups with and without cognitive impairment using the student´s independent t- (parametric data), Mann-Whitney U (nonparametric data) or chi-squared tests (categorical data). Associations were investigated by linear, simple and multiple logistic regression considering the clinical parameters of sarcopenia (independent variables) and cognitive state (dependent variable), adjusted for age, sex, years of study, number of medications, nutritional status and functional capacity. Results: 89% of participants exhibited cognitive impairment. There was greater frequency of low muscle strength in older adults with cognitive impairment (59.6%) compared to their non-cognitively impaired counterparts (13.6%). Simple linear regression analyses showed that cognitive state was explained by muscle strength in 21.5%, muscle mass 12.3% and physical performance 7.6% of the individuals. Adjusted multiple linear regressions revealed that muscle strength was the explanatory variable of cognitive state (F(4.131)=24.412, p<0.001; R²=0.427). Simple logistic regression analyses demonstrated that muscle strength, muscle mass and physical performance were associated with cognitive state. In adjusted multiple logistic regressions, only age-adjusted muscle strength remained significantly associated with cognitive state (OR=0.846; 95% CI 0.774-0.924, p<0.001). Conclusion: Low muscle strength was the sarcopenia parameter independently associated with cognitive impairment. This information is useful in confirming the likelihood of cognitive impairment when low muscle strength is identified.

Aim: To describe and compare the quality of life, the socioeconomic/cultural characteristics and eating behavior of individuals indicated and submitted to bariatric surgery/gastroplasty. Methods: A cross-sectional descriptive study, with 154 individuals, divided into three groups: 32 in the pre-surgical period (Group 1), 68 in the post-surgical period of up to one year (group 2) and 54 in the post - more than one year (Group 3). The participants electronically answered the instruments/questionnaires: 1) identification form, 2) Questionnaire about feeding behavior and the anatomo functional conditions of the stomatognathic system; 3) the World Health Organization’s Abbreviated Quality of Life Assessment Instrument - WHOQOL -bref. Results: Most participants, in general and by groups, were in their fourth decade of life, were female, married, Catholic, seeking for health/quality of life/ self-esteem as motivation for the surgical procedure. Most of the surgeries were realized in the private sector and using bypass as a method. With regard to eating behavior, the groups differ in relation to the amount of food consumed, the ability to taste the food, chewing and knowledge about Speech-Language Pathology science. There was a statistically significant difference between the groups, and this difference was applied to the comparison between G1 and G2 (p=0.00) and G1 and G3 (p=0.00) Individuals who consider themselves overweight have lower mean scores for the physical, psychological and total instrument results. Conclusion: Individuals from G1 present worse results/responses in relation to: 1) quality of life when compared to G2 and G3; 2) Eating behavior in a general when compared to G2 and G3, mainly in relation to the amount of food consumed per meal, food taste, chewing and knowledge of speech-language pathology science.