Blackground: There is a growing incidence of depression in the elderly, and this impairment interferes directly in the reduction of motor skills. Objective: This study aims to examine the association between depressive symptoms and motor performance in communitydwelling elderly. Method: This is a cross-sectional study that analyzed data from 316 elders of a home and population-based epidemiological survey. The information used was: socio-demographic characteristics; motor performance tests; physical activity;and Geriatric Depression Scale. The data were analyzed using the Statistical Package for Social Sciences. Mann-Whitney U test, chi-square, Spearman correlation and Poisson regression, with a confidence interval of 95%, were calculated. Results: For all motor tests, motor performance was negatively associated with depressive symptoms, regardless of gender, age, literacy and illiteracy, per capita income and physical activity. Elderly people with depressive symptoms have between 58% and 82% more functional limitation, depending on the motor performance test compared to those who were not depressed. Conclusions: There is an inverse relationship between depressive symptoms and motor performance in the elderly.Keywords: depression; mental health; health of the elderly; movement; motor activity. ResumoContextualização: É crescente a ocorrência de depressão em idosos, e esse acometimento interfere diretamente na redução da capacidade motora. Objetivo: Analisar a associação entre sintomas depressivos e desempenho motor em idosos residentes na comunidade. Método: Trata-se de um estudo transversal que analisou dados de 316 idosos de uma pesquisa epidemiológica de base domiciliar e populacional. As informações usadas foram: características sociodemográficas; testes de desempenho motor;atividade física e Escala de Depressão Geriátrica. Os dados foram analisados no The Statistical Package for Social Sciences, sendo realizados testes U de Mann-Whitney, qui-quadrado, Correlação de Spearman e regressão de Poisson, com intervalo de confiança de 95%. Resultados: Para todos os testes motores, o desempenho motor foi negativamente associado à sintomatologia depressiva, independentemente do sexo, idade, saber ler e escrever, renda familiar per capita e atividade física. Idosos com sintomas depressivos possuem entre 58% e 82% mais limitação funcional, a depender do teste de desempenho motor. Conclusões: Conclui-se que existe uma relação inversa entre sintomas depressivos e desempenho motor em idosos.
| Background: Lifestyle changes, factors inherent to the caregiver's family and social environment, and physical and mental aspects determine a caregiver's quality of life (QOL). Objective: To evaluate the QOL and associated factors for caregivers of functionally impaired elderly people. Method: This was a cross-sectional study that analyzed data from a home-based care survey. The study sites were the homes of elderly people enrolled in Family Health Centers (Unidades de Saúde da Família) in Jequié, Bahia, Brazil. The sample consisted of 40 caregivers of functionally impaired elderly people. The instrument consisted of demographic data, health status, the Perceived Family Support Inventory, the Social Support Satisfaction Scale, and the World Health Organization Quality of Life Assessment (WHOQOL-BREF). The data were analyzed using a descriptive analysis and the chi-squared test at a 5% significance level, performed in SPSS version 15.0. Results: An association was found between the WHOQOL-BREF physical domain and the presence of sequelae (p=0.006), affective-cognitive inconsistency (p=0.009), and being the primary caregiver (p=0.002). The psychological domain showed an association with the presence of sequelae (p=0.006), the environment domain with the presence of diseases (p<0.001) and being the primary caregiver (p=0.033), and the social relations domain with the presence of diseases (p<0.001). Conclusion: The presence of sequelae or diseases, affective-cognitive inconsistency, and being the primary caregiver were related to decreases in their QOL.Keywords: aging; quality of life; activities of daily living; physical therapy; rehabilitation; movement. HOW TO CITE THIS ARTICLEReis LA, Santos KT, Reis LA, Gomes NP. Quality of life and associated factors of caregivers for the elderly with impaired functional capacity. Braz J Phys Ther.
OBJECTIVE: to identify the prevalence of the factors associated with pre-frailty and frailty of elderly residents in a municipality with a low Human Development Index METHOD: Cross-sectional study with a populational and household framework conducted with 316 elderly people. Frailty was determined from the presence of three or more of the following factors: (i) self-reported unintentional weight loss; (ii) lack of strength and energy; (iii) weakness; (iv) slowness; (v) low level of physical activity. The association between frailty and socio-demographic, behavioral and health factors was measured using the multinomial logistic regression technique. RESULTS: The prevalence of pre-frailty and frailty was 58.7% and 23.8%, respectively. The adjusted regression model showed that the state of pre-frailty was associated with gender, age group and BMI, and frailty was associated with gender, age group, hospitalization, functional capacity, and self-perceived health. CONCLUSION: The evidence presented in this study demonstrates more variables associated with the frailty condition, reinforcing the concept of a multifactorial clinical syndrome that may result in the loss of functionality.
Introdução: A redução da força de preensão manual pode afetar a capacidade funcional (atividades básicas e instrumentais de vida diária), acarretar limitações funcionais e afetar a qualidade de vida. Objetivo: verificar a relação entre a força de preensão manual e a capacidade funcional dos idosos ativos participantes de grupos de convivência. Métodos: Trata-se de um recorte da pesquisa do tipo analítica com delineamento transversal e abordagem quantitativa, intitulada “Estudo dos parâmetros motores e fatores associados em idosos pertencentes a grupo de convivência”. A amostra foi composta por 82 idosos, todos responderam a um instrumento contendo avaliação cognitiva, dados sociodemográficos, condições de saúde, avaliação da capacidade funcional e força de preensão manual. As análises de dados foram realizadas através do software estatístico SPSS, versão 20.0, sendo que para verificar as associações entre as variáveis do estudo utilizou-se do Teste do Qui-quadrado de Pearson, com um nível de significância de 5%. Resultados: Foi possível verificar associação entre as variáveis dependente nas ABVD e a limitação na FPM (p=0,004) e entre dependente nas AIVD e a limitação na FPM (p=0,001). Conclusão: Diante dos resultados encontrados verificou-se que a Força de Preensão Manual nos idosos avaliados serve como indicador de funcionalidade, visto que os idosos que apresentaram dependência nas atividades básicas e instrumentais de vida diária apresentaram limitação da Força de Preensão Manual.
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