Avaliação da fragilidade de idosos atendidos em uma unidade da Estratégia Saúde da Família

Fernandes, Heloise da Costa Lima; Gaspar, Jaqueline Correia; Yamashita, Cintia; Amendola, Fernanda; Alvarenga, Márcia Regina Martins; Oliveira, María Amélia de Campos

doi:10.1590/s0104-07072013000200019

Cited by 24 publications

(30 citation statements)

References 17 publications

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“…However, in studies using EFS, prevalence of fragility in the elderly who lived in the community was 39.1% in Ribeirão Preto, São Paulo (11) and 41.3% in Montes Claros, Minas Gerais (6) , while in the elderly assisted by the Family Health Strategy in Embu, São Paulo, it was 30.1% (12) . Prevalence of frailty was 74.1% in the elderly of an institution of long permanence in Fortaleza, Ceará (13) ,while it was 95.2% in the elderly hospitalized in the Medical Clinic of the Emergency Department of a University Hospital of Ribeirão Preto, São Paulo (14) .…”

Section: Discussionmentioning

confidence: 99%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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Objective: to know the prevalence and factors associated with frailty in elderly assisted by the Centro Mais Vida de Referência em Assistência à Saúde do Idoso (Mais Vida Health Reference Center for the Elderly) in the North of Minas Gerais, Brazil. Method: cross-sectional study, with sampling by convenience. Data collection occurred in 2015. Demographic and socioeconomic variables, morbidities, use of health services and the score of the Edmonton Frail Scale were analyzed. The adjusted prevalence ratios were obtained by multiple analysis of Poisson regression with robust variance. Results: 360 elderly aged 65 or older were evaluated. Frailty prevalence was 47.2%. The variables associated with frailty were the following: advanced age elderly, who live without a partner, have a caregiver, present depressive symptoms, osteoarticular disease, as well as history of hospitalization and falls in the last twelve months. Conclusion: knowledge of factors associated with frailty allows development of health actions aimed at the elderly. Descriptors: Elderly; Frail elderly; Health Vulnerability; Health of the Elderly; Public Health. RESUMO Objetivo: conhecer a prevalência e fatores associados à fragilidade em idosos assistidos pelo Centro Mais Vida de Referência em Assistência à Saúde do Idoso ao norte de Minas Gerais, Brasil. Método: estudo transversal, com amostragem por conveniência. A coleta de dados ocorreu em 2015. Analisaram-se variáveis demográfi cas e socioeconômicas, morbidades, utilização de serviços de saúde e o escore da Escala de Fragilidade de Edmonton. As razões de prevalências ajustadas foram obtidas por análise múltipla de regressão de Poisson com variância robusta. Resultados: foram avaliados 360 idosos com idade igual ou superior a 65 anos. A prevalência de fragilidade foi 47,2%. As variáveis associadas à fragilidade foram: idosos longevos, que vivem sem companheiro(a), possuem cuidador, apresentam sintomas depressivos, doença osteoarticular, bem como história de internação e de quedas nos últimos 12 meses. Conclusão: o conhecimento dos fatores associados à fragilidade permite que ações de saúde destinadas a idosos possam ser desenvolvidas. Descritores: Idoso; Idoso Fragilizado; Vulnerabilidade em Saúde; Saúde do Idoso; Saúde Coletiva. RESUMENObjetivo: identifi car la prevalencia y los factores asociados a la fragilidad en ancianos asistidos por el Centro Mais Vida, programa de Asistencia a la Salud del Anciano en el norte de Minas Gerais, Brasil. Método: estudio transversal, con muestreo por conveniencia. Se recolectaron los datos en el 2015. Se evaluaron las variables demográfi cas y socioeconómicas, comorbilidades, utilización de servicios de salud y el puntaje de la Escala de fragilidad de Edmonton. Se empleó el análisis múltiple de regresión de Poisson con varianza robusta para obtener las tasas de prevalencias ajustadas. Resultados: se evaluaron a 360 ancianos de más de 65 años de edad. Un 47,2% fue la tasa de prevalencia de fragilidad. Las variables asociadas a la fragilidad fueron:Rev B...

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Section: Discussionmentioning

confidence: 99%

Frailty in the elderly: prevalence and associated factors

et al. 2017

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“…Among the surveyed elderly, the female gender prevailed and the age group ranged from 60 to 69 years. There was a similar result in studies that aimed to investigate the frailty [1,[6][7][8][9][10][11][12][13][14][15]. The large number of women in the surveys can be justified because they are more attentive to health, seek health services frequently, expose themselves to different risks and have better quality of life [10,11,13].…”

Section: Discussionmentioning

confidence: 89%

“…Therefore, the more drugs the elderly ingested, the greater the risk of drug interaction, side effects, difficulties in administration and forgetting of schedules, reducing the therapeutic effect [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…Frailty is one of the most studied aspects of aging, highlighted in recent years in the national and international scenes [1].…”

Section: Introductionmentioning

confidence: 99%

“…The frail elderly, according to the National Policy for Health of the Elderly (PNSPI), are considered as a group of greater vulnerability to health problems and functional disabilities [1].…”

Section: Introductionmentioning

confidence: 99%

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Frailty Assessment and its Association with Sociodemographic and Health Characteristics in Community Elderly

Maciel¹,

Silva²,

Gonçalves³

et al. 2017

int arch med

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Background: Frailty assessment in the elderly and its relationship to sociodemographic and health characteristics. Method:Quantitative study, descriptive and cross-sectional study, conducted between April to July 2014, at two Family Health Units in Natal, Rio Grande do Norte. The sample consisted of 203 elderly. The data collection procedure occurred through a structured interview, which used two instruments. Results:The average age of the participants was 68.59 years; among them, 83 (40.89%) did not show weakness, 45 (22.17%) were apparently vulnerable and 75 (36.94%) were frail. The weakness associated with low education, widowhood, heart disease, diabetes mellitus, osteoporosis, respiratory disease, urinary tract infection, depression, six classes of drugs (antidiabetic, antidepressant, anxiolytic, and antacid against osteoporosis) and fall episode.

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Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis

Melo

Cipolli

Buarque

et al. 2020

The Journal of nutrition, health and aging

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Objectives: Frailty is characterized by a functioning decline in multiple systems accompanied by an increase in individual's vulnerability to stressors. It appears to be higher in low and middle-income countries compared with high-income ones. This study aimed to evaluate the prevalence of frailty in non-institutionalized Brazilian older adults. Design: a systematic review and meta-analysis study. Setting: Cross-sectional and prospective data from Brazil. Participants: non-institutionalized adults aged 60 and older. Methods: Electronic searches were performed in PubMed/MEDLINE, LILACS, SCOPUS and Web of Science, considering the studies published between March 2001 and July 2018, using a combination of the following terms and correlates: "elder" AND "frail" AND "prevalence" AND "Brazil". Two independent reviewers selected studies according to the inclusion criteria. Disagreements were resolved by a third reviewer (title/abstract) and by consensus. Studies with samples ≥221 subjects were considered for meta-analysis. Results: 28 studies were included, while 18 had the data meta-analyzed. The majority of studies (61%) included older adults only from the Southeastern region. The number of subjects ranged from 53 to 5,532 individuals (N = 17,604) and the average age ranged from 65.6 to 85.5 years. The overall prevalence of frailty was 24%. When considering the different assessment methods, the prevalence was lower for frailty phenotype (16%) compared with other criteria (40%). Regarding sex, the prevalence of frailty was similar for women (28%) and men (25%). The prevalence of frailty was higher in older adults recruited from health care services (30%) compared to community ones (22%). Conclusion: In Brazil, the overall prevalence of frailty in non-institutionalized older adults is higher than observed from more developed countries. However, it may vary according to the assessment methods and settings.

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Avaliação da fragilidade de idosos atendidos em uma unidade da Estratégia Saúde da Família

Cited by 24 publications

References 17 publications

Frailty in the elderly: prevalence and associated factors

Frailty in the elderly: prevalence and associated factors

Frailty Assessment and its Association with Sociodemographic and Health Characteristics in Community Elderly

Prevalence of Frailty in Brazilian Older Adults: A Systematic Review and Meta-Analysis

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