Avaliação de fragilidade, funcionalidade e medo de cair em idosos atendidos em um serviço ambulatorial de geriatria e gerontologia

Silva, Sílvia Lanziotti Azevedo da; Vieira, Renata Alvarenga; Arantes, Paula Maria Machado; Dias, Rosângela Corrêa

doi:10.1590/s1809-29502009000200005

Cited by 31 publications

(44 citation statements)

References 17 publications

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“…However, there are differences between the present study and other works 21,23 regarding the argument that frail elderly persons display an incapacity for ADL. The results of the present study support the conclusion that elderly persons can remain independent, even when already at risk of developing frailty, or when already considered frail, as only three of 103 elderly persons here presented minimal dependence.…”

Section: Discussioncontrasting

confidence: 97%

“…As has been described by other scientific studies, 21,23 frail elderly persons have a lower FC than non-frail elderly individuals. However, there are differences between the present study and other works 21,23 regarding the argument that frail elderly persons display an incapacity for ADL.…”

Section: Discussionsupporting

confidence: 74%

“…One study found a prevalence of 20,0% among elderly persons in Paraíba 21 , while another identified a prevalence of 31,0% in Rio Grande do Sul 9 and another described 9.1% of people having the condition in Rio de Janeiro. 20 This indicates that frailty can vary greatly among the Brazilian population, perhaps due to cultural diversity and living habits, including diet and physical activity, which are important protective factors against frailty.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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Objective: To investigate the occurrence of frailty and analyze the functional capacity and quality of life in the elderly in a department of geriatrics and gerontology in Belém-PA. Method: Cross-sectional, descriptive and analytical study.103 elderly people were assessed as the socio-demographic and clinical aspects, frailty, according to the phenotype of Fried, history of falls, self-perceived health, functional capacity (FC) and quality of life (QOL). The elderly were classified as frail (FR), pre-frail (PF) and non-frail (NF). The groups were compared using the binomial test, Kruskal-Wallis test and ANOVA test, and the relationship between FC and QOL through Pearson correlation. Results: The mean age was 73.39(±6.42) years; 23.0% of the elderly were FR, 57.0%were PF and 20.0% were NF. The highest criteria of phenotype were muscle weakness and physical inactivity. Was no difference in FC between FR and PF ( p<0.01) and FR and NF ( p<0.01). The FR elderly had lower QOL and the highest scores were intimacy (15.33±2.26) and death and dying (14.88±3.26). There were correlation between FC and QOL in groups PF ( p=0.0273) and NF ( p=0.0017). 62.1% of seniors pointed to health as regular and 34.0% had a history of falling. Conclusion: Muscle weakness and physical inactivity were most striking in the development of frailty, which was associated with worse QOL and FC, despite most seniors be independent. These data are important for early detection of determinants of frailty, since the criteria discussed here are reversible.

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Section: Discussioncontrasting

confidence: 97%

Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Freitas

Sarges

Moreira

et al. 2016

Rev. bras. geriatr. gerontol.

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“…Em outros estudos nacionais a prevalência de fragilidade variou entre 20% e 23,8% (Silva, Vieira, Arantes, & Dias, 2009;Junior et al,2014). As possíveis explicações para a variação na prevalência de fragilidade em idosos, são: os diferentes instrumentos usados para avaliar os critérios de fragilidade e as disparidades nas composições das amostras relacionadas à etnia e questões socioeconômicas (Tribress & Oliveira, 2011).…”

Section: Discussionunclassified

Indicadores de desempenho motor como preditores de fragilidade em idosos cadastrados em uma Unidade de Saúde da Família

et al. 2016

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RESUMOEste estudo objetivou identificar os testes de desempenho motor mais fortemente associados à fragilidade e seus respectivos pontos de corte, e verificar o melhor indicador de desempenho motor como instrumento de triagem para discriminar fragilidade em idosos cadastrados em ABSTRACTThis study aimed to identify the motor performance tests more strongly associated with frailty and respective cut-off points, and verify the best motor performance indicator as screening tool to discriminate frailty in elderly registered in Family Health Unit. Participated in the study 139 elderly aged ≥60 years, 105 women and 34 men. The frailty was identified by the criteria of Fried et al. (2001). The motor performance tests realized were: Handgrip strength (HS), sit-to-stand test, walk test (WT) and pick up a pen test. Logistic regression analysis was used to associate the motor performance tests and frailty. The cutoff points were evaluated by parameters provided by Receiver Operating Characteristic curve (ROC), with significance level of 5%. Data were analyzed using SPSS 21.0 and MedCalc. The mean age was 72.32 ± 8.4. The walk test was positively associated with frailty (OR 1.30; p <0.01), and handgrip strength in elderly women was inversely associated with frailty on feminine sex (OR 0.74; p <0.001). The WT presented a cutoff 5s (sensitivity 88.9 and specificity 74.5%) and the handgrip in the women obtained a cutoff point 14.6 kgf (sensitivity 83.3 and specificity 79.0%). It was concluded that the walk test was the best screening indicator to discriminate the frailty in elderly, both sexes, registered in a Family Health Unit.

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“…O crescimento da população idosa tem sido tema constante de debate entre pesquisadores, gestores sociais e profissionais da saúde, pois se trata de uma realidade mundial, que determina importantes repercussões nos âmbitos social e no econômico, devido a um declínio das taxas de natalidade e de mortalidade, resultante de alterações no perfil da morbidade, consequente à melhoria da qualidade de vida e aos avanços da área de saúde (1) . No âmbito nacional, há 20,5 milhões de idosos, cerca de 10% da população do país (2) .…”

Section: Introductionunclassified

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

et al. 2013

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ReSUmO Estudo transversal, que objetivou de estimar a prevalência de fragilidade em mulheres idosas, residentes no município de João Pessoa, Paraíba, Brasil; e identificar possíveis associações entre a fragilidade e as variáveis sociodemográficas. A amostra foi composta por 166 idosas, entrevistadas nos domicílios, entre abril e junho de 2011. Para a coleta dos dados, utilizou-se instrumento estruturado com questões relativas às variáveis sociodemográficas e à Edmonton Frail Scale. A análise descritiva dos dados, realizada pelo programa SPSS 15.0, mostrou que a maioria das idosas (60,8%) evidenciava algum grau de fragilidade. Entre elas, 21,7% eram aparentemente vulneráveis, 23,5%, com fragilidade leve, 7,8%, moderada, e 7,8%, e grave. Verificou-se associação do fenômeno com idade, escolaridade e renda, condições sobre as quais os enfermeiros devem atuar com vistas à prevenção do evento. descritores: Mulher; Idoso Fragilizado; Envelhecimento; Enfermagem.aBStRaCt Cross-sectional study that aimed to estimating the prevalence of frailty in older women living in the city of João Pessoa, Paraíba, Brazil; and to identify possible associations between frailty and socio-demographic variables. The sample included 166 elderly women were interviewed in their home between April and June 2011. For data was collected using a structure instrument to questions on socio-demographic variables and the Edmonton Frail Scale. The descriptive data analysis, performed by SPSS 15.0, showed that most elderly women 60.8% showed some degree of fragility. Among them, 21.7% were apparently vulnerable, 23.5% mild frailty, 7.8% moderate and 7.8% severe frailty. It was found an association of the phenomena with age, education and income, conditions under which nurses must act in order to prevent the event. Key words: Women; Frail Elderly; Aging; Nursing. ReSUmeNEstudio transversal que objetivó estimar la prevalencia de fragilidad en mujeres adultas mayores residentes en el municipio de João Pessoa, Paraíba, Brasil; y identificar posibles asociaciones entre fragilidad y variables socio-demográficas. La muestra comprendió 166 mujeres ancianas, entrevistadas en los domicilios entre abril a junio de 2011. Para la colecta de datos se utilizo un instrumento estructurado con preguntas relativas a las variables socio-demográficas y la Edmonton Frail Scale. El análisis descriptiva de los datos, realizado por el programa SPSS 15.0, mostro que la mayoría de las adultas mayores (60.8%) evidenciaban algún grado de fragilidad. Entre ellas, 21.7% eran aparentemente vulnerables, 23.5% evidenciaban fragilidad leve, 7.8% fragilidad moderada y 7.8% fragilidad grave. Se verifico asociación del fenómeno con la edad, escolaridad e ingresos mensuales, condiciones sobre las cuales los enfermeros deben actuar con vistas a la prevención del evento.

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Avaliação de fragilidade, funcionalidade e medo de cair em idosos atendidos em um serviço ambulatorial de geriatria e gerontologia

Cited by 31 publications

References 17 publications

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Evaluation of frailty, functional capacity and quality of life of the elderly in geriatric outpatient clinic of a university hospital

Indicadores de desempenho motor como preditores de fragilidade em idosos cadastrados em uma Unidade de Saúde da Família

Prevalência e fatores sociodemográficos associados à fragilidade em mulheres idosas

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