Frailty syndrome and risks for falling in the elderly community

Taguchi, Carlos Kazuo; Menezes, Pedro de Lemos; Melo, Amanda Caroline Souza; Santana, Leonardo Santos de; Conceição, Wesley Rayan Santos; Souza, Gabrielle Feitosa de; Araújo, Brenda Carla Lima; Silva, Allan Robert da

doi:10.1590/2317-1782/20212021025en

Cited by 11 publications

(8 citation statements)

References 21 publications

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“…A respeito da relação entre síndrome da fragilidade e qualidade de vida, estudo realizado com pessoas idosas da comunidade evidenciou que esta apresenta forte associação e pode ser influenciada de acordo com a condição de saúde, ambiental e socioeconômica desses indivíduos 26 . Em dois estudos espanhóis, a associação também foi significativa (OR: 0,95; IC 95%: 0,93-0,97) (R 2 =0,395), e tal relação ocorre especialmente pelos aspectos de saúde física na síndrome da fragilidade tendo em vista as consequências referentes à incapacidade e dependência funcional 27,28 .…”

Section: Discussionunclassified

Síndrome da fragilidade e qualidade de vida em pessoas idosas hospitalizadas

Alves,

Araújo-Monteiro,

Oliveira

et al. 2023

Rev. bras. geriatr. gerontol.

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Resumo Objetivo analisar a relação entre a síndrome de fragilidade e qualidade de vida em pessoas idosas hospitalizadas. Métodos estudo de abordagem quantitativa e corte transversal, desenvolvido com uma amostra de 323 pessoas idosas assistidas em hospitais universitários da Paraíba, durante agosto de 2019 a julho de 2020. Os dados foram tabulados no SPSS, versão 26.0, mediante teste qui-quadrado de Pearson, teste de correlação de Spearman e regressão logística múltipla entre variáveis sociodemográficas, de fragilidade e qualidade de vida. Resultados dos participantes, 60,7% eram mulheres, 49,2% tinham idade entre 60 e 69 anos, 51% tinham cônjuge, 67,8%, sabiam ler e escrever, 89,2% moravam com pelo menos uma pessoa, 78,3% não exercia atividade laboral e 57,9% recebiam até um salário mínimo. A síndrome de fragilidade foi significativa com gênero, idade, letramento, atividade laboral, renda e qualidade de vida. Já a qualidade de vida foi estatisticamente significativa com gênero e atividade laboral, somente. Foi visto que não saber ler, não exercer atividade laboral e ter baixa qualidade de vida aumentava em 3,04 (IC95%; 1,70–5,44), 4,51 (IC95%; 2,39–8,49) e 3,81 (IC95%; 2,22–6,53), a probabilidade de ter síndrome da fragilidade, respectivamente; enquanto que não exercer atividade remunerada acrescia em 2,61 (IC95%; 1,45-4,73) a probabilidade de ter baixa qualidade de vida. Conclusões a síndrome da fragilidade está associada a uma redução na qualidade de vida de pessoas hospitalizadas, o que sinaliza propostas de melhorias para gestores hospitalares no que tange a assistência além das condições clínicas já estudadas no cotidiano laboral.

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Section: Discussionunclassified

Síndrome da fragilidade e qualidade de vida em pessoas idosas hospitalizadas

Alves,

Araújo-Monteiro,

Oliveira

et al. 2023

Rev. bras. geriatr. gerontol.

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“…With respect to the relationship between frailty syndrome and quality of life, a study of communitydwelling older people showed a strong association that can be influenced by health, environmental and socioeconomic aspects of these individuals 26 . In two Spanish studies, this association was also found to be significant (OR: 0.95; 95%CI: 0.93-0.97) (R 2 = 0.395), and that this relationship is strongly influenced by aspects of physical health in frailty syndrome, given the consequences of disability and functional dependence 27,28 .…”

Section: Discussionmentioning

confidence: 99%

Frailty syndrome and quality of life in hospitalized older adults

Alves,

Araújo-Monteiro,

Oliveira

et al. 2023

Rev. bras. geriatr. gerontol.

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Objective to analyze the relationship between frailty syndrome and quality of life in hospitalized older adults. Methods a quantitative cross-sectional study of 323 older individuals was carried out at university hospitals of Paraíba from August 2019 to July 2020. Data were analyzed by SPSS, version 26.0, using Pearson´s chi-square, Spearman´s correlation and multiple logistic regression for sociodemographic, frailty and quality of life variables. Results regarding participant profile, 60.7% were women, 49.2% aged 60-69 years, 51% had a partner, 67.8% were literate, 89.2% lived with at least 1 other person, 78.3% were not working, and 57.9% received ≤ 1 minimum wage. Frailty syndrome was significantly associated with gender, age, literacy, work status, income, and quality of life. Quality of life was statistically significantly associated with only gender and work status. Results showed that illiteracy, not working and low quality of life increased the probability of frailty syndrome by 3.04 (95%CI; 1.70–5.4), 4.51 (95%CI; 2.39–8.49), and 3.81 (95%CI; 2.22–6.53), respectively; while not working increased the probability of low quality of life.by 2.61 (95%CI;1,45–4,73). Conclusions frailty syndrome was associated with low quality of life in the hospitalized older adults, indicating the need for measures by hospital managers to improve care beyond the clinical conditions addressed in routine practice.

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“…Studies associated with “Frailty syndrome and risk of falling in community-dwelling elderly people,” carried out by Taguchi et al (2022) , used TUG to search for information related to functionality and dynamic balance.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility and risk of falls in older people

Freire,

Seixas

2024

Front. Physiol.

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Introduction:Sensory systems provide the necessary information for a motor response to be provided. In this sense, the objective of this study is to evaluate the effectiveness of a sensorimotor exercise program on proprioceptive acuity, balance, muscle strength, functional mobility and risk of falls in institutionalized elderly.Methodology:56 participants (84.6 ± 8.4 years) were randomly distributed between the control (CG, n = 28) and intervention groups (IG, n = 28). The CG performed a protocol based on warm-up, muscle strengthening and warm down and the IG performed the same intervention, with the addition of sensorimotor exercises. Joint Position Sensation (JPS) was evaluated in both limbs at angles of 20° and 45°, balance, functional mobility, fear of falling in the elderly and muscle strength of quadriceps, hamstrings, adductors and abductors in both limbs, before and after the 12 weeks of intervention.Results:Both groups showed gains in muscle strength. When analyzing functionality through Timed Up and Go (TUG), before and after for each group separately, both showed a significant difference (CG p = 0.002; IG p < 0.001). For the Short Physical Performance Battery (SPPB) variable, there were significant differences in IG in balance (p < 0.001), gait speed time (s) (p = 0.004) and sit-to-stand (p = 0.002). In JPS, significant differences were recorded for Absolute Error 45° Non-Dominant (p = 0.045) and Relative Error 45° Non-Dominant (p = 0.045) in the CG and Relative Error 45° Non-Dominant for IG (p = 0.018). In the Falls Efficacy Scale International (FES-I) variable there were significant improvements in the CG (p = 0.006) and in the GI (p = 0.002). However, only IG showed significant improvements (p = 0.013) for Activities-Specific Balance Confident (ABC) in a comparison between before and after the 12-week research period. When comparing the differences verified with the intervention between CG and IG, only balance SPPB (p < 0.001) and sit-to-stand SPPB (p = 0.022) showed significant values.Conclusion:He effectiveness of sensorimotor exercises provides balance gain in the elderly (p < 0.001) and positively impacts their confidence (p = 0.013) when performing their duties. It is concluded that the protocol presented in its different levels of difficulty is effective and important for the quality of life of the institutionalized sedentary elderly.

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Frailty syndrome and risks for falling in the elderly community

Cited by 11 publications

References 21 publications

Síndrome da fragilidade e qualidade de vida em pessoas idosas hospitalizadas

Síndrome da fragilidade e qualidade de vida em pessoas idosas hospitalizadas

Frailty syndrome and quality of life in hospitalized older adults

Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility and risk of falls in older people

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