Riesgo de caídas asociado al consumo de medicamentos en la población anciana

Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study

“…8,9 A lower number of medications used in older adults without abdominal obesity was associated with a higher risk of falls in this study sample, which differs from other studies. 10,11 A study of Spanish older adults showed that 71% of the participants used medications considered to be at risk for falls, such as antidepressants, antipsychotics, sedatives, opioids, and diuretics, suggesting that the type of medication can also influence the risk of falls, in addition to the amount ingested. 10 Among older adults without abdominal obesity, the highest number of depressive symptoms was positively associated with the occurrence of falls, which corroborates other studies.…”

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.…”

“…1 In the Brazilian population there is a prevalence of 27% for falls among older adults, with advanced age among the risk factors with strong scientific evidence for falls. 2,3 Falls have also been associated with the presence of morbidities, 4,5 depressive symptoms, 3,6 changes in balance and reduction in muscle strength, 7-9 use of medicines, 10,11 disabilities in basic activities (BADL) and instrumental activities (IADL) of daily living, 12,13 lower levels of physical activity, 14 prolonged sedentary behavior, 15 female sex 2,3 and obesity. [16][17][18] Among these factors, obesity, which is also currently a public health problem, requires further investigation.…”

“…19 Based on studies in older adults, it appears that falls are associated with sociodemographic, health, and behavioral characteristics. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] However, which of these factors act directly or indirectly to mediate the occurrence of falls in older adults with and without abdominal obesity remains unclear.Obesity is a common condition in the elderly population and is associated with higher morbidity and mortality, risk of institutionalization, and poorer quality of life. 20 Additionally, advanced age is one of the main factors associated with falls.…”

Relação entre a mobilidade funcional e a polimedicação para o risco de quedas em idosos

“…Não há uma definição estandardizada de polimedicação, na literatura esta varia entre a toma de 4 ou mais medicamentos até à toma de 10 ou mais medicamentos (Dhalwani et al, 2017;Zia, Kamaruzzaman, & Tan, 2015), assim Bushardt (2008) definiu-a como consumo de seis ou mais medicamentos por ser a definição mais comumente encontrada (Bushardt, Massey, Simpson, Ariail, & Simpson, 2008). O impacto da polimedicação na população idosa é significativo e está associado a interações medicamento-medicamento, erros de medicação e reações adversas, como quedas (de Jong et al, 2013;Dhalwani et al, 2017;Fernández, Valbuena, & Natal, 2018;Gómez et al, 2015;Loke, Gan, & Islahudin, 2018;Masumoto, Sato, Maeno, Ichinohe, & Maeno, 2018;Zia et al, 2015). A polimedicação é um fator de risco para as quedas quando inclui pelo menos um medicamento conhecido como tendo risco acrescido de queda (Hartikainen, Lönnroos, & Louhivuori, 2007;Loke et al, 2018).…”