Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Enfermagem (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000200150 |
Resumo: | ABSTRACT Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity. |
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Factors associated with vulnerability and fragility in the elderly: a cross-sectional studyVulnerability StudyFragilityAgedPrimary Health CareNursingABSTRACT Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.Associação Brasileira de Enfermagem2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000200150Revista Brasileira de Enfermagem v.75 n.2 2022reponame:Revista Brasileira de Enfermagem (Online)instname:Associação Brasileira de Enfermagem (ABEN)instacron:ABEN10.1590/0034-7167-2020-0399info:eu-repo/semantics/openAccessSousa,Caroline Ribeiro deCoutinho,Janaína Fonseca VictorFreire Neto,João BastosBarbosa,Rachel Gabriel BastosMarques,Marília BragaDiniz,Jamylle Lucaseng2021-09-28T00:00:00Zoai:scielo:S0034-71672022000200150Revistahttp://www.scielo.br/rebenhttps://old.scielo.br/oai/scielo-oai.phpreben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br1984-04460034-7167opendoar:2021-09-28T00:00Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN)false |
dc.title.none.fl_str_mv |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
title |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
spellingShingle |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study Sousa,Caroline Ribeiro de Vulnerability Study Fragility Aged Primary Health Care Nursing |
title_short |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
title_full |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
title_fullStr |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
title_full_unstemmed |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
title_sort |
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study |
author |
Sousa,Caroline Ribeiro de |
author_facet |
Sousa,Caroline Ribeiro de Coutinho,Janaína Fonseca Victor Freire Neto,João Bastos Barbosa,Rachel Gabriel Bastos Marques,Marília Braga Diniz,Jamylle Lucas |
author_role |
author |
author2 |
Coutinho,Janaína Fonseca Victor Freire Neto,João Bastos Barbosa,Rachel Gabriel Bastos Marques,Marília Braga Diniz,Jamylle Lucas |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sousa,Caroline Ribeiro de Coutinho,Janaína Fonseca Victor Freire Neto,João Bastos Barbosa,Rachel Gabriel Bastos Marques,Marília Braga Diniz,Jamylle Lucas |
dc.subject.por.fl_str_mv |
Vulnerability Study Fragility Aged Primary Health Care Nursing |
topic |
Vulnerability Study Fragility Aged Primary Health Care Nursing |
description |
ABSTRACT Objectives: to assess factors associated with vulnerability and fragility in the elderly. Methods: crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index - 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted. Results: 251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy. Conclusions: it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000200150 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000200150 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0034-7167-2020-0399 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
publisher.none.fl_str_mv |
Associação Brasileira de Enfermagem |
dc.source.none.fl_str_mv |
Revista Brasileira de Enfermagem v.75 n.2 2022 reponame:Revista Brasileira de Enfermagem (Online) instname:Associação Brasileira de Enfermagem (ABEN) instacron:ABEN |
instname_str |
Associação Brasileira de Enfermagem (ABEN) |
instacron_str |
ABEN |
institution |
ABEN |
reponame_str |
Revista Brasileira de Enfermagem (Online) |
collection |
Revista Brasileira de Enfermagem (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Enfermagem (Online) - Associação Brasileira de Enfermagem (ABEN) |
repository.mail.fl_str_mv |
reben@abennacional.org.br||telma.garcia@abennacional.org.br|| editorreben@abennacional.org.br |
_version_ |
1754303040889815040 |