Tontura em idosos da comunidade: estudo populacional exploratório
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório do Centro Universitário Braz Cubas |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/1168 |
Resumo: | INTRODUCTION: Dizziness is a common complaint amomg older population and its prevalence increases significantly with advancing age. There are several dizziness definitions and sensations in the literature, such as: general sensation of disorientation, ligth-headness sensation, floating, fuzzy, giddy, postural instability, or a sensation of motion when no motion is occurring. Dizziness is associated with a wide range of negative health outcomes , such as falls, disability, functional decline, depression, and poor quality of life. It has been considered a geriatric syndrome, with a multifactorial nature. OBJECTIVE: To explore dizziness complaint in the last year regarding the sociodemographic, physical and mental health and physical functioning variables in community-dwelling older adults. METHODS: Cross-sectional, population based study, with 391 men and women, 65 years and over living in an urban area in the municipality Cuiabá-MT. The outcome variable was the self report of dizziness in the last year. RESULTS: The prevalence of dizziness was 45%. Vertigo was reported by 70,4% of older adults and 43,8% reported any vertiginous crisis along life span. Dizziness was associated with female gender (p=0,004), memory problems complaint (p=0,015), poor subjective health perception (p=0,001), depression (p<0,0001), five or more comorbidities (p=0,021), fatigue (p<0,0001), recurrent falls (p=0,001), excessive daytime sleepiness (p=0,003), fear of falling (p<0,0001), left unipodal time stance (p=0,002) e Short Performance Physical Battery score (p=0,009). The multivariate regression analysis revealed that dizziness was associated with female gender (OR=1,72 95% IC 1,10-2,69), fatigue (OR= 1,90 95% IC 1,18-3,05), excessive daytime sleepiness (OR= 1,97 95% IC 1,16-3,37) and depression, (OR=2,18 95% IC 1,36-3,50). CONCLUSION: Almost half of the community-dwelling older adults reported dizziness. Dizziness related factors suggest its multifactorial nature and reassure the necessity of building trained human resources in primary health to reduce the negative impact of dizziness in the functionality and quality of life of older adults. |
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Tontura em idosos da comunidade: estudo populacional exploratórioTonturaIdosoSaúde do IdosoFISIOTERAPIA E TERAPIA OCUPACIONALINTRODUCTION: Dizziness is a common complaint amomg older population and its prevalence increases significantly with advancing age. There are several dizziness definitions and sensations in the literature, such as: general sensation of disorientation, ligth-headness sensation, floating, fuzzy, giddy, postural instability, or a sensation of motion when no motion is occurring. Dizziness is associated with a wide range of negative health outcomes , such as falls, disability, functional decline, depression, and poor quality of life. It has been considered a geriatric syndrome, with a multifactorial nature. OBJECTIVE: To explore dizziness complaint in the last year regarding the sociodemographic, physical and mental health and physical functioning variables in community-dwelling older adults. METHODS: Cross-sectional, population based study, with 391 men and women, 65 years and over living in an urban area in the municipality Cuiabá-MT. The outcome variable was the self report of dizziness in the last year. RESULTS: The prevalence of dizziness was 45%. Vertigo was reported by 70,4% of older adults and 43,8% reported any vertiginous crisis along life span. Dizziness was associated with female gender (p=0,004), memory problems complaint (p=0,015), poor subjective health perception (p=0,001), depression (p<0,0001), five or more comorbidities (p=0,021), fatigue (p<0,0001), recurrent falls (p=0,001), excessive daytime sleepiness (p=0,003), fear of falling (p<0,0001), left unipodal time stance (p=0,002) e Short Performance Physical Battery score (p=0,009). The multivariate regression analysis revealed that dizziness was associated with female gender (OR=1,72 95% IC 1,10-2,69), fatigue (OR= 1,90 95% IC 1,18-3,05), excessive daytime sleepiness (OR= 1,97 95% IC 1,16-3,37) and depression, (OR=2,18 95% IC 1,36-3,50). CONCLUSION: Almost half of the community-dwelling older adults reported dizziness. Dizziness related factors suggest its multifactorial nature and reassure the necessity of building trained human resources in primary health to reduce the negative impact of dizziness in the functionality and quality of life of older adults.INTRODUÇÃO: A tontura é uma queixa frequente na população idosa e a sua prevalência aumenta significativamente com o avançar da idade. Existem na literatura algumas definições sobre tontura, tais como: sensação geral de desorientação, sensação de cabeça vazia, flutuação, tonteira, zonzeira, instabilidade, ou como uma percepção errônea de movimento. A tontura está associada a uma série de desfechos negativos de saúde nos idosos, tais como quedas, declínio funcional, comprometimento em atividades de vida diária, depressão e má qualidade de vida percebida. Tem sido considerada uma síndrome geriátrica, de caráter multifatorial. OBJETIVO: Explorar a queixa de tontura no último ano em relação a fatores sócio-demográficos, de saúde física de saúde mental e físicos - funcionais em idosos residentes na comunidade no município de Cuiabá-MT e identificar o peso desses fatores em relação à de queixa de tontura. MÉTODO: Trata-se de um estudo transversal exploratório de caráter epidemiológico, com homens e mulheres, de 65 anos e mais. Foram estudados 391 idosos residentes em zona urbana no município de Cuiabá. Foi utilizado um inquérito multidimensional e uma bateria de testes físico-funcionais. A tontura foi mensurada por meio do autorrelato de sensações de rodar, girar, sentir a cabeça vazia ou pesada, tonteira, zonzeira ou flutuação nos últimos 12 meses. RESULTADOS: A prevalência de tontura foi de 45%. A tontura giratória foi relatada por 70,4% dos idosos e 43,8% disseram já ter tido crises vertiginosas em algum momento da vida. Houve associação independente entre queixa de tontura e gênero feminino (p=0,004), relato de dificuldade de memória (p=0,015), má percepção de saúde (p=0,001), depressão (p<0,0001), cinco ou mais co morbidades (p=0,021), fadiga autorreferida (p<0,0001), história de quedas recorrentes (p=0,001), sonolência excessiva (p=0,003), medo de cair (p<0,0001), tempo de apoio unipodal esquerdo (p=0,002) e escore do Short Performance Physical Battery (p=0,009). À análise de regressão logísitica multivariada a queixa de tontura mostrou-se associada ao gênero feminino (OR=1,72 95% IC 1,10-2,69), a fadiga (OR=1,90 95% IC 1,18 – 3,05), a sonolência diurna excessiva (OR=1,97 95% IC 1,16-3,37), e a depressão (OR=2,18 95% IC 1,36-3,50). CONCLUSÃO: Quase metade dos idosos residentes na comunidade relataram queixa de tontura. Os fatores associados corroboram sua natureza multifatorial, o que reforça a necessidade da capacitação de profissionais de saúde em atenção primária com o objetivo de reduzir o impacto negativo da tontura na funcionalidade e qualidade de vida dos idosos.Universidade Cidade de São PauloBrasilPós-GraduaçãoPrograma de Pós-Graduação Mestrado em FisioterapiaUNICIDPerracini, Monica Rodrigueshttp://lattes.cnpq.br/4446947795854189Moraes, Suzana Albuquerque de2020-12-03T14:51:54Z2020-12-03T14:51:54Z2011-09-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfMORAES, Suzana Albuquerque de. Tontura em idosos da comunidade: estudo populacional exploratório. Orientadora: Profa. Dra. Monica Rodrigues Perracini. 2011. 93f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011https://repositorio.cruzeirodosul.edu.br/handle/123456789/1168por1. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Arch Intern Med. 2009. 2. Batistoni SST, Neri AL, Cupertino APFB. Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly. Rev Saúde Pública. 2007. 3. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM, Johns MW. Validação da escala de sonolência de Epworth em português para uso no Brasil. Jornal Brasileiro Pneumologia. 2009. 4. Brucki SMD, Nitrini R, P C, Bertolucci PHF, Okamoto IO. Sugestões para o uso do mini-exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria. 2003. 5. Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010. 6. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB, Jr., Walston JD. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc. 2004. 7. Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg. 2010. 8. Gassmann KG, Rupprecht R. Dizziness in an older community dwelling population: a multifactorial syndrome. J Nutr Health Aging. 2009. 9. Gazzola JM, Aratani MC, Dona F, Macedo C, Fukujima MM, Gananca MM, et al. Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. Arq Neuropsiquiatr. 2009. 10. Gooneratne NS, Weaver TE, Cater JR, Pack FM, Arner HM, Greenberg AS, et al. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc. 2003. 11. Gopinath B, McMahon CM, Rochtchina E, Mitchell P. Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clin Otolaryngol. 2009. 12. Hardy SE, Studenski SA. Fatigue and function over 3 years among older adults. J Gerontol A Biol Sci Med Sci. 2008. 13. Kao AC, Nanda A, Williams CS, Tinetti ME. Validation of dizziness as a possible geriatric syndrome. J Am Geriatr Soc. 2001. 14. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969. 15. Maarsingh OR, Dros J, Schellevis FG, van Weert HC, Bindels PJ, Horst HE. Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics. BMC Fam Pract. 2010. 16. Monzani D, Casolari L, Guidetti G, Rigatelli M. Psychological distress and disability in patients with vertigo. J Psychosom Res. 2001. 17. Paradela EM, Lourenco RA, Veras RP. [Validation of geriatric depression scale in a general outpatient clinic]. Rev Saude Publica. 2005. 18. Reuben DB, Laliberte L, Hiris J, Mor V. A hierarchical exercise scale to measure function at the Advanced Activities of Daily Living (AADL) level. J Am Geriatr Soc. 1990. 19. Ruggiero C, Ferrucci L. The endeavor of high maintenance homeostasis: resting metabolic rate and the legacy of longevity. J Gerontol A Biol Sci Med Sci. 2006. 20. Schechtman KB, Kutner NG, Wallace RB, Buchner DM, Ory MG. Gender, self-reported depressive symptoms, and sleep disturbance among older community-dwelling persons. FICSIT group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Psychosom Res. 1997. 21. Sowerby LJ, Rotenberg B, Brine M, George CF, Parnes LS. Sleep apnea, daytime somnolence, and idiopathic dizziness--a novel association. Laryngoscope. 2010. 22. Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age Ageing. 2008. 23. Tamber AL, Bruusgaard D. Self-reported faintness or dizziness -- comorbidity and use of medicines. An epidemiological study. Scand J Public Health. 2009. 24. Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: a possible geriatric syndrome. Ann Intern Med. 2000. 25. Walston J, Hadley EC, Ferrucci L, Guralnik JM, Newman AB, Studenski SA, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc. 2006.info:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2020-12-03T14:54:41Zoai:repositorio.cruzeirodosul.edu.br:123456789/1168Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2020-12-03T14:54:41Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
dc.title.none.fl_str_mv |
Tontura em idosos da comunidade: estudo populacional exploratório |
title |
Tontura em idosos da comunidade: estudo populacional exploratório |
spellingShingle |
Tontura em idosos da comunidade: estudo populacional exploratório Moraes, Suzana Albuquerque de Tontura Idoso Saúde do Idoso FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Tontura em idosos da comunidade: estudo populacional exploratório |
title_full |
Tontura em idosos da comunidade: estudo populacional exploratório |
title_fullStr |
Tontura em idosos da comunidade: estudo populacional exploratório |
title_full_unstemmed |
Tontura em idosos da comunidade: estudo populacional exploratório |
title_sort |
Tontura em idosos da comunidade: estudo populacional exploratório |
author |
Moraes, Suzana Albuquerque de |
author_facet |
Moraes, Suzana Albuquerque de |
author_role |
author |
dc.contributor.none.fl_str_mv |
Perracini, Monica Rodrigues http://lattes.cnpq.br/4446947795854189 |
dc.contributor.author.fl_str_mv |
Moraes, Suzana Albuquerque de |
dc.subject.por.fl_str_mv |
Tontura Idoso Saúde do Idoso FISIOTERAPIA E TERAPIA OCUPACIONAL |
topic |
Tontura Idoso Saúde do Idoso FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
INTRODUCTION: Dizziness is a common complaint amomg older population and its prevalence increases significantly with advancing age. There are several dizziness definitions and sensations in the literature, such as: general sensation of disorientation, ligth-headness sensation, floating, fuzzy, giddy, postural instability, or a sensation of motion when no motion is occurring. Dizziness is associated with a wide range of negative health outcomes , such as falls, disability, functional decline, depression, and poor quality of life. It has been considered a geriatric syndrome, with a multifactorial nature. OBJECTIVE: To explore dizziness complaint in the last year regarding the sociodemographic, physical and mental health and physical functioning variables in community-dwelling older adults. METHODS: Cross-sectional, population based study, with 391 men and women, 65 years and over living in an urban area in the municipality Cuiabá-MT. The outcome variable was the self report of dizziness in the last year. RESULTS: The prevalence of dizziness was 45%. Vertigo was reported by 70,4% of older adults and 43,8% reported any vertiginous crisis along life span. Dizziness was associated with female gender (p=0,004), memory problems complaint (p=0,015), poor subjective health perception (p=0,001), depression (p<0,0001), five or more comorbidities (p=0,021), fatigue (p<0,0001), recurrent falls (p=0,001), excessive daytime sleepiness (p=0,003), fear of falling (p<0,0001), left unipodal time stance (p=0,002) e Short Performance Physical Battery score (p=0,009). The multivariate regression analysis revealed that dizziness was associated with female gender (OR=1,72 95% IC 1,10-2,69), fatigue (OR= 1,90 95% IC 1,18-3,05), excessive daytime sleepiness (OR= 1,97 95% IC 1,16-3,37) and depression, (OR=2,18 95% IC 1,36-3,50). CONCLUSION: Almost half of the community-dwelling older adults reported dizziness. Dizziness related factors suggest its multifactorial nature and reassure the necessity of building trained human resources in primary health to reduce the negative impact of dizziness in the functionality and quality of life of older adults. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-09-14 2020-12-03T14:51:54Z 2020-12-03T14:51:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
MORAES, Suzana Albuquerque de. Tontura em idosos da comunidade: estudo populacional exploratório. Orientadora: Profa. Dra. Monica Rodrigues Perracini. 2011. 93f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011 https://repositorio.cruzeirodosul.edu.br/handle/123456789/1168 |
identifier_str_mv |
MORAES, Suzana Albuquerque de. Tontura em idosos da comunidade: estudo populacional exploratório. Orientadora: Profa. Dra. Monica Rodrigues Perracini. 2011. 93f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011 |
url |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1168 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
1. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Arch Intern Med. 2009. 2. Batistoni SST, Neri AL, Cupertino APFB. Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly. Rev Saúde Pública. 2007. 3. Bertolazi AN, Fagondes SC, Hoff LS, Pedro VD, Barreto SSM, Johns MW. Validação da escala de sonolência de Epworth em português para uso no Brasil. Jornal Brasileiro Pneumologia. 2009. 4. Brucki SMD, Nitrini R, P C, Bertolucci PHF, Okamoto IO. Sugestões para o uso do mini-exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria. 2003. 5. Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010. 6. Ferrucci L, Guralnik JM, Studenski S, Fried LP, Cutler GB, Jr., Walston JD. Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: a consensus report. J Am Geriatr Soc. 2004. 7. Furman JM, Raz Y, Whitney SL. Geriatric vestibulopathy assessment and management. Curr Opin Otolaryngol Head Neck Surg. 2010. 8. Gassmann KG, Rupprecht R. Dizziness in an older community dwelling population: a multifactorial syndrome. J Nutr Health Aging. 2009. 9. Gazzola JM, Aratani MC, Dona F, Macedo C, Fukujima MM, Gananca MM, et al. Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction. Arq Neuropsiquiatr. 2009. 10. Gooneratne NS, Weaver TE, Cater JR, Pack FM, Arner HM, Greenberg AS, et al. Functional outcomes of excessive daytime sleepiness in older adults. J Am Geriatr Soc. 2003. 11. Gopinath B, McMahon CM, Rochtchina E, Mitchell P. Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clin Otolaryngol. 2009. 12. Hardy SE, Studenski SA. Fatigue and function over 3 years among older adults. J Gerontol A Biol Sci Med Sci. 2008. 13. Kao AC, Nanda A, Williams CS, Tinetti ME. Validation of dizziness as a possible geriatric syndrome. J Am Geriatr Soc. 2001. 14. Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969. 15. Maarsingh OR, Dros J, Schellevis FG, van Weert HC, Bindels PJ, Horst HE. Dizziness reported by elderly patients in family practice: prevalence, incidence, and clinical characteristics. BMC Fam Pract. 2010. 16. Monzani D, Casolari L, Guidetti G, Rigatelli M. Psychological distress and disability in patients with vertigo. J Psychosom Res. 2001. 17. Paradela EM, Lourenco RA, Veras RP. [Validation of geriatric depression scale in a general outpatient clinic]. Rev Saude Publica. 2005. 18. Reuben DB, Laliberte L, Hiris J, Mor V. A hierarchical exercise scale to measure function at the Advanced Activities of Daily Living (AADL) level. J Am Geriatr Soc. 1990. 19. Ruggiero C, Ferrucci L. The endeavor of high maintenance homeostasis: resting metabolic rate and the legacy of longevity. J Gerontol A Biol Sci Med Sci. 2006. 20. Schechtman KB, Kutner NG, Wallace RB, Buchner DM, Ory MG. Gender, self-reported depressive symptoms, and sleep disturbance among older community-dwelling persons. FICSIT group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Psychosom Res. 1997. 21. Sowerby LJ, Rotenberg B, Brine M, George CF, Parnes LS. Sleep apnea, daytime somnolence, and idiopathic dizziness--a novel association. Laryngoscope. 2010. 22. Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age Ageing. 2008. 23. Tamber AL, Bruusgaard D. Self-reported faintness or dizziness -- comorbidity and use of medicines. An epidemiological study. Scand J Public Health. 2009. 24. Tinetti ME, Williams CS, Gill TM. Dizziness among older adults: a possible geriatric syndrome. Ann Intern Med. 2000. 25. Walston J, Hadley EC, Ferrucci L, Guralnik JM, Newman AB, Studenski SA, et al. Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. J Am Geriatr Soc. 2006. |
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Universidade Cidade de São Paulo Brasil Pós-Graduação Programa de Pós-Graduação Mestrado em Fisioterapia UNICID |
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Universidade Cidade de São Paulo Brasil Pós-Graduação Programa de Pós-Graduação Mestrado em Fisioterapia UNICID |
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