S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | http://tede2.pucrs.br/tede2/handle/tede/8386 |
Resumo: | Introduction: Fragility is a common clinical syndrome in the elderly, which causes great risks to health, disabilities, hospitalizations and consequently a high risk of mortality. The available knowledge about the multiple aspects of fragility in the elderly suggests that it is a predictor of changes in body composition, with a decline in lean mass, and in this way, a relevance in the study of the subject in long-lived patients is observed. In this aspect, the present study proposes the use of Ultrasound (US) because it is a portable method, with ease of handling and not be influenced by skinfolds, which minimizes possible inter and intra-rater variations, therefore, with greater reliability in relation to the results presented. Objectives: To identify the characteristics of the body composition through the US in the groups of non-frailty and frailty oldest-old. Methods: The greatest possible number of oldest-old were traced through the Geriatrics General Ambulatory of Hospital S?o Lucas / PUCRS. Personal and social data were collected through a questionnaire. Fragility data were obtained through five phenotypes. Body composition data were obtained through the portable US. For the analysis of the data, the sample was separated into two groups, according to the classification of fragility: frailty and non-frailty. Percentage differences between the categorical variables were calculated through the creation of cross tables between the variables. Numerical variables were presented through means, standard deviations and variances. Results: 52 elderly people with a mean age of 90.10 ? 4.49 years were evaluated. 63.5% were classified as non-frailty and 36.5% frailty. The majority of the sample is composed of women (73.1%). White race totals 86.5% and 80.5% are widowers. 31.6% of the frailty oldest-old live alone. The average amenities were higher for the frailty (3.21 ? 1.14) compared to non-frailty (2.15 ? 1.67). In the analysis of schooling, those who reported having elementary education (? 8th grade) had a higher odds ratio [RP1,22 (CI95% 1.00-1.49)] to develop fragility compared to the reference category (? high school) (p = 0.046). Through the classification of the percentage of body fat (%F) by the US, it was observed that the female longevity with scores above 33 %F, presented a higher odds ratio [RP1,81 (IC95% 1,30-2, 52)] to develop fragility compared to the category with the reference %F (<29 %F) (p <0.001). For males, those who obtained scores above 26 %F had a greater chance [RP1,81 (IC95% 1.30-2.52)] of developing fragility compared to the category with the reference %F (<23 %F) (p <0.001).Conclusion: The present study showed persuasive results between fragility syndrome and body composition. Through the analysis of body composition by Ultrasound and according to the points of cuts predicted in the literature, it was possible to identify associations between obesity and increased risk of frailty in longevity. It was concluded that, the higher the body fat levels and the lower the lean mass (sarcopenic obesity), the greater the level of fragility of the longevity above 80 years of age. |
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Schneider, Rodolfo Herbertohttp://lattes.cnpq.br/3981128306152418Ribeiro, Andr?2018-12-18T16:51:19Z2018-07-27http://tede2.pucrs.br/tede2/handle/tede/8386Introduction: Fragility is a common clinical syndrome in the elderly, which causes great risks to health, disabilities, hospitalizations and consequently a high risk of mortality. The available knowledge about the multiple aspects of fragility in the elderly suggests that it is a predictor of changes in body composition, with a decline in lean mass, and in this way, a relevance in the study of the subject in long-lived patients is observed. In this aspect, the present study proposes the use of Ultrasound (US) because it is a portable method, with ease of handling and not be influenced by skinfolds, which minimizes possible inter and intra-rater variations, therefore, with greater reliability in relation to the results presented. Objectives: To identify the characteristics of the body composition through the US in the groups of non-frailty and frailty oldest-old. Methods: The greatest possible number of oldest-old were traced through the Geriatrics General Ambulatory of Hospital S?o Lucas / PUCRS. Personal and social data were collected through a questionnaire. Fragility data were obtained through five phenotypes. Body composition data were obtained through the portable US. For the analysis of the data, the sample was separated into two groups, according to the classification of fragility: frailty and non-frailty. Percentage differences between the categorical variables were calculated through the creation of cross tables between the variables. Numerical variables were presented through means, standard deviations and variances. Results: 52 elderly people with a mean age of 90.10 ? 4.49 years were evaluated. 63.5% were classified as non-frailty and 36.5% frailty. The majority of the sample is composed of women (73.1%). White race totals 86.5% and 80.5% are widowers. 31.6% of the frailty oldest-old live alone. The average amenities were higher for the frailty (3.21 ? 1.14) compared to non-frailty (2.15 ? 1.67). In the analysis of schooling, those who reported having elementary education (? 8th grade) had a higher odds ratio [RP1,22 (CI95% 1.00-1.49)] to develop fragility compared to the reference category (? high school) (p = 0.046). Through the classification of the percentage of body fat (%F) by the US, it was observed that the female longevity with scores above 33 %F, presented a higher odds ratio [RP1,81 (IC95% 1,30-2, 52)] to develop fragility compared to the category with the reference %F (<29 %F) (p <0.001). For males, those who obtained scores above 26 %F had a greater chance [RP1,81 (IC95% 1.30-2.52)] of developing fragility compared to the category with the reference %F (<23 %F) (p <0.001).Conclusion: The present study showed persuasive results between fragility syndrome and body composition. Through the analysis of body composition by Ultrasound and according to the points of cuts predicted in the literature, it was possible to identify associations between obesity and increased risk of frailty in longevity. It was concluded that, the higher the body fat levels and the lower the lean mass (sarcopenic obesity), the greater the level of fragility of the longevity above 80 years of age.Introdu??o: Fragilidade ? uma s?ndrome cl?nica comum em idosos, que ocasiona grandes riscos para a sa?de, incapacidades, hospitaliza??es e como consequ?ncia grande risco de mortalidade. O conhecimento dispon?vel sobre os m?ltiplos aspectos da fragilidade em idosos sugerem que esta seja preditora de altera??es na composi??o corporal, com decl?nio da massa magra, e desta maneira, observa-se uma relev?ncia no estudo do tema em pacientes longevos. Neste aspecto, o presente estudo prop?e o uso do Ultrassom (US) por ser um m?todo port?til, com facilidade de manuseio e n?o ser influenci?vel pelas dobras cut?neas corporais, o que minimiza poss?veis varia??es inter e intra-avaliador, portanto, com maior confiabilidade em rela??o aos resultados apresentados. Objetivos: Identificar as caracter?sticas da composi??o corporal atrav?s do US nos grupos de longevos n?o fr?geis e com fragilidade. M?todos: Os longevos foram rastreados atrav?s do Ambulat?rio Geral de Geriatria do Hospital S?o Lucas/PUCRS. Os dados pessoais e sociais foram coletados atrav?s de um question?rio. Dados de fragilidade foram obtidos atrav?s de cinco fen?tipos. Dados de composi??o corporal foram obtidos atrav?s do US port?til. Para a an?lise dos dados, a amostra foi separada em dois grupos, de acordo com a classifica??o da fragilidade: fr?gil e n?o fr?gil. As vari?veis num?ricas foram apresentadas atrav?s das m?dias, desvio padr?es e vari?ncias. Aprovado pelo CEP-PUCRS sob n?mero CAEE 68165117.6.0000.5336. Resultados: A amostra foi composta por 52 idosos longevos com idade m?dia de 90,10?4,49 anos. 63,5% foram classificados como n?o-fr?geis e 36,5% fr?geis. A maioria s?o mulheres (73,1%). Ra?a branca soma 86,5% e 80,5% s?o vi?vos. 31,6% dos longevos fr?geis moram sozinhos. A m?dia de comorbidades foi maior para os fr?geis (3,21?1,14) comparada aos n?o-fr?geis (2,15?1,67). Na an?lise da escolaridade, longevos que relataram ter ensino fundamental (?8?s?rie), apresentaram maior raz?o de chance [RP1,22(IC95%1,00-1,49)] de desenvolver a fragilidade frente ? categoria de refer?ncia (?Ensino M?dio) (p=0,046). Atrav?s da classifica??o do percentual de gordura corporal (%G) pelo US, observou-se que os longevos do sexo feminino com escores acima de 33 %G, apresentaram maior raz?o de chance [RP1,81(IC95%1,30-2,52)] de desenvolver a fragilidade frente ? categoria com o %G de refer?ncia (<29%G) (p<0,001). Para o sexo masculino, os que obtiveram escores acima de 26 %G, apresentaram maior chance !5 [RP1,81(IC95%1,30-2,52)] de desenvolver a fragilidade frente ? categoria com o %G de refer?ncia (<23%G) (p<0,001). Conclus?o: O presente estudo mostrou resultados persuasivos entre a s?ndrome de fragilidade e a composi??o corporal. Atrav?s das an?lises de composi??o corporal por Ultrassom e conforme os pontos de cortes preditos pela literatura, foi poss?vel identificar associa??es entre obesidade e aumento do risco de fragilidade em longevos. Concluiu-se que, quanto maiores os n?veis de gordura corporal e menores os de massa magra (obesidade sarcop?nica),maior ? o n?vel de fragilidade dos longevos acima de 80 anos de idade.Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2018-12-17T15:46:17Z No. of bitstreams: 1 RIBEIRO_ANDRE_TES.pdf: 4012990 bytes, checksum: 5933986cd6984b54d4f8aa39de819ad9 (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-12-18T16:44:11Z (GMT) No. of bitstreams: 1 RIBEIRO_ANDRE_TES.pdf: 4012990 bytes, checksum: 5933986cd6984b54d4f8aa39de819ad9 (MD5)Made available in DSpace on 2018-12-18T16:51:19Z (GMT). No. of bitstreams: 1 RIBEIRO_ANDRE_TES.pdf: 4012990 bytes, checksum: 5933986cd6984b54d4f8aa39de819ad9 (MD5) Previous issue date: 2018-07-27Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/173742/RIBEIRO_ANDRE_TES.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBrasilEscola de MedicinaIdosoFragilidadeComposi??o CorporalUltrassomGerontologiaCIENCIAS DA SAUDE::MEDICINAS?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassominfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisTrabalho n?o apresenta restri??o para publica??o8969645070886364160500600500600-224747486637135387-9693694523087866273590462550136975366info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILRIBEIRO_ANDRE_TES.pdf.jpgRIBEIRO_ANDRE_TES.pdf.jpgimage/jpeg4780http://tede2.pucrs.br/tede2/bitstream/tede/8386/4/RIBEIRO_ANDRE_TES.pdf.jpg4082cfbdf2465cefe76ee02332b7ac02MD54TEXTRIBEIRO_ANDRE_TES.pdf.txtRIBEIRO_ANDRE_TES.pdf.txttext/plain240678http://tede2.pucrs.br/tede2/bitstream/tede/8386/3/RIBEIRO_ANDRE_TES.pdf.txtc245e81519f9e4aee047347677f73318MD53ORIGINALRIBEIRO_ANDRE_TES.pdfRIBEIRO_ANDRE_TES.pdfapplication/pdf4012990http://tede2.pucrs.br/tede2/bitstream/tede/8386/2/RIBEIRO_ANDRE_TES.pdf5933986cd6984b54d4f8aa39de819ad9MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/8386/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/83862018-12-18 20:00:45.149oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2018-12-18T22:00:45Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
title |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
spellingShingle |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom Ribeiro, Andr? Idoso Fragilidade Composi??o Corporal Ultrassom Gerontologia CIENCIAS DA SAUDE::MEDICINA |
title_short |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
title_full |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
title_fullStr |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
title_full_unstemmed |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
title_sort |
S?ndrome de fragilidade em idosos longevos : an?lise da composi??o corporal por ultrassom |
author |
Ribeiro, Andr? |
author_facet |
Ribeiro, Andr? |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Schneider, Rodolfo Herberto |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3981128306152418 |
dc.contributor.author.fl_str_mv |
Ribeiro, Andr? |
contributor_str_mv |
Schneider, Rodolfo Herberto |
dc.subject.por.fl_str_mv |
Idoso Fragilidade Composi??o Corporal Ultrassom Gerontologia |
topic |
Idoso Fragilidade Composi??o Corporal Ultrassom Gerontologia CIENCIAS DA SAUDE::MEDICINA |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Fragility is a common clinical syndrome in the elderly, which causes great risks to health, disabilities, hospitalizations and consequently a high risk of mortality. The available knowledge about the multiple aspects of fragility in the elderly suggests that it is a predictor of changes in body composition, with a decline in lean mass, and in this way, a relevance in the study of the subject in long-lived patients is observed. In this aspect, the present study proposes the use of Ultrasound (US) because it is a portable method, with ease of handling and not be influenced by skinfolds, which minimizes possible inter and intra-rater variations, therefore, with greater reliability in relation to the results presented. Objectives: To identify the characteristics of the body composition through the US in the groups of non-frailty and frailty oldest-old. Methods: The greatest possible number of oldest-old were traced through the Geriatrics General Ambulatory of Hospital S?o Lucas / PUCRS. Personal and social data were collected through a questionnaire. Fragility data were obtained through five phenotypes. Body composition data were obtained through the portable US. For the analysis of the data, the sample was separated into two groups, according to the classification of fragility: frailty and non-frailty. Percentage differences between the categorical variables were calculated through the creation of cross tables between the variables. Numerical variables were presented through means, standard deviations and variances. Results: 52 elderly people with a mean age of 90.10 ? 4.49 years were evaluated. 63.5% were classified as non-frailty and 36.5% frailty. The majority of the sample is composed of women (73.1%). White race totals 86.5% and 80.5% are widowers. 31.6% of the frailty oldest-old live alone. The average amenities were higher for the frailty (3.21 ? 1.14) compared to non-frailty (2.15 ? 1.67). In the analysis of schooling, those who reported having elementary education (? 8th grade) had a higher odds ratio [RP1,22 (CI95% 1.00-1.49)] to develop fragility compared to the reference category (? high school) (p = 0.046). Through the classification of the percentage of body fat (%F) by the US, it was observed that the female longevity with scores above 33 %F, presented a higher odds ratio [RP1,81 (IC95% 1,30-2, 52)] to develop fragility compared to the category with the reference %F (<29 %F) (p <0.001). For males, those who obtained scores above 26 %F had a greater chance [RP1,81 (IC95% 1.30-2.52)] of developing fragility compared to the category with the reference %F (<23 %F) (p <0.001).Conclusion: The present study showed persuasive results between fragility syndrome and body composition. Through the analysis of body composition by Ultrasound and according to the points of cuts predicted in the literature, it was possible to identify associations between obesity and increased risk of frailty in longevity. It was concluded that, the higher the body fat levels and the lower the lean mass (sarcopenic obesity), the greater the level of fragility of the longevity above 80 years of age. |
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2018 |
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2018-07-27 |
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