FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?

Detalhes bibliográficos
Autor(a) principal: Marques, Maria Armanda
Data de Publicação: 2022
Outros Autores: Costa, Vítor, Furtado, Beatriz, Faria, Ana, Cebola, Marisa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.58043/rphrc.31
Resumo: Introduction: Portuguese older adults have a high prevalence of chronic disease, such as hypertension. Frailty is a multidimensional syndrome, in which a state of extreme vulnerability to endogenous and exogenous factors is recognized, due to cumulative decline associated with the ageing process, potentially leading to a state of total dependence. The aim of this investigation was to establish na association between the presence of hypertension and frailty syndrome in institutionalized older adults. Methods: This is a cross-sectional study for which institutionalized older adults from two institutions in Leiria district (Portugal) were invited to participate. Demographic data was collected, as well as clinical history. Frailty syndrome was assessed using Fried’s Frailty Phenotype. This study was approved by the Ethical Committee of the Centro Académico de Medicina de Lisboa. All participants or legal representatives signed the informed written consent for participation. Results: One hundred and forty-seven older adults were included, mainly female (63,2%), with a mean age of 82.6 years old (SD=8.6), ranging from 63 to 103. Hypertension was found in 59.6% of the sample. Frailty syndrome was found in 41.5%. Simultaneously, frailty and hypertension were present in 59.6% of the sample. No statistically significant association was found between the presence of hypertension and frailty. Conclusion: In this study, institutionalized older adults presented a high prevalence of hypertension and frailty. The possible influence of the presence of frailty syndrome in the therapeutic benefit of treating hypertension highlights the importance of assessing this condition in individuals with hypertension.
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spelling FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?SÍNDROME DE FRAGILIDADE EM IDOSOS INSTITUCIONALIZADOS: SERÁ A HIPERTENSÃO UM FATOR PROTETOR?idososhipertensãofragilidadeolder adultshypertensionfrailty syndromeIntroduction: Portuguese older adults have a high prevalence of chronic disease, such as hypertension. Frailty is a multidimensional syndrome, in which a state of extreme vulnerability to endogenous and exogenous factors is recognized, due to cumulative decline associated with the ageing process, potentially leading to a state of total dependence. The aim of this investigation was to establish na association between the presence of hypertension and frailty syndrome in institutionalized older adults. Methods: This is a cross-sectional study for which institutionalized older adults from two institutions in Leiria district (Portugal) were invited to participate. Demographic data was collected, as well as clinical history. Frailty syndrome was assessed using Fried’s Frailty Phenotype. This study was approved by the Ethical Committee of the Centro Académico de Medicina de Lisboa. All participants or legal representatives signed the informed written consent for participation. Results: One hundred and forty-seven older adults were included, mainly female (63,2%), with a mean age of 82.6 years old (SD=8.6), ranging from 63 to 103. Hypertension was found in 59.6% of the sample. Frailty syndrome was found in 41.5%. Simultaneously, frailty and hypertension were present in 59.6% of the sample. No statistically significant association was found between the presence of hypertension and frailty. Conclusion: In this study, institutionalized older adults presented a high prevalence of hypertension and frailty. The possible influence of the presence of frailty syndrome in the therapeutic benefit of treating hypertension highlights the importance of assessing this condition in individuals with hypertension.Introdução: Os idosos portugueses apresentam uma prevalência elevada de doenças crónicas, como a hipertensão arterial. A fragilidade é uma síndrome multidimensional em que se reconhece um estado de extrema vulnerabilidade a fatores endógenos e exógenos, devido a declínios cumulativos associados ao processo de envelhecimento, potencialmente culminando na dependência total do indivíduo. O objetivo deste trabalho foi estabelecer uma associação entre a presença de hipertensão e a presença de síndrome de fragilidade em idosos institucionalizados. Métodos: Trata-se de um estudo transversal para o qual foram convidadas a participar pessoas idosas institucionalizadas em duas instituições do distrito de Leiria. Foram recolhidos dados demográficos e história clínica. A presença de síndrome de fragilidade foi avaliada utilizando o Fenótipo de Fragilidade de Fried. Este estudo foi aprovado pela Comissão de Ética do Centro Académico de Medicina de Lisboa. Todos os indivíduos ou tutores legais deram consentimento informado escrito para a participação. Resultados: A amostra deste estudo foi constituída por 147 idosos, maioritariamente do género feminino (63,2%), com idades compreendidas entre os 63 e os 103 anos (média 82,6; DP 8,6 anos). Foi identificada hipertensão em 59,6% dos indivíduos. Foram diagnosticados como frágeis 41,5%. Foram encontradas em simultâneo fragilidade e hipertensão em 42,5% dos indivíduos. Não foi encontrada uma associação estatisticamente significativa entre a presença de hipertensão e a presença de fragilidade. Conclusão: Neste estudo, os idosos institucionalizados apresentaram uma elevada prevalência de hipertensão arterial e fragilidade. A possível influência da síndrome de fragilidade no risco-benefício do tratamento da hipertensão, para além da sua elevada prevalência em idosos institucionalizados, enfatiza a importância de avaliar a presença desta condição em indivíduos hipertensos.Revista Portuguesa de Hipertensão e Risco Cardiovascular2022-06-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.58043/rphrc.31https://doi.org/10.58043/rphrc.31Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 83 (2021): Maio / Junho ; 8-151646-8287reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revistahipertensao.pt/index.php/rh/article/view/31https://revistahipertensao.pt/index.php/rh/article/view/31/30Direitos de Autor (c) 2022 Revista Portuguesa de Hipertensão e Risco Cardiovascularinfo:eu-repo/semantics/openAccessMarques, Maria ArmandaCosta, VítorFurtado, BeatrizFaria, AnaCebola, Marisa2024-02-03T07:36:33Zoai:ojs.revistahipertensao.pt:article/31Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:05:08.228187Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
SÍNDROME DE FRAGILIDADE EM IDOSOS INSTITUCIONALIZADOS: SERÁ A HIPERTENSÃO UM FATOR PROTETOR?
title FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
spellingShingle FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
Marques, Maria Armanda
idosos
hipertensão
fragilidade
older adults
hypertension
frailty syndrome
title_short FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
title_full FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
title_fullStr FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
title_full_unstemmed FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
title_sort FRAILTY SYNDROME IN INSTITUTIONALIZED OLDER ADULTS: IS HYPERTENSION A PROTECTIVE FACTOR?
author Marques, Maria Armanda
author_facet Marques, Maria Armanda
Costa, Vítor
Furtado, Beatriz
Faria, Ana
Cebola, Marisa
author_role author
author2 Costa, Vítor
Furtado, Beatriz
Faria, Ana
Cebola, Marisa
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Marques, Maria Armanda
Costa, Vítor
Furtado, Beatriz
Faria, Ana
Cebola, Marisa
dc.subject.por.fl_str_mv idosos
hipertensão
fragilidade
older adults
hypertension
frailty syndrome
topic idosos
hipertensão
fragilidade
older adults
hypertension
frailty syndrome
description Introduction: Portuguese older adults have a high prevalence of chronic disease, such as hypertension. Frailty is a multidimensional syndrome, in which a state of extreme vulnerability to endogenous and exogenous factors is recognized, due to cumulative decline associated with the ageing process, potentially leading to a state of total dependence. The aim of this investigation was to establish na association between the presence of hypertension and frailty syndrome in institutionalized older adults. Methods: This is a cross-sectional study for which institutionalized older adults from two institutions in Leiria district (Portugal) were invited to participate. Demographic data was collected, as well as clinical history. Frailty syndrome was assessed using Fried’s Frailty Phenotype. This study was approved by the Ethical Committee of the Centro Académico de Medicina de Lisboa. All participants or legal representatives signed the informed written consent for participation. Results: One hundred and forty-seven older adults were included, mainly female (63,2%), with a mean age of 82.6 years old (SD=8.6), ranging from 63 to 103. Hypertension was found in 59.6% of the sample. Frailty syndrome was found in 41.5%. Simultaneously, frailty and hypertension were present in 59.6% of the sample. No statistically significant association was found between the presence of hypertension and frailty. Conclusion: In this study, institutionalized older adults presented a high prevalence of hypertension and frailty. The possible influence of the presence of frailty syndrome in the therapeutic benefit of treating hypertension highlights the importance of assessing this condition in individuals with hypertension.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-04
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv https://doi.org/10.58043/rphrc.31
https://doi.org/10.58043/rphrc.31
url https://doi.org/10.58043/rphrc.31
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistahipertensao.pt/index.php/rh/article/view/31
https://revistahipertensao.pt/index.php/rh/article/view/31/30
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Hipertensão e Risco Cardiovascular
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2022 Revista Portuguesa de Hipertensão e Risco Cardiovascular
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular
publisher.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular
dc.source.none.fl_str_mv Revista Portuguesa de Hipertensão e Risco Cardiovascular; N.º 83 (2021): Maio / Junho ; 8-15
1646-8287
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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