Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/9794 |
Resumo: | Introduction: Frailty is defined as the physiological state of age-related physiological vulnerability resulting from reduced homeostatic reserve and decreased ability of the body to withstand stress. It is estimated that the prevalence of fragility is between 4% and 59% in men and women, respectively, aged 65 years or older living in the community. Early detection of frailty and care for the frail elderly can assist the health team in driving the effectiveness of actions with potential for health promotion and disease prevention. Objective: To analyze the factors associated with the physical frailty of young adults (60-74 years old) and over 75 years or older in a context of high social vulnerability. Method: This is a cross-sectional study carried out in the city of São Carlos with 303 elderly people living in a neighborhood of high social vulnerability. The following instruments were used: sociodemographic and health characterization, Fried fragility phenotype, Katz, Lawton scale, Mini Mental State Examination, Geriatric Depression Scale, Social Outcome Scale of the Medical Outcome Study, and the International Physical Activity Questionnaire. Descriptive statistics and logistic regression were used to analyze the data, considering p <0.05. The project was sent to the Research Ethics Committee of the Federal University of São Carlos, through the Brazil Platform, and was approved with the number of opinion 860.653/2014. Results: Of the 303 elderly interviewed, 12.2% were non-frail, 60.7% were pre-frail and 27.1% were frail. There was a prevalence of female (57.1%), age between 60-74 years (75.6%), 1 to 4 years of schooling (51.8%) and having a partner (57.4%). Factors associated with frailty in the elderly group were depressive symptoms (OR: 2.65 95% CI: 1.3-5.0) and in the longevity group, the factor associated with frailty was illiteracy (OR: 14.6 95% CI: 1.8-116.5). Older adults presented better means when compared to older people in the variables: schooling, cognitive alteration, number of medical consultations, physical activity level, number of falls, number of hospitalizations, number of medications and number of diseases. Conclusion: The results of this research may instigate professionals and health managers about the need to discuss and plan new strategies for health promotion and prevention of aggravating factors of fragility, respecting the differences found in the elderly at the beginning and at the end of old age. |
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Diniz, Maria Angélica AndreottiGratão, Aline Cristina Martinshttp://lattes.cnpq.br/7873339343111119http://lattes.cnpq.br/85070495688962928d2144d1-6309-4189-8c65-340c18206a182018-04-21T00:10:18Z2018-04-21T00:10:18Z2018-02-27DINIZ, Maria Angélica Andreotti. Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade. 2018. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9794.https://repositorio.ufscar.br/handle/ufscar/9794Introduction: Frailty is defined as the physiological state of age-related physiological vulnerability resulting from reduced homeostatic reserve and decreased ability of the body to withstand stress. It is estimated that the prevalence of fragility is between 4% and 59% in men and women, respectively, aged 65 years or older living in the community. Early detection of frailty and care for the frail elderly can assist the health team in driving the effectiveness of actions with potential for health promotion and disease prevention. Objective: To analyze the factors associated with the physical frailty of young adults (60-74 years old) and over 75 years or older in a context of high social vulnerability. Method: This is a cross-sectional study carried out in the city of São Carlos with 303 elderly people living in a neighborhood of high social vulnerability. The following instruments were used: sociodemographic and health characterization, Fried fragility phenotype, Katz, Lawton scale, Mini Mental State Examination, Geriatric Depression Scale, Social Outcome Scale of the Medical Outcome Study, and the International Physical Activity Questionnaire. Descriptive statistics and logistic regression were used to analyze the data, considering p <0.05. The project was sent to the Research Ethics Committee of the Federal University of São Carlos, through the Brazil Platform, and was approved with the number of opinion 860.653/2014. Results: Of the 303 elderly interviewed, 12.2% were non-frail, 60.7% were pre-frail and 27.1% were frail. There was a prevalence of female (57.1%), age between 60-74 years (75.6%), 1 to 4 years of schooling (51.8%) and having a partner (57.4%). Factors associated with frailty in the elderly group were depressive symptoms (OR: 2.65 95% CI: 1.3-5.0) and in the longevity group, the factor associated with frailty was illiteracy (OR: 14.6 95% CI: 1.8-116.5). Older adults presented better means when compared to older people in the variables: schooling, cognitive alteration, number of medical consultations, physical activity level, number of falls, number of hospitalizations, number of medications and number of diseases. Conclusion: The results of this research may instigate professionals and health managers about the need to discuss and plan new strategies for health promotion and prevention of aggravating factors of fragility, respecting the differences found in the elderly at the beginning and at the end of old age.Introdução: A fragilidade é definida como o estado de vulnerabilidade fisiológica relacionado com a idade, resultante da redução da reserva homeostática e da diminuição da capacidade do organismo para suportar o estresse. Estima-se que a prevalência da fragilidade está entre 4% e 59% em homens e mulheres, respectivamente, com 65 anos ou mais de idade residentes na comunidade. A detecção precoce da fragilidade e o cuidado aos idosos frágeis poderão auxiliar a equipe de saúde na condução da eficácia das ações com potencial de promoção à saúde e prevenção de agravos. Objetivo: Analisar os fatores associados à fragilidade física de idosos jovens (60 a 74 anos) e com 75 anos ou mais em contexto de alta vulnerabilidade social. Método: Trata-se de um estudo transversal, realizado na cidade de São Carlos com 303 idosos residentes em um bairro de alta vulnerabilidade social, em que se utilizaram os seguintes instrumentos: caracterização sociodemográfico e de saúde, fenótipo de fragilidade de Fried, escala de Katz e de Lawton, Mini Exame do Estado Mental, Escala de Depressão Geriátrica, Escala de Apoio Social do Medical Outcome Study e o Questionário Internacional de Atividade Física. Para análise dos dados foi realizada estatística descritiva e regressão logística, considerando-se p<0,05. O projeto foi encaminhado ao Comitê de Ética em Pesquisa da Universidade Federal de São Carlos, por meio da Plataforma Brasil, e foi aprovado com número de parecer 860.653/2014. Resultados: Dos 303 idosos entrevistados 12,2% eram não frágeis, 60,7% pré-frágeis e 27,1% frágeis. Houve prevalência do sexo feminino (57,1%), idade entre 60-74 anos (75,6%), possuir de 1 a 4 anos de escolaridade (51,8%) e ter um parceiro (57,4%). Os fatores associados à fragilidade no grupo de idosos jovens foram ter sintomas depressivos (OR:2,65 95% IC:1,3-5,0) e no grupo longevo, o fator que se associou a fragilidade foi ser analfabeto (OR: 14,6 95% IC:1,8-116,5). Os idosos jovens apresentaram médias melhores quando comparados aos idosos longevos nas variáveis: escolaridade, alteração cognitiva, número de consultas médicas, nível de atividade física, número de quedas, número de internações, número de medicamentos e número de doenças. Conclusão: Os resultados desta investigação poderão instigar profissionais e gestores de saúde sobre as necessidades de se discutir e programar novas estratégias de promoção a saúde e prevenção de fatores agravantes da fragilidade respeitando as diferenças encontradas a idosos no início e no fim da velhice.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)porUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Enfermagem - PPGEnfUFSCarIdoso fragilizadoSaúde do idosoVulnerabilidade socialFrail elderlyHealth of the elderlySocial vulnerabilityCIENCIAS DA SAUDE::ENFERMAGEMFatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidadeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisOnline6006001a3d8232-ea1d-4d99-8b07-a484c9ce773dinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARLICENSElicense.txtlicense.txttext/plain; charset=utf-81957https://repositorio.ufscar.br/bitstream/ufscar/9794/5/license.txtae0398b6f8b235e40ad82cba6c50031dMD55ORIGINALDINIZ_Maria Angélica_2018.pdfDINIZ_Maria Angélica_2018.pdfapplication/pdf1540122https://repositorio.ufscar.br/bitstream/ufscar/9794/6/DINIZ_Maria%20Ang%c3%a9lica_2018.pdf9642d2da335b0843b8559890c0ebb9b5MD56TEXTDINIZ_Maria Angélica_2018.pdf.txtDINIZ_Maria Angélica_2018.pdf.txtExtracted texttext/plain158693https://repositorio.ufscar.br/bitstream/ufscar/9794/7/DINIZ_Maria%20Ang%c3%a9lica_2018.pdf.txtb0695b37a4e8c0f163910198022bbdf7MD57THUMBNAILDINIZ_Maria Angélica_2018.pdf.jpgDINIZ_Maria Angélica_2018.pdf.jpgIM Thumbnailimage/jpeg6494https://repositorio.ufscar.br/bitstream/ufscar/9794/8/DINIZ_Maria%20Ang%c3%a9lica_2018.pdf.jpgae98cb867c86a0aeeb790651fa3d35ddMD58ufscar/97942023-09-18 18:31:42.551oai:repositorio.ufscar.br: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Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:42Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
title |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
spellingShingle |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade Diniz, Maria Angélica Andreotti Idoso fragilizado Saúde do idoso Vulnerabilidade social Frail elderly Health of the elderly Social vulnerability CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
title_full |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
title_fullStr |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
title_full_unstemmed |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
title_sort |
Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade |
author |
Diniz, Maria Angélica Andreotti |
author_facet |
Diniz, Maria Angélica Andreotti |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/8507049568896292 |
dc.contributor.author.fl_str_mv |
Diniz, Maria Angélica Andreotti |
dc.contributor.advisor1.fl_str_mv |
Gratão, Aline Cristina Martins |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/7873339343111119 |
dc.contributor.authorID.fl_str_mv |
8d2144d1-6309-4189-8c65-340c18206a18 |
contributor_str_mv |
Gratão, Aline Cristina Martins |
dc.subject.por.fl_str_mv |
Idoso fragilizado Saúde do idoso Vulnerabilidade social |
topic |
Idoso fragilizado Saúde do idoso Vulnerabilidade social Frail elderly Health of the elderly Social vulnerability CIENCIAS DA SAUDE::ENFERMAGEM |
dc.subject.eng.fl_str_mv |
Frail elderly Health of the elderly Social vulnerability |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: Frailty is defined as the physiological state of age-related physiological vulnerability resulting from reduced homeostatic reserve and decreased ability of the body to withstand stress. It is estimated that the prevalence of fragility is between 4% and 59% in men and women, respectively, aged 65 years or older living in the community. Early detection of frailty and care for the frail elderly can assist the health team in driving the effectiveness of actions with potential for health promotion and disease prevention. Objective: To analyze the factors associated with the physical frailty of young adults (60-74 years old) and over 75 years or older in a context of high social vulnerability. Method: This is a cross-sectional study carried out in the city of São Carlos with 303 elderly people living in a neighborhood of high social vulnerability. The following instruments were used: sociodemographic and health characterization, Fried fragility phenotype, Katz, Lawton scale, Mini Mental State Examination, Geriatric Depression Scale, Social Outcome Scale of the Medical Outcome Study, and the International Physical Activity Questionnaire. Descriptive statistics and logistic regression were used to analyze the data, considering p <0.05. The project was sent to the Research Ethics Committee of the Federal University of São Carlos, through the Brazil Platform, and was approved with the number of opinion 860.653/2014. Results: Of the 303 elderly interviewed, 12.2% were non-frail, 60.7% were pre-frail and 27.1% were frail. There was a prevalence of female (57.1%), age between 60-74 years (75.6%), 1 to 4 years of schooling (51.8%) and having a partner (57.4%). Factors associated with frailty in the elderly group were depressive symptoms (OR: 2.65 95% CI: 1.3-5.0) and in the longevity group, the factor associated with frailty was illiteracy (OR: 14.6 95% CI: 1.8-116.5). Older adults presented better means when compared to older people in the variables: schooling, cognitive alteration, number of medical consultations, physical activity level, number of falls, number of hospitalizations, number of medications and number of diseases. Conclusion: The results of this research may instigate professionals and health managers about the need to discuss and plan new strategies for health promotion and prevention of aggravating factors of fragility, respecting the differences found in the elderly at the beginning and at the end of old age. |
publishDate |
2018 |
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2018-04-21T00:10:18Z |
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2018-04-21T00:10:18Z |
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2018-02-27 |
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DINIZ, Maria Angélica Andreotti. Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade. 2018. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9794. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/9794 |
identifier_str_mv |
DINIZ, Maria Angélica Andreotti. Fatores associados à fragilidade em idosos jovens e com idade acima de 75 anos que vivem na comunidade. 2018. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2018. Disponível em: https://repositorio.ufscar.br/handle/ufscar/9794. |
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Universidade Federal de São Carlos Câmpus São Carlos |
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