Estado nutricional e capacidade funcional de idosos da área urbana de Sarandi-Paraná

• Autor(a) principal: Sass, Arethuza
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2047
• topic: Estado nutricional; Idoso; Composição corporal; Capacidade funcional; Fatores socioeconômicos; Perfil de saúde; Sarandi; Paraná; Brasil.; Nutritional status; Old man; Body composition; Functional capacity; Socioeconomic factors; health profile; Sarandi; Paraná; Brazil.; Ciências da Saúde; Medicina

Population aging is a global event that has been occurred in a very rapid way in Brazil. Elderly nutritional status evaluation is important since they have unique characteristics, and are vulnerable to nutritional disorders and their consequences, as well as functional capacity isa component of quality of life and health indicator that reflects on the general condition of elderly people. The aim of this study was to analyze associated factors with the nutritional status and functional capacity of elderly in the town of Sarandi, state of Paraná. Cross sectional study, population-based household and a sample of 436 elderly selected by systematic sampling from census departments and residencies, with a proportional probability as big as the department. For data analysis the programs Statistics 7.1 and Epi-Info version3.5.1 were used. All the results were analyzed considering p<0,05. The results showed that most of elderly were female. Women showed a greater proportion of widowed marital status, evangelical religion, diabetes, osteoarthritis, osteoporosis, depression, use of dental, other medical diagnosis and the highest number of diagnosis listed. On the other hand, women showed a lower proportion having brown skin; they consumed less alcohol, performed less physical activity, and reported a lower incidence of cerebrovascular accident (stroke) and cancer. Through advancing age men and women had lower mean values of body mass index(BMI), mid-arm circumference (MAC), triceps skinfold thickness (TSF), arm muscle circumference (MAMC) and arm muscle area (AMA). A significant difference in the statistics field was found between the genders, with average values of BMI, TST, CP higher in women and average values of CMB higher in men. Only the variable TSF did not show in men any average values between the age groups statistically significant. Regarding nutritional status by BMI we observed a higher proportion (37.5%) of elderly people with normal weight, followed by 31.7% of elderly patients with obesity, 17.0% overweight and 13.8% low weight and obesity was higher among women. There were 8.7% and 20.0% of elderly patients with some degree of dependency for basic activities of daily living (ADL) and instrumental activities of daily living (IADL), respectively. The factors that were associated with some degree of functional dependence for BADL were: age _ 80 years and stroke, and for the IADL were: age _ 80 years, inactive occupational status, income below the poverty level, nonphysical exercise and stroke. The nutritional status determined by BMI showed low weight associated with being single / separated / divorced and obesity associated with the presence of7diabetes and stroke. Most of the elderly (69.0%) presented appropriate nutritional status, according to AMB, followed by 17.7% of elderly malnourished. The association of nutritional status was observed from AMB and: gender, age group, degree of functional dependence for BADL and IADL. Men in the age group of 80 years old or older and the elderly with some functional dependence degree concerning BADL and IADL presented higher proportion of malnutrition. Elderly people showed socio demographic differences in health status and anthropometric between genders. It was found that older age, low economic status, lack of physical activity and the occurrence of stroke interfere with the functional dependence of the elderly. And yet, high rates of obesity and socio demographic factors and health conditions are associated with nutritional status and nutritional status determined by AMB is associated with gender, age group and some degree of functional dependence. These results show that having the knowledge of factors associated with nutritional status and functional capacity of older people is essential to the development of preventive policies and implementation of more specific actions by health professionals.