Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UFPB |
Texto Completo: | https://repositorio.ufpb.br/jspui/handle/123456789/25132 |
Resumo: | Introduction: Frailty, diabetes mellitus and systemic arterial hypertension are frequent conditions in the elderly population and are increasingly recognized as public health problems, however this association is still little explored in the Brazilian population. Objective: To analyze the association between the burden of frailty with Diabetes Mellitus and Systemic Arterial Hypertension. Methodology: Data obtained by REDE FIBRA (Network of Studies on Frailty in Elderly Brazilians) were used, which consists of a cross-sectional, multicenter and multidisciplinary epidemiological study. It was carried out with elderly people aged 65 years or older, residents of 8 cities in different regions of the country. Sociodemographic characteristics, chronic diseases (Diabetes Mellitus and Systemic Arterial Hypertension) and the components of physical frailty were evaluated. Descriptive statistics were used for data analysis, followed by a Poisson Regression model and a Logistic Regression model. Results: The total sample consisted of 3390 elderly people, and of these 2365 presented at least 1 positive item. The prevalence of frailty was 16.4% and that of pre-frail was 53.4%. The reduction in the level of physical activity was the most prevalent item in the sample (57.3%). Elderly people diagnosed with diabetes and those with both comorbidities (diabetes and hypertension) had a greater burden of frailty. According to the logistic regression model, the elderly with a diagnosis of diabetes were more likely (OR = 2.34) to obtain the positive unintentional weight loss criterion, and the hypertensive elderly were more likely (OR = 1.62) of have a positive fatigue criterion, compared with those without any diagnosis. For muscle weakness, those with both diseases were less likely to obtain the positive criterion. Regarding the low level of physical activity and slow gait, no association was observed with the diseases evaluated. Conclusions: The association of Diabetes Mellitus and Systemic Arterial Hypertension with a greater burden of frailty, as well as the association of these comorbidities with a greater chance of positivity of the item unintentional weight loss and fatigue in the frailty phenotype, reinforces the importance of evaluation and identification of frailty in the routine care of patients with these diseases, in addition, it demonstrates the relevance of interventions with exercises aimed at physical function in the management of frailty in diabetic and/or hypertensive elderly. |
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Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibraEnvelhecimentoFragilidadeDoença crônicaHipertensãoDiabetes mellitusSaúde do idosoAgingFrailtyChronic diseaseHypertensionHealth of the elderlyCNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALIntroduction: Frailty, diabetes mellitus and systemic arterial hypertension are frequent conditions in the elderly population and are increasingly recognized as public health problems, however this association is still little explored in the Brazilian population. Objective: To analyze the association between the burden of frailty with Diabetes Mellitus and Systemic Arterial Hypertension. Methodology: Data obtained by REDE FIBRA (Network of Studies on Frailty in Elderly Brazilians) were used, which consists of a cross-sectional, multicenter and multidisciplinary epidemiological study. It was carried out with elderly people aged 65 years or older, residents of 8 cities in different regions of the country. Sociodemographic characteristics, chronic diseases (Diabetes Mellitus and Systemic Arterial Hypertension) and the components of physical frailty were evaluated. Descriptive statistics were used for data analysis, followed by a Poisson Regression model and a Logistic Regression model. Results: The total sample consisted of 3390 elderly people, and of these 2365 presented at least 1 positive item. The prevalence of frailty was 16.4% and that of pre-frail was 53.4%. The reduction in the level of physical activity was the most prevalent item in the sample (57.3%). Elderly people diagnosed with diabetes and those with both comorbidities (diabetes and hypertension) had a greater burden of frailty. According to the logistic regression model, the elderly with a diagnosis of diabetes were more likely (OR = 2.34) to obtain the positive unintentional weight loss criterion, and the hypertensive elderly were more likely (OR = 1.62) of have a positive fatigue criterion, compared with those without any diagnosis. For muscle weakness, those with both diseases were less likely to obtain the positive criterion. Regarding the low level of physical activity and slow gait, no association was observed with the diseases evaluated. Conclusions: The association of Diabetes Mellitus and Systemic Arterial Hypertension with a greater burden of frailty, as well as the association of these comorbidities with a greater chance of positivity of the item unintentional weight loss and fatigue in the frailty phenotype, reinforces the importance of evaluation and identification of frailty in the routine care of patients with these diseases, in addition, it demonstrates the relevance of interventions with exercises aimed at physical function in the management of frailty in diabetic and/or hypertensive elderly.NenhumaIntrodução: A fragilidade, a diabetes mellitus e a hipertensão arterial sistêmica são condições frequentes na população idosa e cada vez mais reconhecidos como problemas de saúde pública, no entanto essa associação ainda é pouco explorada na população brasileira. Objetivo: Analisar a associação entre a carga de fragilidade com Diabetes Mellitus e Hipertensão Arterial Sistêmica. Metodologia: Foram utilizados os dados obtidos pela REDE FIBRA (Rede de Estudos sobre Fragilidade em Idosos Brasileiros), que consiste em um estudo epidemiológico de corte transversal, multicêntrico e multidisciplinar. Foi realizado com idosos com 65 anos ou mais, moradores de 8 cidades de diferentes regiões do país. Foram avaliados características sociodemográficas, doenças crônicas (Diabetes Mellitus e Hipertensão Arterial Sistêmica) e os componentes da fragilidade física. Para a análise de dados foi empregada a estatística descritiva, seguida por um modelo de Regressão de Poisson e um modelo de Regressão Logística. Resultados: A amostra total foi composta por 3390 idosos, e desses 2365 apresentaram pelo menos 1 item positivo. A prevalência da fragilidade foi de 16,4% e a de pré –frágeis foi de 53,4%. A redução no nível de atividade física foi o item mais prevalente na amostra (57,3%). Os idosos com diagnóstico de diabetes e aqueles com ambas as comorbidades (diabetes e hipertensão) obtiveram uma maior carga de fragilidade. Conforme o modelo de regressão logística, os idosos com diagnóstico de diabetes apresentaram maior chance (OR = 2,34) de obter o critério de perda de peso não intencional positivo, e os idosos hipertensos apresentaram maiores chances (OR=1,62) de ter o critério de fadiga positivo, comparados com aqueles sem nenhum diagnóstico. Para a fraqueza muscular, aqueles com ambas as doenças possuíram menos chances de obter o critério positivo. Em relação ao baixo do nível de atividade física e à lentidão na marcha, não foi observada nenhuma associação com as doenças avaliadas. Conclusões: A associação da Diabetes Mellitus e Hipertensão Arterial Sistêmica com uma maior carga de fragilidade, assim como a associação dessas comorbidades com uma maior chance de positividade do item perda de peso não intencional e fadiga no fenótipo de fragilidade, reforça a importância da avaliação e identificação da fragilidade no cuidado de rotina dos pacientes com essas doenças, além disso demostra a relevância de intervenções com exercícios voltados para a função física no manejo da fragilidade em idosos diabéticos e/ou hipertensos.Universidade Federal da ParaíbaBrasilFisioterapiaPrograma de Pós-Graduação em FisioterapiaUFPBBrito, Geraldo Eduardo Guedes dehttp://lattes.cnpq.br/8141671263261587Silva, Laize Gabriele de Castro2022-10-19T18:03:52Z2022-09-262022-10-19T18:03:52Z2022-08-29info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/25132porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2022-10-25T12:24:09Zoai:repositorio.ufpb.br:123456789/25132Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2022-10-25T12:24:09Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
title |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
spellingShingle |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra Silva, Laize Gabriele de Castro Envelhecimento Fragilidade Doença crônica Hipertensão Diabetes mellitus Saúde do idoso Aging Frailty Chronic disease Hypertension Health of the elderly CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
title_full |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
title_fullStr |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
title_full_unstemmed |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
title_sort |
Associação da fragilidade com diabetes mellitus e hipertensão arterial sistêmica: um estudo da rede fibra |
author |
Silva, Laize Gabriele de Castro |
author_facet |
Silva, Laize Gabriele de Castro |
author_role |
author |
dc.contributor.none.fl_str_mv |
Brito, Geraldo Eduardo Guedes de http://lattes.cnpq.br/8141671263261587 |
dc.contributor.author.fl_str_mv |
Silva, Laize Gabriele de Castro |
dc.subject.por.fl_str_mv |
Envelhecimento Fragilidade Doença crônica Hipertensão Diabetes mellitus Saúde do idoso Aging Frailty Chronic disease Hypertension Health of the elderly CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
topic |
Envelhecimento Fragilidade Doença crônica Hipertensão Diabetes mellitus Saúde do idoso Aging Frailty Chronic disease Hypertension Health of the elderly CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Introduction: Frailty, diabetes mellitus and systemic arterial hypertension are frequent conditions in the elderly population and are increasingly recognized as public health problems, however this association is still little explored in the Brazilian population. Objective: To analyze the association between the burden of frailty with Diabetes Mellitus and Systemic Arterial Hypertension. Methodology: Data obtained by REDE FIBRA (Network of Studies on Frailty in Elderly Brazilians) were used, which consists of a cross-sectional, multicenter and multidisciplinary epidemiological study. It was carried out with elderly people aged 65 years or older, residents of 8 cities in different regions of the country. Sociodemographic characteristics, chronic diseases (Diabetes Mellitus and Systemic Arterial Hypertension) and the components of physical frailty were evaluated. Descriptive statistics were used for data analysis, followed by a Poisson Regression model and a Logistic Regression model. Results: The total sample consisted of 3390 elderly people, and of these 2365 presented at least 1 positive item. The prevalence of frailty was 16.4% and that of pre-frail was 53.4%. The reduction in the level of physical activity was the most prevalent item in the sample (57.3%). Elderly people diagnosed with diabetes and those with both comorbidities (diabetes and hypertension) had a greater burden of frailty. According to the logistic regression model, the elderly with a diagnosis of diabetes were more likely (OR = 2.34) to obtain the positive unintentional weight loss criterion, and the hypertensive elderly were more likely (OR = 1.62) of have a positive fatigue criterion, compared with those without any diagnosis. For muscle weakness, those with both diseases were less likely to obtain the positive criterion. Regarding the low level of physical activity and slow gait, no association was observed with the diseases evaluated. Conclusions: The association of Diabetes Mellitus and Systemic Arterial Hypertension with a greater burden of frailty, as well as the association of these comorbidities with a greater chance of positivity of the item unintentional weight loss and fatigue in the frailty phenotype, reinforces the importance of evaluation and identification of frailty in the routine care of patients with these diseases, in addition, it demonstrates the relevance of interventions with exercises aimed at physical function in the management of frailty in diabetic and/or hypertensive elderly. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-19T18:03:52Z 2022-09-26 2022-10-19T18:03:52Z 2022-08-29 |
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 |
https://repositorio.ufpb.br/jspui/handle/123456789/25132 |
url |
https://repositorio.ufpb.br/jspui/handle/123456789/25132 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Fisioterapia Programa de Pós-Graduação em Fisioterapia UFPB |
publisher.none.fl_str_mv |
Universidade Federal da Paraíba Brasil Fisioterapia Programa de Pós-Graduação em Fisioterapia UFPB |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da UFPB instname:Universidade Federal da Paraíba (UFPB) instacron:UFPB |
instname_str |
Universidade Federal da Paraíba (UFPB) |
instacron_str |
UFPB |
institution |
UFPB |
reponame_str |
Biblioteca Digital de Teses e Dissertações da UFPB |
collection |
Biblioteca Digital de Teses e Dissertações da UFPB |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
repository.mail.fl_str_mv |
diretoria@ufpb.br|| diretoria@ufpb.br |
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1801843001200214016 |