The scope of this paper was to investigate the relationship between the nutritional status and the motor skills of the elderly registered in the Family Health Program in the urban area of Vitória de Santo Antão in the State of Pernambuco, by means of a transversal epistemological descriptive-analytical field study. The participants of this survey were 235 elders, both male and female of 60-years-old and over registered in the family health program in the urban area of the city. The nutritional status was evaluated by the body mass index and the circumference of the calf. Four motor tests were used to evaluate motor performance: Time Up&Go, Tinetti's Index, Functional Reach and Unipodal Support. The associations were checked using Spearman's correlation. The association of the nutritional status with the motor tests was statistically significant among males* or females**: (Time Up&Go rho = 0.290* / 350**; Functional Reach rho = 0.232* / 352**; Tinetti's Index rho = 243* / 363** and Unipodal Support rho = 221* / 475**. The evaluation of the results revealed an association between nutritional status and functional capacity of the elders no matter what gender; with obesity being a limiting nutritional condition to adequate performance in the tests.
Background: Type 2 Diabetes Mellitus (T2DM) is common in older adults, who also present a high level of risk factors for cardiovascular disease (CVD), such as dyslipidemia. However, the role of depression in T2DM patients and its relationship with CVD risk factors are understudied. Objective: The present study aimed to investigate the relationship between depressive symptoms (DS) and known cardiovascular risk factors in community dwelling older adults with T2DM. Methods: This is a cross sectional study, in which 85 community-dwelling older adults with T2DM were assessed. DS was assessed using the Yesavage Geriatric Depression Scale-short version (GDS-15). The following cardiovascular risk factors were evaluated: systolic (SBP) and diastolic blood pressure (DBP), fasting plasma glucose (FPG), lipid profile (serum triglycerides-TG, serum total cholesterol-TC, serum low-density lipoprotein cholesterol-LDL-C, and serum high-density lipoprotein cholesterol-HDL-C) and body mass index (BMI). Poisson multiple regression was performed to test the association between DS and each cardiovascular risk factor adjusted by sex, age, time spent in moderate physical activity, and functional status. The significance level adopted for the analysis was 5%. Results: Among all the analyzed risk factors, only high levels of LDL-C were related to high DS (PR=1.005, CI 95% 1.002-1.008). A significant association was observed between HDL-C levels (PR=0.99, CI 95% 0.98-0.99) and SBP (PR=1.009, CI 95% 1.004-1.014). Conclusion: In older adults with T2DM, the presence of DS was associated with LDL-C, HDL-C levels and SBP, even after adjusting for sex, age, physical activity level and functional capacity.
Objetivo: caracterizar o conhecimento dos agentes comunitários de saúde (ACS) sobre o conteúdo da Caderneta da Saúde da Criança (CSC) e identificar a capacidade de detectar atraso no Desenvolvimento Neuropsicomotor (DNPM) das crianças por meio da caderneta. Método: estudo transversal, realizado entre agosto de 2018 e novembro de 2019, em Recife, Pernambuco (PE). A amostra foi composta por 109 ACS de diferentes municípios de PE, que responderam, voluntariamente, a um questionário semiestruturado sobre a CSC. A análise estatística foi realizada pelo programa Statistical Package for the Social Sciences (SPSS) versão 20.0, com medida da razão de chances e intervalos de confiança, assumindo um erro de 5% (Odds Ratio - OR e IC 95%). Resultados: 88,1% (n=96) dos ACS eram do sexo feminino; 85,2% (n=92) pertenciam à Estratégia de Saúde da Família e 58,9% (n=63) tinham cobertura de equipe do Núcleo Ampliado da Saúde da Família e Atenção Básica. Informações sobre vacinação foi o item mais assinalado na CSC (99,1%). Quanto à avaliação do DNPM, 60,4% dos ACS relataram saber usar o instrumento de vigilância contido na CSC. Uma análise bivariada encontrou que o ACS que já tinha participado de algum treinamento sobre DNPM referiu sentir-se 6,75 vezes mais capaz de detectar atraso no DNPM. Conclusão: a utilização da CSC pelos ACS tem sido caracterizada, principalmente, para acompanhamento e registro de atividades de vacinação e de crescimento pôndero-estatural. A realização de treinamentos
BACKGROUND: Social distancing has led to lifestyle changes among older adults during the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVES: This study aimed to estimate the prevalence risk of sarcopenia (RS) and investigate its associated factors during the COVID-19 pandemic in older Brazilian adults. DESIGN AND SETTING: Cross-sectional observational analysis of baseline data as part of the Remobilize Study. METHODS: Participants in the study were older adults (≥ 60 years), excluding those who were bedridden or institutionalized. The data collected consisted of answers about the RS (SARC-F), functional status, walking, sedentary behavior (SB), pain, comorbidity, and life space mobility. RESULTS: A total of 1,482 older adults (70 ± 8.14 years, 74% women) participated in the study, and an RS prevalence of 17.1% was found. (95% confidence interval [CI] 15.25-19.15%). The adjusted multivariate model showed a significant association between RS and functional limitation (odds ratio [OR]:
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