Objective To report symptoms, disability and rehabilitation referral rates after COVID-19 hospitalization in a large, predominantly elderly population Design Cross-sectional study, with post-discharge telemonitoring of individuals hospitalized with confirmed COVID-19, at the first month after hospital discharge, as part of a comprehensive telerehabilitation program Setting Private verticalized healthcare network specialized in the elderly population Participants Individuals hospitalized due to COVID-19 Interventions Not applicable Main Outcome Measure(s) Dependence for basic and instrumental activities of daily living (ADLs and IADLs, respectively) using Barthel's Index and Lawton's Scale. We compared the outcomes between participants admitted to the intensive care unit (ICU) vs. those admitted to the ward. Results We included 1,696 consecutive patients, aging 71.8±13.0 years-old, with 56.1% of females. Comorbidities were present in 82.3% of the cases. Participant were followed up for 21.8±11.7 days after discharge. During post-discharge assessment, independence for ADLs was found to be lower in the group admitted to the intensive care unit (ICU) than the ward group (61.1% [95%CI 55.8-66.2%] vs. 72.7% [95%CI 70.3-75.1], p<0.001). Dependence for IADLs was also more frequent in the ICU group (84.6%, 95%CI [80.4-88.2%], vs. 74.5%, [95%CI 72.0-76.8%], p<0.001). Individuals admitted to ICU required more oxygen therapy (25.5% vs 12.6%, p<0.001), presented more shortness of breath during routine (45.2% vs 34.5%, p<0.001) and non-routine activities (66.3% vs 48.2%, p<0.001), had more difficulty standing up for 10 minutes (49.3% vs 37.9% p<0.001). The rehabilitation treatment plan consisted mostly of exercise booklets, which were offered to 65.5% of participants. The most referred rehabilitation professionals were psychologists (11.8%), physical therapists (8.0%), dietitians (6.8%), and speech-language pathologists (4.6%). Conclusions Individuals hospitalized due to COVID-19 present high levels of disability, dyspnea, dysphagia, and dependence for both ADLs and IADLs. Those admitted at the ICU presented more advanced disability parameters.

Background: The COVID-19 pandemic hit Brazil in a scenario of substantial socioeconomic and health inequalities. It is unknown the immediate impact of social restriction recommendations (i.e., lockdown, stay-at-home) on the life-space mobility of older people.Objective: To investigate the immediate impact of COVID-19 pandemic on life-space mobility of community-dwelling Brazilian older adults and examine the social determinants of health associated with change in life-space mobility.Design: Baseline data from a prospective cohort study (REMOBILIZE Study).Setting: Community.Subject: A convenience snowball sample of participants aged 60 and older (n = 1,482) living in 22 states in Brazil.Methods: We conducted an online and phone survey using an adapted version of the Life-Space Assessment (LSA). Linear regression models were used to investigate social determinants of health on the change in LSA score.Results: Regardless of their gender and social determinants of health, participants showed a significant reduction in life-space mobility since COVID-19 pandemic outbreak. Life-space mobility reduction was higher among black individuals, those living alone and aged between 70 and 79. Other variables associated with change in life-space mobility, to a lesser extent, were sex, education and income.Conclusion: Social restriction measures due to pandemic caused substantial reduction in older adults' life-space mobility in Brazil. Social inequalities strongly affected vulnerable groups. Concerted actions should be put in place to overcome the deterioration in life-pace mobility amongst these groups. Failure in minimizing health inequalities amplified by the pandemic may jeopardize the desired achievements of the Decade of Healthy Aging.

It is clear the importance of muscle stretching in the treatment of FM, however, there is a need for further studies to establish the real benefits of the technique, because the majority of published studies shows low methodological quality and there is a lack of standardization regarding the use of this resource.

Objective: the present study aimed to analyze the association between current sedentary behavior and the practice of physical activity among elderly persons in the city of Maringá in the state of Paraná. Method: a cross-sectional study of 970 elderly subjects was carried out, using the International Physical Activity Questionnaire. Results: the modeling of structural equations revealed that the sedentary behavior has a significant effect (p <0.05) on the activities moderate and vigorous activities, explaining 3% and 4% of the variability of these variables. Specifically, it has been found that increased sedentary behavior has a (β = 0.13) and negative on vigorous activities (β = -0.21). Conclusion: the current state of sedentary behavior has a significant effect on moderate and vigorous activities.

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This study investigates the diagnostic accuracy of the combination of usual walking speed (UWS) and maximum walking speed (MWS) to identify frailty in community-dwelling older adults. A population-based study with 758 participants aged 65 and older was conducted. Frailty syndrome was determined using the Fried phenotype. UWS and MWS were evaluated in a 4.6-meter path. Both measures were categorized using the 1.0 m/s cut points, and participants were categorized into three groups: those with “very good”, “good” and “insufficient” walking reserve capacity (WRC). Of all participants, 9% were identified as frail and 47% as prefrail. The “insufficient” WRC presented a low sensitivity of 0.55, high specificity of 0.91 and moderately useful likelihood ratios (LR+ 6.57, LR- 0.48) to identify frailty. Based on Fagan’s nomogram, an elder’s corresponding post-test probability of being frail with an “insufficient” WRC would be around 40%, which substantially increased the diagnostic accuracy of frailty.

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. INTRODUÇÃONas últimas décadas, tem-se observado um ritmo acelerado no crescimento da população idosa em todo mundo. No Brasil, a exemplo de países em desenvolvimento, o aumento do contingente de idosos implica consequências que afetam os serviços de assistência social e de saúde da população idosa, agravado com a precariedade e custo alto dos convênios de saúde, associado ao baixo salário da aposentadoria.1,23 Além disso, o contexto familiar atual, onde os parentes têm dificuldades para cuidar dos seus idosos, encaminhando-os às Instituição de Longa Permanência para Idosos (ILPIs). 3Devido às mudanças físicas, mas também psicológicas e sociais do envelhecimento, é comum o idoso depender de cuidados especiais, de cuidadores ou familiares para a realização de tarefas cotidianas, como alimentar-se, vestir-se, tomar banho ou até mesmo realizar os hábitos de higiene e necessidades pessoais, o que diminui a qualidade de vida (QV) e a autonomia dos mesmos. 4,5 Pode-se verificar o quão importante são, principalmente, as dimensões físicas para as pessoas idosas, Nível de qualidade de vida dos idosos em instituição de longa permanência -Lar dos Velhinhos, Maringá/PR