The objective of this study was to identify the health conditions considered potential risk factors for severe Covid-19 and analyze its association with the BMI of elderly people living in Long-Term Care Facilities (LTCF). This is a descriptive and cross-sectional study, with a quantitative approach, carried out in eight LTCF in the Metropolitan Region of Natal, Rio Grande do Norte, with a population of 267 elderly people, between the months of February and December 2018. The Elderly Health Handbook was used to collect data on sociodemographic, health and risk factors. The Pearson’s Chi-square test and odds ratio were used for the analysis. A higher frequency of low weight was observed in elderly people with cognitive impairment (24.6%), and overweight in those hypertensive (23.3%) and diabetics (12.9%). BMI was associated with the age group of 80 years or over, hypertension and diabetes (p = 0.013; p < 0.001; p = 0.001). Hypertensive elderly people were more likely to have low weight when compared to non-hypertensive individuals (RC = 3.6; 95% CI 1.5–8.6). The institutionalized elderly individuals present health conditions that may contribute to the occurrence of adverse outcomes in case of infection by Covid-19. The importance of protective measures for this population must be reinforced, in view of the devastating action of this disease in these institutions.
Introdução: A ocorrência de quedas em pessoas idosas é considerada um problema de saúde pública, acarretando em prejuízos para a saúde, mas que pode ser prevenida a partir da manutenção de um ambiente seguro. Objetivo: Identificar condições relacionadas a ocorrência de quedas e segurança do ambiente domiciliar de pessoas idosas residentes na zona rural de um município do interior do Estado do RN. Metodologia: Foi realizada uma pesquisa-ação com uma das etapas de diagnóstico feito a partir de um estudo analítico e observacional. O estudo foi realizado com agentes comunitários de saúde (ACS) e idosos. Foram realizadas capacitações com os ACS para reconhecimento e identificação dos riscos ambientais de quedas nos domicílios dos idosos. Para coleta de dados, utilizou-se o questionário de avaliação ambiental e quedas da Caderneta de Saúde da Pessoa Idosa. Resultados: Participaram do estudo 288 idosos, dos quais 24,7% relataram ter sofrido queda e desses, 23,9% tiveram fratura óssea. 47,9% das quedas ocorreram dentro de casa, destas 42,2% ocorreram no banheiro. A maioria dos itens de segurança não estava adequado. 53,5% relataram impedimento nas áreas de locomoção, 55,6% não tinham pisos uniformes e tapetes fixos, apenas 27,1% tinham tapete antiderrapante na área do chuveiro, 14,6% afirmaram possuir escada no domicílio, porém, nenhuma apresentava corrimão dos dois lados e firmes e/ou piso antiderrapante. Foram encontradas diferenças significativas entre a ocorrência de queda e a ausência de pisos uniformes e tapetes bem fixos (p<0,001), interruptores acessíveis nas entradas de cômodos (p<0,001), área do chuveiro com antiderrapante (p=0,026) e armários baixos sem necessidade do uso de escadas (p<0,001). Conclusões: A maioria das pessoas idosas vive em um ambiente que favorece a ocorrência de quedas. Enfatiza-se a necessidade de ações de prevenção de quedas e segurança domiciliar tendo em vista suas implicações na qualidade de vida dessas pessoas.
Our aim was to analyze the association between socioeconomic status and quality of life (QoL) among older people with depressive symptoms treated through the Primary Health Care (PHC) system in Brazil and Portugal. This was a comparative cross-sectional study with a nonprobability sample of older people in the PHC in Brazil and Portugal conducted between 2017 and 2018. To evaluate the variables of interest, the socioeconomic data questionnaire, the Geriatric Depression Scale and the Medical Outcomes Short-Form Health Survey were used. Descriptive and multivariate analyses were performed to test the study hypothesis. The sample consisted of n = 150 participants (Brazil n = 100 and Portugal n = 50). There was a predominance of woman (76.0%, p = 0.224) and individuals between 65 and 80 years (88.0%, p = 0.594). The multivariate association analysis showed that in the presence of depressive symptoms, the QoL mental health domain was most associated with the socioeconomic variables. Among the prominent variables, woman group (p = 0.027), age group 65–80 years (p = 0.042), marital status “without a partner” (p = 0.029), education up to 5 years (p = 0.011) and earning up to 1 minimum wage (p = 0.037) exhibited higher scores among brazilian participants. The portuguese participants showed an association between the general health status domain and woman group (p = 0.042) and education up to 5 years (p = 0.045). The physical functioning domain was associated with income of up to 1 minimum wage (p = 0.037). In these domains, the portuguese participants exhibited higher scores than the brazilian participants. We verified the association between socioeconomic profile and QoL in the presence of depressive symptoms, which occurred mainly among woman, participants with low levels of education and low income, with QoL aspects related to mental, physical and social health and self-perceived health. The group from Brazil had higher QoL scores than the group from Portugal.
This study aimed to evaluate the association between muscle mass and vulnerability in institutionalized older adults. A cross-sectional study was carried out in eight philanthropic Long-Term Care Facilities (LTCF) located in the metropolitan area of Natal, Rio Grande do Norte, Brazil. The participants were individuals aged 60 years or older who were present in the institutions at the time of data collection. To assess muscle mass, the calf circumference was categorized into loss of muscle mass (<31 cm) and preserved muscle mass (≥31 cm). The vulnerability was assessed by The Vulnerable Elders Survey (VES-13). Of the 250 older adults evaluated, 46.1% presented loss of muscle mass, which was associated with the presence of physical limitation, vulnerability, and age group (p < 0.05). The presence of vulnerability was the main factor contributing to loss of muscle mass (R2 = 8.8%; B = 0.781; 95% CI 0.690–0.884; p < 0.001). Loss of muscle mass is associated with disability in institutionalized older adults.
ESTUDO COM O OBJETIVO DE IDENTIFICAR AS CONDIÇÕES DE SAÚDE DOS IDOSOS INSTITUCIONALIZADOS E O CONHECIMENTO DOS PROFISSIONAIS DA ESTRATÉGIA SAÚDE DA FAMÍLIA E DO NÚCLEO DE APOIO À SAÚDE DA FAMÍLIA QUANTO ÀS INFORMAÇÕES SOBRE IDOSOS INSTITUCIONALIZADOS. TRATA-SE DE UM ESTUDO DESCRITIVO, EXPLORATÓRIO, DE ABORDAGEM QUANTITATIVA REALIZADO COM AS EQUIPES DA ESTRATÉGIA SAÚDE DA FAMÍLIA, DO NÚCLEO DE APOIO À SAÚDE DA FAMÍLIA E COM RESIDENTES DE UMA INSTITUIÇÃO DE LONGA PERMANÊNCIA PARA IDOSOS. QUANTO AOS RESULTADOS: PARTICIPARAM 16 PROFISSIONAIS E 12 IDOSOS. 33,3% DOS IDOSOS SÃO INDEPENDENTES E 50% AVALIARAM SUA SAÚDE COMO BOA. 66,6% REFERIRAM TER SOFRIDO QUEDA NO ÚLTIMO ANO E OS PSICOTRÓPICOS FORAM OS FÁRMACOS MAIS USADOS (81,8%). FOI IDENTIFICADO QUE OS PROFISSIONAIS APRESENTAM POUCO CONHECIMENTO SOBRE ESSA POPULAÇÃO. OS IDOSOS AVALIADOS APRESENTAVAM CONDIÇÕES DE SAÚDE SATISFATÓRIAS APESAR DAS AÇÕES DESENVOLVIDAS PELA EQUIPE DE SAÚDE DE FAMÍLIA SEREM INSUFICIENTES.
We aimed to verify the association and correlation between pain and QoL in people with VU treated in a Brazilian Primary Health Care (PHC) lesions treatment center. This is an observational, cross-sectional study with a quantitative approach, carried out in a service specialized in the treatment of chronic injuries, linked to 29 PHC units. Sociodemographic and health characterization instruments were used. The Short Form Health Survey-36 (SF-36) and Visual Analogue Pain Scale (VAPS) also were used. The Kruskal-Wallis test verified the association between the scalar variables of QoL and pain intensity. With Spearman’s correlation test, we verified the level of correlation between the scales applied. A total of 103 patients participated in the study. Higher QoL scores associated with moderate pain were found, especially in the Physical role functioning, Physical functioning, and Vitality domains. Correlation analysis showed its greatest (moderate) strength in the interaction between the highest scores in the Physical role functioning and Emotional role functioning domains with the lowest pain levels.
Zenewton André da Silva Gama (UFRN/Brasil) 5. A Seven Eventos Acadêmicos, não cede, comercializa ou autoriza a utilização dos nomes e e-mails dos autores, bem como nenhum outro dado dos mesmos, para qualquer finalidade que não o escopo da divulgação desta obra, em conformidade ao Marco Civil da Internet, a Lei Geral de Proteção de Dados e a Constituição da República Federativa.
Zenewton André da Silva Gama (UFRN/Brasil) 5. A Seven Eventos Acadêmicos, não cede, comercializa ou autoriza a utilização dos nomes e e-mails dos autores, bem como nenhum outro dado dos mesmos, para qualquer finalidade que não o escopo da divulgação desta obra, em conformidade ao Marco Civil da Internet, a Lei Geral de Proteção de Dados e a Constituição da República Federativa.
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