Evidence of association between the use of drugs and community-dwelling older people frailty: a cross-sectional study

Alves, Marcos Kaic Lopes; Oliveira, Nayara Gomes Nunes; Pegorari, Maycon Sousa; Tavares, Darlene Mara dos Santos; Rodrigues, Maria Cristina Soares; Bolina, Alisson Fernandes

doi:10.1590/1516-3180.2020.0205.r1.06082020

Cited by 6 publications

(3 citation statements)

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“…Frailty syndrome was identified through the five components of the frailty phenotype: 1) unintentional weight loss, 2) self-reported exhaustion or fatigue, 3) decreased muscle strength, 4) slow walking speed, and 5) low level of physical activity, 19 as described in a previous study. 20 …”

Section: Methodsmentioning

confidence: 99%

“…18 Frailty syndrome was identified through the five components of the frailty phenotype: 1) unintentional weight loss, 2) self-reported exhaustion or fatigue, 3) decreased muscle strength, 4) slow walking speed, and 5) low level of physical activity, 19 as described in a previous study. 20 The Brazilian version of the Short Physical Performance Battery was used to measure physical performance, 21 with a higher score indicating better physical performance.…”

Section: Explanatory and Adjustment Variablesmentioning

confidence: 99%

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Quality of life in older adults according to race/color: a cross-sectional study

et al. 2023

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BACKGROUND: Increased longevity is accompanied by new social and health demands, such as the race/ color social construct, indicating the need to identify the specific needs of older adults to maintain and improve their quality of life. OBJECTIVE: We aimed to verify the direct and indirect associations of demographic, economic, and biopsychosocial characteristics with self-assessed quality of life in older adults according to race/color. DESIGN AND SETTING: This cross-sectional study included 941 older adults living in the urban area of a health microregion in Minas Gerais, Brazil. METHODS: Older adults were divided into three groups: white (n = 585), brown (n = 238), and black (n = 102) race/color. Descriptive and trajectory analyses were performed (P < 0.05). RESULTS: Among the three groups, worse self-assessed quality of life was directly associated with lower social support scores and greater numbers of depressive symptoms. Worse self-assessed quality of life was also directly associated with a higher number of functional disabilities in basic activities of daily living and the absence of a partner among older adults of brown and black race/color. Lower monthly income and higher numbers of morbidities and compromised components of the frailty phenotype were observed among participants of white race/color, as well as lower levels of education in the brown race/color group. CONCLUSION: Factors associated with poorer self-assessed quality of life among older adults in the study community differed according to race/color.

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Section: Methodsmentioning

confidence: 99%

Section: Explanatory and Adjustment Variablesmentioning

confidence: 99%

Quality of life in older adults according to race/color: a cross-sectional study

et al. 2023

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“…La vulnerabilidad individual se evaluó por medio de cinco componentes del fenotipo de fragilidad (4) , según se describe en estudio previo (12) . Las personas mayores con tres o más de estos ítems fueron clasificados como frágiles y aquellos con uno o dos ítems, como pre frágiles.…”

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Índices de vulnerabilidade social e programático para idosos que vivem no domicilio

et al. 2022

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Objectives: Build Social and Programmatic Vulnerability indices for older people living at home and verify the association of vulnerability components (individual, social and programmatic). Methods: It is a population based study, household and transversal survey type, conducted with 701 community older adults. Descriptive and bivariate exploratory spatial analysis was conducted (p≤ 0.05) as well as analysis of Main Components. Results: By means of the indices, it was observed that peripheral census tracts presented very high social vulnerability levels and that the main variables representative of the programmatic component – access to dentist via SUS, medications, and search of the same care location. It was verified that only 3.9% of the older adults did not present some level of vulnerability (individual, social and programmatic). Conclusion: Older adults are exposed to multiple vulnerability conditions, and Social and Programmatic Vulnerability indices are important tools for managers’ decision making. Objetivos: Construir los índices de vulnerabilidad social y vulnerabilidad de programas para personas mayores que viven en el hogar y verificar la asociación entre los componentes de vulnerabilidad (individual, social y programática). Métodos: Este es un estudio basado en la población del tipo de encuesta de hogares y transversal realizada con 701 miembros de la comunidad de ancianos. Se realizaron análisis exploratorios, descriptivos y bivariados (p≤ 0.05) y componentes principales. Resultados: A través de los índices, se descubrió que los sectores censales periféricos mostraban niveles muy altos de vulnerabilidad social y que las principales variables representativas del componente programático eran: acceso al dentista por SUS, medicamentos y demanda desde el mismo lugar de servicio. Se encontró que solo el 3.9% de los ancianos no tenían ninguna condición de vulnerabilidad (individual, social y programática). Conclusión: Los ancianos están expuestos a múltiples condiciones de vulnerabilidad; Los índices de vulnerabilidad social y programática son herramientas importantes para la toma de decisiones por parte de los gerentes. Objetivos: Construir os Índices de Vulnerabilidade Social e de Vulnerabilidade Programática para idosos que vivem no domicílio e verificar a associação entre os componentes da vulnerabilidade (individual, social e programática). Métodos: Trata-se de um estudo de base populacional do tipo inquérito domiciliar e transversal conduzido com 701 idosos comunitários. Realizou-se análise espacial exploratório, descritiva e bivariada (p≤ 0,05) e de Componentes Principais. Resultados: Através dos índices, verificou-se que os setores censitários periféricos apresentaram níveis de vulnerabilidade social muito elevados e que as principais variáveis representativas do componente programático foram - acesso ao dentista pelo SUS, à medicamentos e procura do mesmo local de atendimento. Constatou-se que apenas 3,9% dos idosos não apresentavam nenhuma condição de vulnerabilidade (individual, social e programático). Conclusão: Os idosos estão expostos as múltiplas condições de vulnerabilidade; sendo os Índices de Vulnerabilidade Social e Programática importantes ferramentas de tomada de decisão pelos gestores.

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Potentially inappropriate medication and frailty in older adults: A systematic review and meta-analysis

Wang²,

Wen

et al. 2023

Archives of Gerontology and Geriatrics

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Evidence of association between the use of drugs and community-dwelling older people frailty: a cross-sectional study

Cited by 6 publications

References 52 publications

Quality of life in older adults according to race/color: a cross-sectional study

Quality of life in older adults according to race/color: a cross-sectional study

Índices de vulnerabilidade social e programático para idosos que vivem no domicilio

Potentially inappropriate medication and frailty in older adults: A systematic review and meta-analysis

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