Transição entre níveis de fragilidade em idosos no município de Belo Horizonte, Minas Gerais

Abstract

Objective: To observe possible changes in frailty phenotype classification over time. Method: 40 individuals of both genders aged over 65 years, living in the metropolitan region of Belo Horizonte, Minas Gerais and identified in a base line Rede FIBRA assessment as frail, who could walk independently or with the aid of devices and who had no illnesses that would prevent tests being carried out, , were considered. A standardized survey previously established by Rede FIBRA was administered. Results: The initial sample was composed of 40 individuals with a mean age of 78.03 (±6.46) years. After 24 months, a follow up of the 22 individuals from the initial sample that could be found was performed. The frailty phenotype classification scores of the same 22 subjects from the two samples were compared. After comparing the groups, it was found that 16 individuals had a lower number of frailty phenotype positive items in the follow up, three had higher positive scores and there was no change in the score of three individuals between assessments ( p=0.004). Conclusion: This study found that a large majority of individuals showed improvement in their frailty phenotype classification.

Frailty state among Indonesian elderly: prevalence, associated factors, and frailty state transition

“…Most of our subjects had a constant frailty state (58%). However, frailty state improvement in our study was lower than Faria et al’s (14.8% vs 45%) [26]. Nevertheless, it showed that there is a possibility for individuals to transition into lesser frailty states, although the probability is low.…”

Piora da fragilidade em pessoas idosas comunitárias com hipertensão e fatores associados

“…Como 54 idosos faleceram e é possível que estes apresentassem os piores níveis de fragilidade, talvez isso explique essa suposta melhora. É possível uma melhora espontânea da fragilidade, uma reversão de níveis ruins e até reabilitação do idoso considerado frágil, neste caso são necessárias intervenções assistenciais 21 . Outra ação positiva que pode colaborar para melhora dos níveis de fragilidade é a educação em saúde.…”

Worsening frailty in community-dwelling older people with hypertension and associated factors

“…As 54 older people died and it is possible that they had the worst levels of frailty, perhaps this explains this supposed improvement. A spontaneous improvement in frailty is possible, a reversal of bad levels and even rehabilitation of the older person considered frail, in this case care interventions are necessary 21 . Another positive action that can help improve levels of frailty is health education.…”